For Referral Partners

A Flat-Fee Referral Option for Eligible Health Insurance Appeals

When a consumer has an eligible outpatient insurance denial and needs help preparing the appeal, Remedy Support provides a structured review, preparation, and submission service for $49.

Appropriate Referrals

When a Referral Is a Good Fit

  • A written health insurance denial

  • Relevant claim documents are available

  • The carrier is one we currently support

  • The matter is outpatient

  • The filing period may still be open

  • The consumer can complete secure intake and authorization themselves

Current Carrier Focus

Carriers We Currently Support

  • UnitedHealthcare
  • Aetna
  • Cigna
  • Humana
  • Blue Cross Blue Shield

Eligibility depends on the exact plan, denial reason, documents, filing timeline, and required provider involvement.

Referring a Blue Cross Blue Shield Case

Before Referring a Blue Plan Denial

  • The complete denial notice

  • The front and back of the insurance card

  • The Explanation of Benefits

  • The specific Blue plan and legal entity named on the documents

  • Whether the care already occurred

  • Whether the plan is fully insured or self-funded

  • Whether the coverage is FEP Blue

  • Whether BlueCard or out-of-area care was involved

  • Whether the matter is clinical or administrative

  • Relevant provider records

Referring a Humana Case

Before Referring a Humana Denial

  • The complete denial notice

  • The front and back of the insurance card

  • The Explanation of Benefits

  • The date of service, checked against the employer's transition to a successor carrier

  • Whether the coverage is commercial medical, not Medicare, Medicaid, TRICARE, dental, vision, or pharmacy

  • Whether the matter is clinical or administrative

  • Whether a successor carrier or third-party administrator is now involved

  • Whether the plan is self-funded

  • Relevant provider records

Referring an Aetna Case

Before Referring an Aetna Denial

  • The complete denial notice

  • The front and back of the insurance card

  • The Explanation of Benefits

  • The consumer's state

  • Whether the care already occurred

  • Whether the matter is clinical or administrative

  • Whether Meritain is listed

  • Whether Aetna Signature Administrators is listed

  • Whether a joint venture such as Innovation Health, Banner|Aetna, or Allina Health | Aetna is listed

  • Relevant provider records

Referring a Cigna Case

Before Referring a Cigna Denial

  • The complete denial notice

  • The front and back of the insurance card

  • The Explanation of Benefits

  • The consumer's state

  • Whether the care already occurred

  • Whether the denial is medical or behavioral

  • Whether EviCore was involved

  • Whether the card says GWH-Cigna, "G," or Shared Administration

  • Relevant provider records

Service Scope

What Remedy Support Provides, and What It Doesn't

What Remedy Support provides

  • Denial and claim review
  • Appeal preparation
  • Document organization
  • Carrier-form preparation when applicable
  • Human review
  • Packet assembly
  • Transmission
  • Submission confirmation

What Remedy Support does not provide

  • Guaranteed approval
  • Legal representation
  • Medical treatment recommendations
  • Emergency assistance
  • Litigation support
  • Percentage-based recovery services
  • Services outside the signed authorization
  • Case-status disclosure to the referrer without separate authorization

Pricing

$49 Per Eligible Appeal

  • No subscription
  • No hourly billing
  • No percentage of the claim
  • No percentage of a successful outcome

Referral Process

How a Referral Works

  1. Share the Remedy Support page

    Point the consumer to this page or the main appeal guide for their carrier.

  2. The consumer completes secure intake personally

    They control their own case documents and authorization.

  3. Remedy Support reviews basic scope and documents

    We confirm the case fits our current eligibility rules before proceeding.

  4. The consumer completes the required authorization

    This happens through secure intake, not through the referral partner.

  5. Remedy Support prepares, reviews, and transmits an eligible appeal

    A trained reviewer checks the packet before anything is sent.

  6. The consumer receives submission confirmation

    Case status is not shared with the referral partner without separate authorization.

Privacy Boundary

Do Not Send Case Documents on the Consumer's Behalf

Do not email, upload, or message patient records to Remedy Support on the consumer's behalf. The consumer should use secure intake directly. Referral partners should not send denial letters, medical records, claim numbers, dates of birth, insurance IDs, diagnoses, or consumer contact information without authorization through ordinary channels.

Referral Relationship

How the Referral Relationship Works

  • No referral fees are paid
  • Referral partners are not agents of Remedy Support
  • A referral does not guarantee case acceptance
  • No case information is returned without separate consumer authorization

Ready to Refer a Case?

Send Your Client to Secure Intake

Once you've confirmed the referral looks like a fit, the consumer can complete secure intake directly. Remedy Support will confirm eligibility, review the case, and prepare an eligible appeal for a flat $49.

Go to Secure Intake