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Draft a prior authorization or insurance appeal

“Insurance denied it. Do I just accept that?”

Appeals often succeed when the letter answers the insurer's own criteria point by point. AI is good at that mapping.

Fix it yourself in 3 steps

  1. Gather the denial letter and the insurer's published coverage policy for that drug or service.
  2. Ask: "Draft an appeal that addresses each criterion in this policy, in order, and lists what evidence we need."
  3. Have the prescriber review, add clinical evidence and sign. Keep identifying details out of consumer AI tools.

Copy this prompt

Here is the denial letter and the insurer's coverage policy for [drug/service]. Draft an appeal that addresses each policy criterion in order and lists the evidence we need for each. Use only facts I've given you and mark gaps as [NEEDED]. Stop after the draft — the prescriber reviews and signs.

Fill in the [brackets]. Each prompt says when the AI should stop, so it doesn't wander off.

Never paste anyone's identifiable health information into a consumer AI tool — black out names, dates of birth and member IDs. Organizations handling patient data need tools covered by a Business Associate Agreement (BAA). FixKit is not medical advice.

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