Insurance Denial Help
Get a clear explanation of your denial and a structured path toward appealing it — in seconds.
Upload Your Denial LetterConfusing denial? You're not alone.
Insurance companies frequently deny claims using vague or highly technical language. Many of these denials can be challenged — but only if you understand what the denial actually says and what information the insurer is expecting.
DocumentDecoder helps you break down your denial, understand the insurer’s reasoning, and determine what steps you may take next. For Pro users, it can also generate a structured appeal letter based on your document.
What DocumentDecoder can help you with
- “Not medically necessary” denials
- Out-of-network denials
- Prior authorization denials
- Coding or billing-related denials
- Insufficient documentation denials
- Coverage exclusions
- Claim rejections needing clarification
How it works
- Upload your denial letter (PDF or copied text).
- DocumentDecoder breaks it down into plain English.
- Understand what the insurer is asking for or why they denied the claim.
- Pro users generate a Level 1 appeal letter tailored to their denial.
- Review and personalize before submitting to your insurer.
Why insurers deny claims
Denials often occur for reasons that can be corrected or clarified. Common causes include:
- Missing clinical documentation
- Incorrect billing codes
- Lack of prior authorization
- Insurer misunderstanding the medical need
- Simple clerical errors
Understanding the real reason behind your denial is the first step toward a successful reconsideration.
Sample denial breakdown (excerpt)
This is an example. Your breakdown will be based on your actual document.
“Your claim was denied because the procedure was categorized as not medically necessary under Policy Guideline 4.2. However, the submitted notes did not include the diagnostic criteria supporting the intervention. The insurer is requesting additional clinical justification or documentation.”
Next steps after receiving a denial
After you understand your denial, you typically have several options:
- Submit additional documentation
- Request reconsideration
- File a Level 1 appeal
- Ask your provider to submit records on your behalf
- Verify whether the denial was due to administrative error
DocumentDecoder helps clarify which path makes sense based on your insurer’s language.
Why people choose DocumentDecoder
- Fast, accurate explanations
- No jargon — real language you can understand
- Professional formatting
- Comprehensive Pro-level breakdowns
- Optional appeal letter generation
- No login required to start (optional)
Important Notes
DocumentDecoder provides educational interpretations of documents and template-based appeal structures. It does not replace legal, medical, or billing advice. We recommend removing any unnecessary personal identifiers before uploading. Always review and personalize appeal content before sending to your insurer.