Using reKUPR's Appeal Builder
Your Appeal Case Companion
reKUPR's Appeal Case Companion is a guided workflow that walks you through every step of disputing a medical billing issue — from selecting what to fight to generating a professional letter backed by evidence.
Getting Started
Starting from Your Analysis
- Go to your bill analysis
- Navigate to the Actions tab
- Look for issues flagged as appealable
- Click Start Appeal to launch the Case Companion
The Case Companion uses the issues reKUPR already identified in your analysis, so you don't need to start from scratch.
Step 1: Select Issues to Dispute
The wizard shows all appealable issues found in your analysis:
- Billing errors — Overcharges, duplicate charges, coding mistakes
- Denied services — Procedures your insurance refused to cover
- Coverage issues — Services that should have been covered under your plan
For each issue, choose whether to include or exclude it from your appeal. Focus on your strongest cases and highest-dollar issues first.
Step 2: Review Evidence
This is where the Case Companion really shines. For each issue you selected, reKUPR automatically searches for supporting evidence — relevant guidelines, regulations, and coverage criteria that strengthen your case.
The Evidence Tab
On the evidence tab, you can:
- Review each piece of evidence reKUPR found
- Include or exclude specific evidence items per issue
- See why each piece of evidence is relevant to your dispute
This evidence is woven into your appeal letter to make it more persuasive and professional.
Step 3: Generate Your Letter
Once you've selected issues and reviewed evidence, reKUPR generates a professional appeal letter that includes:
- Clear identification — Your details, provider, claim numbers
- Specific disputes — Each issue stated clearly with supporting arguments
- Evidence citations — Relevant evidence integrated into your arguments
- Professional tone — Formal language appropriate for insurance correspondence
- Request for action — A clear statement of what you're asking for
Review the generated letter and make any personal edits before downloading.
Download and Send
Export your appeal letter as a PDF ready to print, mail, or submit through your insurer's portal.
Sending tips:
- Certified mail is best for paper appeals — get a delivery receipt
- Online portals are faster if your insurer supports them
- Keep copies of everything you send
Follow-Up Letters
If your initial appeal is denied, the Case Companion helps you fight back:
- Generate a counter-reply that addresses the denial reasons
- Add new evidence or context that strengthens your case
- Reference your original appeal for continuity
You don't have to start over — the Case Companion builds on your existing case.
Tracking Outcomes
Issue Outcome Tracking
For each issue in your appeal, you can record the outcome:
- Resolved — The issue was decided in your favor
- Partially resolved — You received partial relief
- Denied — The insurer upheld their decision
This helps you track your progress and decide whether further action is needed.
Tips for Success
- Review and personalize the generated letter before sending
- Include all evidence that supports your case
- Send within the deadline — most appeals have a time limit
- Follow up if you don't hear back within the expected timeframe
- Use counter-replies when an initial appeal is denied — persistence pays off
The Appeal Case Companion transforms complex medical billing disputes into a manageable, guided process. Let reKUPR handle the research and writing while you focus on getting results.