Fight Denied Claims · Pinnie
Most denied Medicare claims that get appealed are overturned. Most never get appealed because the process is hard. Your Pinnie advocate writes the appeal, gathers the evidence, and fights it through. Covered by Traditional Medicare.
Most patients pay nothing out of pocket.
Covered by Traditional Medicare
Priya S.
Experienced Care Navigator · 12 yrs
Specialties
Experience
Priya has spent twelve years filing appeals against insurance denials. She has overturned hundreds of denials at the first level and pushed many more through external review when needed. She knows the language plans take seriously.
David L.
Experienced Care Navigator · 22 yrs
Specialties
Experience
David has spent twenty-two years inside Medicare. He reads denial letters fluently, knows when an appeal will land and when it will not, and catches the coding errors that turn covered care into a denial. He works the rules in your favor.
Maria V.
Registered Nurse · 18 yrs
Specialties
Experience
Maria gathers the clinical evidence that makes appeals stick. She reads the chart, identifies what documentation is missing, and works with your physicians to write the medical necessity letters that turn a denial into an approval.
17%
Denied at first does not mean denied forever.
of in-network Medicare claims are denied
How Pinnie works
Every Pinnie advocate is a registered nurse, licensed social worker, or experienced care navigator. They handle your care directly: scheduling, prior auths, appeals, and coordinating between providers. A supervising physician backs them up for clinical oversight.
Step 1
Tell us about your condition and your insurance. We pair you with an advocate whose background fits your situation. Most patients are matched within a day.
Step 2
Call your advocate directly. They know your case the moment you pick up. No phone tree, no transfers, no callbacks.
Step 3
Your advocate handles the appointments, the prior auths, the appeals, and the calls. As long as you need help, they are on it. Covered by Traditional Medicare.
Ready when you are
A licensed Pinnie advocate can be on your case today. Covered by Traditional Medicare.
What your advocate handles
Most appeals fail because they are filed on autopilot. Yours will not be. Your advocate writes them with the evidence and the right policy language, and follows them through.
Stories from our patients
Member stories. Some details changed for privacy.
My PET scan was denied two days before the appointment. My advocate appealed and had a covered decision in 48 hours. I never missed it.
Robert, 73 · Brooklyn, NY
Insurance denied my physical therapy after eight visits. My advocate appealed it and got twenty more approved. My speech came back.
Vincent, 70 · Boston, MA
A bill for nine thousand dollars was sitting on my counter. My advocate audited it, removed five thousand in errors, and got the rest into a payment plan.
Beverly, 76 · Atlanta, GA
I needed a specialty drug and the plan said no. My advocate filed the appeal with my doctor's letter. Approved on the second level.
Walter, 78 · Sarasota, FL
Your advocate is a licensed nurse, social worker, or care navigator. Covered by Traditional Medicare.
From our advocates
Denial letters are written in legal-insurance language and often hide the real reason. Your advocate reads it, identifies whether the denial is for medical necessity, coding, lack of pre-authorization, or policy exclusion, and explains it in plain English. Different reasons need different appeals. The strategy starts here.
A successful appeal needs the right evidence: clinical notes, lab values, prior treatments tried, peer-reviewed citations, and a letter of medical necessity from your physician. Your advocate gathers all of it, pulls records from every involved provider, and writes the medical-necessity letter for your doctor to sign. Most denied claims fail because the evidence packet is thin.
Medicare appeals have multiple levels: redetermination, reconsideration, ALJ hearing, Medicare Appeals Council, federal court. Each has a deadline. Your advocate files at the right level with the right form, tracks the deadline, and escalates if the decision is delayed. They never miss a window.
Plans are required to respond to standard appeals within 30 days, and to expedited appeals within 72 hours. Your advocate follows up with the plan if a decision is overdue and pushes back hard when an unfair denial comes through. When the win lands, you get a copy in writing for your file.
Common situations
Frequently asked
Pinnie is covered by your Traditional Medicare 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.
Get matched with a Pinnie advocate today.
Covered by Traditional Medicare
