01 · Understand
Insurer English,
in plain English
Explained in two minutes.
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Health insurance denials, decoded
Understand the denial.Build the appeal.
Snap your denial letter. Get it in plain English, free.
Preview $0; no credit card required. Full packet $5 or Full Case $20, one-time. Create an account only if you purchase. U.S. health plans only.
Example of your free summary
Insurer language, in plain English
Notice of adverse benefit determination
- Claim A-20418-77, DOS 03/14: adverse benefit determination issued.In plain English: This is the official denial for your March 14 visit.
- Service not certified. Prior authorization was not obtained per Section 4.2 of the Evidence of Coverage.In plain English: The plan says approval was needed first, and it was not requested.
- Member may request an internal appeal within 180 calendar days of receipt of this notice.In plain English: You can appeal. You have 180 days from when you got this letter.
- Supporting documentation, including a letter of medical necessity from the treating provider, may be submitted.In plain English: A letter from your doctor saying why you need it can help.
- If the determination is upheld, the member may be eligible for external review by an independent review organization.In plain English: If they say no again, an independent reviewer may look at it.
Fictional example.Full sample →
What GetMyYes does for you
Insurer English,
02 · Count
Your deadline,
counted for you
Worked out from your letter.
03 · Send
Your appeal,
sent by you
Six documents. You send them.
Fewer than 1% of denied claims were appealed in published Marketplace data.
When people did appeal, about 4 in 10 denials were overturned.
Public data, not GetMyYes results or a prediction for your case. Sources
Watch · 25 seconds
From the letter to the plan.
Fig. 1A denial arrives at night. By morning, it reads in plain English.
An animated film in the style of a woodblock print. At night a folded letter drifts down over a calm sea and unfolds. A glass lens moves down it and turns each line into plain English: the plan says approval was needed first; you can appeal, and you have 180 days; a letter from your doctor can help.
As dawn comes, the pages of the appeal (an appeal letter, an evidence checklist and a deadline tracker) fan out, fold into a paper plane, and the plane flies into the sunrise.
It ends in morning light: Understand the denial. Build the appeal. Free preview, no card, you send it yourself. The letter shown is fictional.
How long do you have?
Often 180 days. Your letter has the exact date.
Your appeal kit
6documents
One clear appeal kit.
Built from your denial. Gaps are flagged.
Inside the case file
-
Plain-English summary
-
Appeal letter draft
-
Evidence checklist
-
Doctor letter request
-
Insurer call script
-
Deadline tracker + PDF
Proof you can check
See the work before you pay.
Proof 1 of 4 · Complete fictional packet
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Free preview
$0
No card required
- Plain-English summary
- Likely appeal path
- What's missing
Complete appeal packet
$5
One case · one-time payment
- All seven packet items
- 2 follow-up rounds
- 14-day accuracy guarantee
Full Case $20 One case · no subscription
- Everything in the $5 packet
- 7 follow-up rounds in all
- Second appeal and external review drafts
Stripe processes payments. No outcome is guaranteed.
Published Marketplace sources: CMS Marketplace data and methodology and KFF analysis. Your own letter and plan come first.
Privacy and accountability
Who handles your documents.
A document drafting assistant. Not a law firm, clinic, insurer, or broker.
- Your documents are not used to train AI.
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Service operator Who runs GetMyYes
- Operator
- Nojus Sargevičius, registered sole trader (individuali veikla), Lithuania
- Registration
- Activity code 621090 · State Tax Inspectorate certificate No. 1531216
- Support
- support@getmyyes.com
- Policies
- Privacy · Consumer health data · Terms · Accessibility · Editorial policy
Before you begin.
Will GetMyYes send anything for me?
No. You review everything and send it yourself. We never contact your insurer or doctor.
What happens to my uploaded documents?
Unsaved uploads delete after 24 hours. Saved cases follow the Privacy Policy; delete them anytime in Settings.
Is approval guaranteed?
No. It depends on your plan, evidence and reviewer. No one can promise an outcome.
What if the packet contains an error?
Email support@getmyyes.com within 14 days. Under our accuracy guarantee, we fix it or refund you.
Start with what your denial says.
Free. No card.