AppealWin

Simple pricing for solo therapists

Generate insurance-appeal letters in minutes. Local AI inference — your data never leaves our private Mac. No third-party LLM ever sees your inputs.

Free
$0/ month

Try AppealWin on your real denials. No credit card required.

  • 5 appeal generations / month
  • Full CARC + RARC code support
  • MHPAEA parity arguments auto-applied
  • ERA / EOB file upload
  • Outcome tracking + 30-day reminders
  • In-product support chat
Start free
Most popular
Pro
$99/ month

Unlimited appeals for the practice that bills regularly. Cancel anytime — billing stops at end of cycle.

  • Unlimited appeal generations
  • Everything in Free, plus:
  • Second-level / external-review escalation
  • ERA batch mode (multi-line denials)
  • Weekly practice digest email
  • Recovery-dollars analytics
  • Priority support response
Upgrade to Pro →

30-day money-back if AppealWin doesn't generate at least one usable letter.

Why we charge a flat $99

Other "AI appeal" tools route your inputs through OpenAI or Anthropic — meaning every claim detail, diagnosis note, and denial reason you type ends up on a third-party server. AppealWin runs the model locally on a private Mac in our office. Your inputs never leave that machine. That's why we don't need to charge per-token: we're not paying per-token to anyone.

Read the full privacy policy →

AppealWin vs. the alternatives

How the most common approaches to insurance appeals stack up for solo behavioral health therapists.

 Manual / DIYGeneric AI
ChatGPT, Copilot		Billing ServiceAppealWin
Time to first draft2–4 hours30–45 min1–3 business daysTypically 1–2 minutes
CARC / RARC-specific logicOnly if you know the codesInconsistentVaries by serviceYes — per-code arguments
MHPAEA parity citationsOnly if you research themMay cite parity law inconsistentlyRarely includedAuto-applied where applicable
Payer-specific languageNot without billing experienceGeneric outputSometimesYes (Aetna, UHC, BCBS, and more)
PHI exposureStays in your handsOften processed on third-party AI serversShared with vendorYou control what you share — no patient name required
Monthly costYour time at hourly rate$20–30 + your time% of recovered claimsFree tier / $99 flat

Frequently asked

Can I cancel anytime?
Yes. If you're on Pro, open /app/upgrade and click Manage subscription — that opens the Stripe customer portal where you can cancel in two clicks. Billing stops at the end of your current cycle; you keep Pro access through then. Free-tier users have nothing to cancel — there are no recurring charges.
Do you offer refunds?
We don't offer refunds for partial months as a rule. If the generator can't produce a usable letter from a real denial in your first 30 days, email us and we'll refund — that's our money-back guarantee on Pro.
Is AppealWin HIPAA-compliant?
We don't currently sign Business Associate Agreements (BAAs). The product is designed so a fully-scrubbed input (using the placeholders we generate) produces an excellent letter — that means you can use AppealWin without ever entering PHI. We'll update this answer when our BAA program is in place.
Will my data train your model?
No. We use a fixed open-source Qwen 2.5 model. Nothing you submit changes its weights, and we don't fine-tune on user inputs.
What about group practices?
We're Pro-only at the seat level today. If you need 5+ seats on a single bill, email us — we'll set you up with a practice plan.
Which insurance payers do you support?
All of them. We have hand-curated knowledge for Aetna, Cigna, Anthem / BCBS, UHC / Optum, Humana, Kaiser, Tricare, Medicare, Medicaid, Horizon BCBSNJ, and Highmark. Other payers fall back to verified federal regulations.