FOR INSURANCE ATTORNEYS & PATIENT ADVOCATES

Give Every Client a Fighting Chance Before They Need a Lawyer

The majority of insurance denials can be overturned at the internal appeal stage โ€” without attorney involvement. ClaimBack handles the initial appeal so you can focus on the escalated cases that genuinely need legal expertise.

Used by insurance attorneys, patient advocates, and healthcare consultants to streamline client intake and maximize case outcomes.

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40%
of insured Americans have had a claim denied or coverage dispute in the past 2 years
$12
cost of a ClaimBack letter vs. $200โ€“$500/hr attorney time
75%
of appealed prior auth denials are overturned
180 days
typical ERISA appeal deadline โ€” most clients miss it without guidance

Why Attorneys and Advocates Use ClaimBack

From solo patient advocates to insurance litigation practices, ClaimBack fits into your workflow as a first-step resource that saves time and improves client outcomes.

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Screen Clients Before Intake

If a client has already attempted a self-help appeal and it was denied, you have a stronger escalated case. ClaimBack creates a documented first-step appeal trail โ€” useful evidence if you proceed to ERISA litigation or state insurance commission complaint.

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Save Research Time

ClaimBack identifies the applicable CPBs (Clinical Policy Bulletins), ERISA plan provisions, ACA sections, and state insurance code sections for each denial type. Use it to validate the regulatory landscape before your paralegal digs in.

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Client Resource Before Retainer

Most clients cannot afford legal fees for an initial appeal. Give them a ClaimBack link before they sign โ€” it sets realistic expectations, empowers them to act, and filters out cases where an appeal alone resolves the issue.

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Handle Volume Without Overhead

Patient advocates managing dozens of clients simultaneously can use ClaimBack to generate first-round appeal letters without attorney time. Escalate only the cases that genuinely need legal intervention.

The ClaimBack Advantage: Real Citations, Real Regulations

ClaimBack does the same regulatory research your paralegals do โ€” automatically. Every appeal letter cites the specific provisions that govern the denial.

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Clinical Policy Bulletins (CPBs)
Aetna, Cigna, UHC, BCBS, Humana CPBs cited by name and section number
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ERISA ยง502(a) and ยง503
Claim procedures, appeal rights, and civil enforcement provisions for employer-sponsored plans
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ACA Sections 2719 and 1557
Internal and external appeal rights, non-discrimination protections
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State Insurance Codes
Managed care appeal statutes for all 50 states, including prompt pay and utilization review laws
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CMS Coverage Policies
National Coverage Determinations (NCDs) and Local Coverage Determinations (LCDs) for Medicare-adjacent disputes
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External Review Pathways
State and federal Independent Medical Review (IMR) processes, ombudsman contacts
COMING SOON

White-Label Option for Your Firm

We are building a white-label version of ClaimBack where appeal letters carry your firm's name and branding. Send the intake link to prospective clients โ€” they self-serve the initial appeal, and cases that need escalation come back to you pre-documented.

Join the Waitlist โ†’

Referral Program

Refer clients to ClaimBack before they retain you. If they purchase an appeal letter, you earn an affiliate commission โ€” and you get a pre-screened client back if escalation is needed.

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Unique Referral Link
Share your link with clients. Every purchase through your link earns a commission.
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Monthly Payouts
Commissions paid monthly via bank transfer or PayPal. No minimum threshold.
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Referral Dashboard
Track clicks, conversions, and earnings in your partner dashboard.
Apply for Affiliate Access โ†’

Ready to Add ClaimBack to Your Practice?

Try it yourself first โ€” generate a sample appeal letter to see exactly what your clients receive. Then contact us to discuss a formal partnership.

Try ClaimBack Now โ†’Discuss Partnership โ†’

No commitment required ยท White-label options coming soon

ClaimBack provides AI-assisted document drafting. We are not a law firm and do not provide legal advice. ClaimBack is intended as a first-step self-help tool. For complex or high-value disputes, legal counsel is recommended.