Terms of Service

By creating an account or using AppealWin ("the Service"), you agree to these Terms of Service and the Privacy Policy. If you don't agree, don't use the Service.

The Service is operated by Autonomous Labs ("we", "us"). Contact: support@appealwin.app.

AppealWin generates draft insurance-appeal letters from structured inputs (denial code, CPT code, payer, state, clinical context) you provide. The output is a formatted letter intended to be reviewed, edited, and sent by a licensed clinician.

AppealWin is NOT:

• A law firm. We do not provide legal advice.
• A medical practice. We do not provide medical or clinical advice.
• An insurance broker. We do not interpret your specific insurance contract.
• A guarantee. Generated letters do not guarantee any specific appeal outcome.

You — the licensed clinician — are responsible for verifying the letter's accuracy, ensuring it complies with your state's professional standards, and submitting it through the appropriate channel.

You must be at least 18 years old and a licensed healthcare provider (or authorized billing/admin staff acting on a provider's behalf). One account per provider. Do not share credentials.

Free tier

5 appeal generations per calendar month at no cost. Counter resets on the first day of each calendar month.

Pro tier

• $99 / month, billed in advance via Stripe. Auto-renews until you cancel.
• Unlimited appeal generations.
• Cancel any time at /app/upgrade → Manage subscription. Billing stops at the end of your current cycle. Pro features remain active until the cycle ends.
• We do not offer refunds for partial months. We may issue refunds at our sole discretion in cases of clear billing error.
• Prices may change. We'll give 30 days' notice before any increase to existing subscribers, and you can cancel before the new price takes effect.

You agree NOT to:

• Submit Protected Health Information (PHI) into form fields that are intended for placeholder data (patient name, member ID, etc.). Use the placeholders we generate.
• Use the Service to draft letters for claims you don't have a legitimate clinical or contractual relationship to.
• Reverse-engineer, decompile, or extract the model weights or system prompts.
• Resell or relicense the output of the Service to third parties as part of an automated pipeline without our written agreement.
• Probe, scan, or attempt to disrupt the Service's infrastructure.
• Use the Service to generate content that defames, harasses, or impersonates any individual.
• Submit knowingly false denial information to manufacture an appeal.

We may suspend or terminate accounts that violate these rules without refund.

You retain all rights to the inputs you submit and the letters you generate. We claim no ownership over either. We process your inputs only to provide the Service to you.

You grant us a narrow license to operate the Service on your behalf: to receive your inputs, run them through our local AI model, and return the generated letter.

Read this section carefully. It describes important limits on our liability.

The Service is provided "as is." Generated letters reflect the model's best effort given the inputs you provide; they are not legal advice and are not guaranteed to result in any specific insurance outcome.

AI models can hallucinate. Citations, dates, and dollar amounts in the generated letter must be verified by you before sending. We add server- side validators for regulatory citations, but errors can still slip through.

No warranties

To the maximum extent permitted by law, we disclaim all warranties, whether express or implied, including merchantability, fitness for a particular purpose, and non-infringement.

Limit of liability

Our total liability to you for any claim arising from the Service is limited to the greater of: (a) the amount you've paid us in the 12 months before the claim arose, or (b) $100. We are not liable for indirect, consequential, or punitive damages — including lost revenue, denied claims, or reputational harm — even if we've been advised of the possibility.

AppealWin does not currently sign Business Associate Agreements (BAAs). If you intend to submit PHI through the Service, you do so at your own discretion. The product is designed to produce excellent letters from fully-scrubbed inputs (placeholder names, member IDs, etc.) and we strongly recommend you keep PHI inside your billing/EMR system, not AppealWin.

We will update these terms when a BAA program becomes available.

You can close your account at any time by emailing support@appealwin.app. We'll permanently delete your account data within 30 days, subject to billing-record retention required by US tax law.

We can suspend or terminate your account if you violate these terms, if your payment method fails for > 14 days, or if we're required to by law. We'll notify you at the email on file.

We can modify, add, or remove features at any time. Material breaking changes that affect Pro subscribers will be announced 14 days in advance via email. If a change materially reduces the value of the Pro plan, you may cancel and request a pro-rated refund of your unused current month.

These terms are governed by the laws of the State of Michigan, USA, without regard to conflict-of-law rules. Disputes will be resolved in the state or federal courts of Washtenaw County, Michigan, except that either party may seek injunctive relief in any court of competent jurisdiction to protect intellectual property.

You agree to bring any individual claim within one (1) year of when it arose, or the claim is permanently waived.

• Entire agreement. These terms plus the Privacy Policy are the full agreement between us.
• Severability. If a court finds any provision unenforceable, the rest stays in effect.
• No assignment. You can't transfer your account or these terms to anyone else without our written consent.
• No waiver. If we don't enforce a provision in a given instance, that doesn't mean we've waived our right to enforce it later.

Questions about these terms? Email support@appealwin.app. We respond personally.