Counterforce Health provides a free AI‑powered platform that creates personalized, legally‑grade appeal letters for health insurance denials. Users upload their denial notice and relevant documents, and the system extracts key information, incorporates medical evidence and regulatory standards, and generates a customized appeal to improve the chance of approval while maintaining HIPAA‑compliant security.
Funding
Funding not disclosed
Founders
Product
Problem
Patients and caregivers often receive health insurance denial letters that are difficult to understand and lack clear guidance for appeal, leading to a very low rate of challenges despite many denials being overturnable.
Solution
Counterforce Health offers an AI-powered platform that generates personalized appeal letters for health insurance denials. Users upload their denial notice and relevant insurance documents, and the system leverages a large dataset of successful appeals, peer‑reviewed medical literature, clinical guidelines, and regulatory standards to craft a legal‑grade argument. The generated letter cites specific plan terms and evidence‑based justifications, aiming to increase the likelihood of approval. The service is provided free of charge, with HIPAA‑compliant security ensuring user data remains confidential.
Target Audience
Primary users are patients, caregivers, and healthcare professionals who need to contest health insurance claim denials.
Features
- AI-driven appeal generation trained on a curated corpus of real, successful insurance appeals
- Automatic extraction of key information from uploaded denial letters and insurance documents
- Integration of evidence from medical journals, clinical guidelines, and federal/state regulations into the appeal narrative
- Production of customized, legally informed appeal letters that reference plan language and applicable standards
- Secure, HIPAA‑compliant handling and storage of all user data
- Free access to the appeal generation tool for patients, caregivers, and healthcare providers