Pricing built for the way clinical practices actually work
One simple per-prescriber tier covers most practices. For health systems that need unlimited usage and custom integration, talk to us.
Self-serve. Cancel any time. No annual contract.
- ✓Unlimited appeal-letter drafts, evidence-cited and prescriber-ready
- ✓Pro PA Generator access for prior-auth letters when it ships post-launch
- ✓All 93+ specialties — endocrinology, oncology, rheumatology, cardiology, GI, dermatology, fertility, neurology, and more
- ✓Insurer-policy lookup with verbatim coverage-criteria citation
- ✓Adversarial reviewer pass before delivery
- ✓Letter-summary cover sheet on every output
- ✓HIPAA-compliant audit log on every PHI access
- ✓Two free regenerations per PA
- ✓CSV batch denial intake — drop your aged-denials CSV from Tebra / AdvancedMD / athenaCollector / NextGen / eCW; auto-detect columns; queue overnight
- ✓X12 835 (ERA) ingestion — upload your weekly clearinghouse remit; we auto-extract appealable claims by CARC code
- ✓Biologic + specialty-drug renewal tracker — never miss a re-auth. We auto-draft the renewal packet 30 days before expiry using your prior approved letter
- ✓Carve-out vendor coach — know who's actually adjudicating (eviCore, Carelon MBM, NCH, Optum BH, Magellan) and get a P2P script tailored to each vendor's preferred guideline body
- ✓Bilingual patient copies — appeal letter to your payer in English plus a Spanish patient copy for your records, generated in one click
- ✓Smart-paste editor — paste from Epic, Cerner, athenaOne; page headers, MRN lines, copyright text stripped automatically
- ✓Practice analytics dashboard — appeals drafted / sent / overturned / $ recovered + top payers + top denial reasons (owner-only)
- ✓Specialty-entry browse at 93 verticals — click your specialty, jump straight into pre-filled intake
- ✓Pro → Consumer referral — hand off complex consumer-side cases to denialhelp.com Consumer with one click; patient continues with the appeal context pre-loaded
- ✓Optional regulator CC — patients can opt to have their state insurance commissioner notified in parallel; we prepare the complaint packet
| Starter — up to 5 seats, 20 PAs/mo included | $499/mo |
| Growth — up to 20 seats, 60 PAs/mo included | $999/mo |
| PA overage on Practice tiers | $10/PA |
| Above 20 seats | Enterprise |
Practice tiers bundle seats and a monthly PA quota — no per-seat math. Appeals are unlimited on every tier. Owner manages billing and seat assignment from the dashboard.
Health systems, hospital networks, large specialty practices. Typical engagements $50K–$250K annually, 1–3 year contract.
- ✓Unlimited PAs + unlimited consumer-side appeals on a flat annual contract
- ✓Dedicated account manager — single point of contact
- ✓EHR integration consulting (Epic, Cerner, Athena, eCW)
- ✓SLA-backed support — guaranteed response times + uptime
- ✓Custom branding — white-label option for the patient-facing surface
- ✓Custom BAA tailored to your environment
- ✓Onboarding + clinical staff training
- ✓Practice-level reporting dashboards
- 5+ prescribers AND 100+ PAs per prescriber/mo
- Hospital system or large specialty practice with central procurement
- Need EHR integration on day one
- Need uptime SLA and guaranteed response time
- Want white-label / custom-branded patient experience
FAQ
Why $149 and not less?
The price is set so we’re profitable on every customer, even worst-case usage. That sustainability is what lets us invest in keeping the product working — formulary updates, insurer-policy refreshes, ongoing prompt tuning, expanded specialty coverage. Cheaper tools exist; they’re either pharma-funded (CoverMyMeds), bundled with EHR licenses (Surescripts), or limited in scope. We’re priced to be independent.
What’s included at $149/mo?
Unlimited appeal-letter drafts on behalf of your patients, all 93+ specialty verticals, insurer-policy lookup with verbatim coverage-criteria citation, the adversarial-reviewer pass, branded letterhead, the HIPAA audit log, and the upcoming Pro PA Generator when it launches. No per-letter charge, no metered overage on appeals.
Can I switch from self-serve to Enterprise mid-contract?
Yes. Submit the form at /enterprise and we’ll prorate. Typical reasons to switch: rapid practice growth, EHR integration becoming critical, or you’ve crossed the volume threshold where Enterprise is cheaper.
Cancellation?
Self-serve: cancel any time from your dashboard, access continues to end of paid period. Enterprise: contract terms apply (typically 1–3 year, with off-ramps documented in the MSA).
What about the consumer appeals product?
The consumer flow at denialhelp.com (patient uploads denial letter → pays $39 → letter generated → patient brings to their doctor) is separate from Pro. Pro accounts can also generate consumer-style appeals on behalf of their patients without the per-letter charge — that’s covered in the $149/mo per-clinician fee.
HIPAA compliance?
Yes. DenialHelp, LLC has a designated Privacy Officer, signed Security Risk Analysis on file, AES-256 encryption at rest, TLS 1.3 in transit, immutable audit logging on every PHI access. BAAs in place with every PHI sub-processor. Full sub-processor list at /privacy.
Ready to start?
Start in minutes →Cancel anytime. Pay only for what you send.