Your GLP-1 was denied or dropped
Wegovy, Zepbound, Ozempic, or Mounjaro, refused or pulled after it was working. Often an administrative call, among the more winnable on appeal.
Patient advocacy for insurance denials
A denial isn't final.
Your insurer is counting on you to give up. We don't. Recourse prepares and files your insurance appeal for you, grounded in your plan's own coverage rules. You pay only if we win.
No upfront cost on cases we take on contingency.
- 44-82%
- of appeals are overturned
- under 1%
- are ever appealed
- ~60M
- denied every year
U.S. market averages (KFF, CMS), not a prediction about your case.
You pay only if we win
We do all the paperwork
We track every deadline
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Pay only if we win
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We do all the paperwork, not you
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Grounded in your insurer's own coverage rules
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We track every deadline and escalate for you
The quiet math of a denial
The system is built on the assumption that you'll quit.
Insurers issue tens of millions of denials a year. The numbers below are the part they would rather you not sit with.
~60M
Claims denied each year in the U.S.
<1%
Of denied claims are ever appealed.
44-82%
Of appealed denials are overturned, depending on the denial type and plan.
Almost no one pushes back. The ones who do tend to succeed far more often than they expected to.
These figures describe the broader U.S. health-insurance market (sources include KFF and federal CMS marketplace data), not a prediction about your specific case. We do not publish a win rate. Outcomes vary by denial type, plan, and the facts of each claim, and we will tell you honestly what we think yours looks like.
Who we fight for
People like you, told no by a system that counted on you quitting.
Different people, the same fight: a denial that should never have stood. If any of these sound familiar, it's worth a free look.
A Medicare denial you were told was final
Medicare Advantage denials get overturned far more often than people expect, yet almost no one appeals them. We do, and we track every deadline.
A treatment denied for someone you love
A procedure, a medication, or a plainly wrong bill for your child or your parent. You handle the family. We handle the fight with the insurer.
How it works
Three steps. We do the part that makes people give up.
A strong appeal is hours of expert paperwork. That's exactly why most people never file one. You hand us the letter, we handle the rest.
Upload your denial
Send us your denial letter and sign two simple forms so we can act as your authorized representative. That is the whole ask from you.
We build the appeal
We find why it was denied, write the appeal grounded in your plan's own published coverage rules, and verify every citation before anything is filed.
We file and fight
We submit the appeal, track every deadline, and escalate it through the official review process if the first answer is still no. You pay only if we win.
The whole deal
You upload your denial letter. We do the rest.
You upload your denial letter and sign two forms. From there, we do the rest. We read the letter and find the real reason it was denied. We pull your plan's own coverage rules and write an appeal that speaks to them. We file it, track every deadline so none slips by, and if the first answer is still no, we escalate it through the official review process.
You do not chase your insurer, sit on hold, or learn what a prior authorization is.
We do the work, and you pay only if we win.
GLP-1 coverage denials
Your GLP-1 was denied. That's not the end of it.
Most people never appeal a GLP-1 denial, and many of these are administrative denials, which are among the more winnable on appeal. Coverage that gets pulled, a prior authorization that lapsed, a step-therapy rule you were never told about. We read that fine print so you don't have to.
We prepare and file the appeal for you, grounded in your plan's own coverage rules, for Wegovy, Zepbound, Ozempic, or Mounjaro. You pay only if we win.
A denied GLP-1 can mean paying out of pocket, often $1,000 or more a month, or stopping treatment that was working. Appeals also have deadlines, frequently 60 to 180 days from the denial, so the sooner we look, the more options you have.
Wegovy
Zepbound
Ozempic
Mounjaro
Check my denial, free
One honest note: we appeal the administrative decision. We do not decide whether a medication is right for you. That stays between you and your prescriber.
Why it matters
Win back your coverage. Keep living your life.
A denial doesn't just cost you a claim. It interrupts the care you and your doctor chose, and the life you were building around it. We fight to get your coverage back, so nothing has to stop.
