Recourse

Medicare Advantage denial help

One denial notice. Different deadlines. Start with the right appeal.

Upload the plan's notice. We identify the deadline and correct appeal path free—then provide urgent QIO help or a complete standard appeal, depending on what you received.

Independent from Medicare, CMS, health plans, and care facilities. Not a law firm and not legal or medical advice.

Which situation are you in?

“Rehab was denied” can mean three different appeal paths.

The notice—not the facility's shorthand—controls the deadline and next step.

Coverage ends soon

The facility says coverage ends in the next few days

This may be a NOMNC or DENC fast appeal. The urgent step is usually the QIO listed on the notice, not certified mail.

Get free fast-appeal help

Care already received

The plan refused to cover or pay for rehab or skilled-nursing days

This may fit the standard written Medicare Advantage appeal Recourse prepares, verifies, certified-mails, and tracks for $179.

See how the paid appeal works

Admission denied

The plan denied admission to skilled nursing or inpatient rehab

This can require a fast service appeal and help from the treating doctor or hospital. Upload the notice so we can identify the route.

Check the urgent appeal path

The paid standard appeal

When the plan refuses to cover or pay for skilled-care days

Supported UnitedHealthcare and Humana standard denials for skilled nursing or inpatient rehab may fit our written Level 1 appeal service. You review the complete draft before choosing to have us file it for a flat $179.

See the paid appeal service →
  1. 1

    Upload the full notice

    Photo or PDF, including every page.

  2. 2

    Confirm the route

    We separate urgent QIO notices from supported standard appeals.

  3. 3

    Review before paying

    Read the appeal and confirm the plan's filing address.

  4. 4

    File and track

    We verify the packet, certified-mail it, and watch for the decision.

95% were overturned

In a 2026 HHS-OIG review, Medicare Advantage plans overturned 95% of appealed skilled nursing facility admission denials. That finding shows why filing can matter; it is not Recourse's result and does not predict any individual appeal.

HHS Office of Inspector General, OEI-09-24-00331, June 2026; June 2024 data from the 19 largest Medicare Advantage organizations.

Questions people ask first

What happens after I upload the notice?
We identify the notice type, deadline, and appeal route. Urgent NOMNC or DENC notices go to our free fast-appeal helper. If the notice fits our supported standard Medicare Advantage appeal, you can review the complete draft before deciding whether to use our $179 filing service.
What does the $179 service include?
For a supported standard appeal, Recourse prepares the appeal, verifies it against your documents, prepares the CMS-1696 appointment packet, sends it by certified mail with tracking, and watches for the plan's decision.
What if coverage ends in the next few days?
Follow the fast-appeal instructions on the notice immediately. Uploading to Recourse does not itself contact the QIO or plan, but our free helper can identify the deadline, prepare a supporting statement, and build an evidence checklist.
What if skilled-nursing or rehab admission was denied?
A denial for care that has not started may need a fast appeal, often with support from the treating doctor or hospital. Upload the notice for route identification. Recourse does not currently advertise its certified-mail service as a substitute for an expedited request.
Can I appeal without paying Recourse?
Yes. You can file yourself, ask a doctor or provider for help where permitted, or contact SHIP for free Medicare counseling. Recourse is an optional filing service for supported standard appeals.
Is Recourse a law firm or part of Medicare?
No. Recourse is an independent appeal-filing service. It is not a law firm, does not provide legal advice, and is not affiliated with Medicare, CMS, any government agency, health plan, or care facility.

Start with the notice in front of you.

Identifying the route is free. Uploading does not itself file an appeal or contact the plan or QIO.

Upload your denial notice