Fight denied insurance claims and win
Your advocate fights denied insurance claims by filing appeals, gathering medical evidence, and navigating the process until you get the coverage you deserve.
17%
of in-network Medicare Advantage claims are denied
You are not alone, and you do not have to figure this out by yourself. A dedicated Pinnie care advocate can help you navigate every step of the way.
What your advocate does
Specific help for your specific needs
Denial Review & Strategy
- Review your denial letter and explain why your claim was rejected
- Determine if the denial was an error, medical necessity issue, or policy exclusion
- Develop a clear appeal strategy with supporting documentation
- Identify deadlines and ensure your appeal is filed on time
Appeal Filing & Documentation
- Write and submit appeal letters with compelling medical justification
- Gather supporting medical records, clinical notes, and physician letters
- Coordinate with your doctor to provide letters of medical necessity
- Escalate through multiple levels of appeal if the first is denied
Ongoing Claims Management
- Track all pending claims and their status through resolution
- Follow up with insurance companies on overdue claim decisions
- Help you understand your rights under Medicare appeal regulations
- Prevent future denials by ensuring proper pre-authorizations are in place
Frequently Asked Questions
Common questions, honest answers
Pinnie is covered by your Medicare Advantage plan, the same way your doctor visits are covered. Medicare pays us to help you navigate your care, so there is no extra charge to you. No hidden fees, no surprise bills.