Help

ApprovalHelp is the prescriber-facing tier. It gives clinicians, prior-authorization specialists, and practice administrators a branded workflow for drafting appeal letters and prior-authorization narratives.

To get started, sign up at /ah/signup, choose a plan (Independent, Practice Starter, or Practice Growth), and complete the brief account-setup form. You'll be in the dashboard within a minute.

Your first appeal can be drafted immediately — head to /ah/new and upload a denial letter to begin.

Practice tiers (Practice Starter and Practice Growth) include multiple seats. To invite a teammate, go to /ah/admin → Members → Invite. Enter their work email and select a role (Owner or Member).

Owners can manage billing, branding, and other members. Members can create appeals, generate PAs, and view the team queue, but cannot change billing or remove other members.

Invited members receive an email with a one-click join link. The link expires in 7 days; resend from the Members panel if needed.

Pro appeals and PA narratives are generated on your practice's letterhead by default. Configure your branding once, and every document inherits it.

Go to /ah/account → Branding. Upload your practice logo (PNG or SVG, ideally under 200KB), set your practice name and address, and provide a default signature block (prescriber name, credentials, NPI).

Each prescriber on the account can also set personal provider defaults under /ah/account/defaults, which take precedence over the practice default for documents they originate.

Start a new appeal at /ah/new. Upload the patient's denial letter (PDF, JPG, or PNG). The system extracts the insurer, the denial reason, the policy citation if present, and any deadline for internal appeals.

You'll then be prompted to confirm or correct the extracted facts and add any clinical context (relevant labs, prior treatments tried, supporting documents). Upload supporting clinical notes if you have them — ApprovalHelp will OCR and incorporate the relevant excerpts.

Once the intake is complete, the system generates a draft appeal letter in under a minute. You review, edit, and finalize. The packet (cover + appeal letter + cited exhibits) is downloadable as a single PDF or fax-ready bundle. Your appeals live at /ah/appeals.

For batch intake of multiple patients, use /ah/intake/csv to upload a CSV of patient identifiers and denial documents at once.

The Prior Authorization Generator drafts a clinically-cited prior-authorization narrative as a prescriber-signable attachment. It covers all 90+ verticals from day one — not just GLP-1 medications.

To generate a PA, go to /ah/pa/new. Select the patient's diagnosis (ICD-10), the requested treatment (drug or procedure with CPT code), and the insurer. Upload supporting clinical notes; the system extracts relevant findings and weaves them into the narrative.

The output is a multi-page narrative referencing peer-reviewed guidelines, policy criteria, and the patient's clinical history. You print it on your letterhead, sign it, and submit it directly to the insurer's PA channel — no portal integration required in v1.

PAs are unlimited on every paid plan. Biologic and specialty-drug renewals are tracked at /ah/pa/renewals and auto-drafted 30 days before they're due.

The /ah/appeals view shows every in-progress appeal across your practice. Filter by status (draft, sent, awaiting response, overturned, denied), prescriber, or patient. The dashboard surfaces what needs your attention today.

From the appeals view, you can reassign an appeal to a different prescriber, archive completed work, or export a status report. Practice-wide reporting lives under /ah/admin/analytics.

Outcomes are tracked when reported — once you mark an appeal as overturned or denied, the outcome feeds back into our policy library to improve future appeals against the same insurer + drug combination.

Plans are month-to-month with no annual commitment. Every paid plan includes unlimited scribe, prior authorizations, and appeals — no per-document quotas or overage charges:

• Independent — $499/mo, single clinician. Unlimited scribe, PAs, and appeals.
• Practice Starter — $1,999/mo, up to 5 seats. Unlimited scribe, PAs, and appeals.
• Practice Growth — $4,999/mo, up to 15 seats. Unlimited scribe, PAs, and appeals.

Eligibility checks are billed at $0.30 each (a direct pass-through of the clearinghouse rate, no markup). Plan changes take effect immediately. Upgrades are prorated; downgrades take effect at the next billing cycle. Manage your plan at /ah/account.

An Enterprise tier (from $799/seat/mo) is available for health systems and large practices needing custom contracts, SSO/SAML, or dedicated support. Contact us via /enterprise.

ApprovalHelp is built with HIPAA-aligned controls from day one. Patient data is encrypted at rest (AES-XTS via LUKS) and in transit (TLS 1.3). AI drafting runs through a de-identification pipeline: identifiers are redacted before any model call and re-inserted only in the final document, so raw PHI is never sent to a general-purpose model endpoint.

A Business Associate Agreement is available for all tiers — sign during account setup or request via /security.

Audit logging records every PHI access (no PHI content stored in logs, just metadata) and is retained for 6 years per HIPAA §164.312. Patients can request deletion of their data at any time via the consumer-side /me flow.