Can Apellica handle the fax appeal for me?

By Mohamed Younis, Operations, Apellica. Last reviewed 2026-05-22.

Yes. Apellica builds the appeal letter, sources the regulatory and clinical citations, drafts the carrier-specific arguments, dispatches the fax with full transmission receipts saved, and follows up if the carrier misses its response deadline. The patient stays in the loop and approves the letter before it goes out. Cost is $0 up front; Apellica only earns a fee on a successful reversal.

DIY fax appeals work for members who have the time, the writing skill, the regulatory familiarity, and the patience for follow-up. Most members reading this page do not have all four. Apellica exists for the rest. The same process described in the DenialFax pages, run by a senior reviewer instead of by you.

How it works in practice. A patient submits the denial letter, the EOB, and a one-page intake at apellica.com. Apellica's appeals operator classifies the denial type (medical necessity, prior authorization, formulary exception, level of care, timely filing, and so on), pulls the relevant CFR and case-law citations for that denial type, drafts the carrier-specific argument with verbatim denial-quote rebuttal, and produces a cover-letter packet that includes the AOB (authorization of representative) under 29 CFR 2560.503-1(b)(4), the appeal letter, and three exhibits.

Dispatch is three-channel by default. Fax to the carrier's appeals number with a full transmission receipt saved. Certified mail to the carrier's appeals address with USPS Return Receipt. Portal upload to the carrier's secure member-appeals portal when one exists. All three receipts are saved in the patient's case file and made available to the patient on request.

Follow-up. If the carrier misses the federal response deadline (30 days pre-service, 60 days post-service under 45 CFR 147.136), Apellica files a state DOI complaint and, where the plan is ERISA-governed, prepares a 29 CFR 2560.503-1(l) deemed-exhaustion notice. The patient is notified at every stage and approves any escalation.

What Apellica does not do. Apellica is not a law firm. Apellica does not represent the patient in court. Apellica does not write fake clinician credentials or submit fabricated chart notes. The appeal is built on the patient's actual records and on real published regulations and case law. If a case reaches external review and the patient wants attorney representation thereafter, Apellica provides the full case file and a referral list of healthcare-appeals attorneys.

Cost. The patient pays nothing to file the appeal. Apellica earns a fee only when a denied claim is reversed and money flows back to the patient or to the provider on the patient's behalf. The fee structure is published on apellica.com and is reviewed before any case starts.

Checklist before you send a fax appeal

Submit the denial letter and EOB at apellica.com.
Complete the 5-minute intake form.
Review and approve the draft appeal Apellica produces.
Apellica dispatches the appeal across all 3 channels.
Apellica saves all transmission receipts and tracks the carrier response.
If the carrier misses its deadline, Apellica escalates automatically.

If reading this is already too much: Apellica handles fax-and-everything-else appeals end to end. Start your case at apellica.com.