Free to check
Check my denial, free.
Tell us what was denied. We'll review it and tell you honestly whether it's worth appealing, with no obligation and no cost to find out.
Got it. We'll be in touch.
Thanks for reaching out. We'll review what you sent and email you honestly about whether your denial looks appealable, and what the next step would be. No cost, no obligation.
Why Recourse
The calm, capable ally who read the fine print for you.
We do the work and give you a straight answer. We only get paid when you come out ahead.
You pay only if we win
Contingency, not "free." Our fee comes out of what we recover, so our incentive is the same as yours. The only exception is a small set of low-odds denial types that carry a flat filing fee, disclosed before you commit. We never bury a charge.
We do the paperwork, not you
A strong appeal is hours of expert work, which is exactly why most people give up. You upload your denial and sign two forms. We do the rest and track every deadline, the part that makes most people quit.
Grounded in the rules, every time
Most denials are paperwork problems, not medical arguments. We ground each appeal in your plan's own published coverage rules and verify every citation before anything is filed.
Honest to a fault
We tell you up front what our fee is, we tell you when you could do it yourself, and we tell you plainly when a case isn't worth fighting. Denials and billing errors, both handled under one roof.
A real person in your corner.
You will not be left to figure this out alone. We read the letter, do the work, and tell you in plain language where things stand, what we are filing, and what to expect next. When the first answer is no, we keep going.
Transparent fee, shown before you start
You only pay when you win
We'll tell you if it isn't worth appealing
What we take on
Denials we overturn, and the proof it's worth it.
Statistics describe the broader U.S. health-insurance market (sources include KFF and CMS), not a prediction about your specific case. We do not publish a win rate.
Real stories
Real stories, coming soon.
We are early, so we are not going to invent reviews. As real appeals are filed and won, the people behind them will tell you in their own words. This space is theirs.
We will only ever publish stories from real people who agree to share them. No stock quotes, no invented numbers.
Straight answers
Questions people ask first.
What's the catch? How do you get paid?
It is not free, it is contingency. We only get paid when you do. On most cases there is no upfront cost, and our fee comes out of what we recover for you. We make money only when you come out ahead.
The honest exception: a small set of low-odds denial types carry a flat filing fee, and we tell you that up front, before you commit to anything.
Are you lawyers? Is this legal advice?
No. Recourse is a patient-advocacy service. We help you prepare and submit administrative appeals to your insurer, the same right any patient has to be helped by an authorized representative.
We are not a law firm, and we do not provide legal advice. If a case ever needs a licensed attorney, we will tell you plainly rather than pretend we can do something we can't.
Is this medical advice?
No. We do not decide what care you need or give medical advice. That stays between you and your prescriber or doctor.
What we do is appeal the administrative decision. If an appeal needs a new medical-necessity opinion, that comes from a licensed clinician, not from us.
Can't I just do this myself?
Absolutely, and for some denials you should. The reason most people don't is that a strong appeal is hours of work: finding your plan's actual coverage rules, citing them correctly, hitting every deadline, and escalating if the first answer is no.
We do all of that and verify every citation before anything is filed. You are paying us to do the part that makes people give up.
What kinds of denials do you handle?
We lead with the high-volume, winnable kind: coding errors, eligibility mix-ups, missing or lapsed authorizations, step-therapy issues, out-of-network surprises, and plainly wrong bills. GLP-1 coverage denials are a focus right now.
There is no condition floor and no minimum bill size. Tell us what was denied and we will review it honestly, including telling you if it isn't worth fighting.
The Recourse promise
It costs you nothing to find out.
- No upfront cost on cases we take on contingency. You pay only if we win.
- A transparent fee, shown in writing before you ever commit. We never bury a charge.
- An honest answer. We tell you plainly when a case isn't worth fighting, or when you could do it yourself.
Don't let the no stand.
Appeals have deadlines, and they pass quietly. It takes a few minutes to find out if yours can still be appealed, and you risk nothing to ask.
Check my denial, free