What Recourse helps with

Recourse focuses on Medicare Advantage coverage denials. The right appeal path depends on which notice your plan sent — here's what we do, what we don't (yet), and how to tell which notice you have.

What we help with

  • Supported standard post-acute denials. For UHC or Humana skilled-nursing and inpatient-rehab coverage/payment notices that fit the Level 1 mail route, review the draft free and choose certified filing for $179.
  • NOMNC / DENC fast appeals. Our free helper identifies the QIO deadline, prepares a supporting statement, and creates an evidence checklist. Uploading does not contact the QIO for you.

Route check only

  • SNF / inpatient-rehab admission denials. Care that has not started may need expedited plan review with doctor or hospital support. We identify the notice but do not market certified mail as the urgent solution.

What we don't handle yet

  • Hospital discharge appeals(“Important Message from Medicare” / Detailed Notice of Discharge).
  • Part D drug denials — a separate process, often involving your prescriber.
  • Commercial insurance, IRMAA, and long-term-care insurance claims.
  • Paid appeals for Florida beneficiaries. We have temporarily paused paid Florida matters while we complete a state-specific regulatory review. Our free notice routing and QIO helper remain available.
  • We'll still point you to the right official resource for these below.

Start with your situation

Not sure what this notice is? Here's how to tell

Match your letter against these common Medicare notices — the right appeal path depends on which one you have.

  1. NOMNC (“Notice of Medicare Non-Coverage”) — skilled nursing, home health, or rehab coverage is ending on a stated date. This is an URGENT fast appeal: call the BFCC-QIO listed on the notice as soon as possible, at the latest by noon of the day before coverage ends. Missed that deadline? Call the QIO anyway — late fast-appeal requests are still reviewed. If this is what you have, correct the notice type below and continue — our free fast-appeal helper covers it.
  2. DENC (“Detailed Explanation of Non-Coverage”) — arrives after a fast appeal has been requested and explains the plan's reasons. Also handled by our free fast-appeal helper.
  3. IDN / standard denial letter (“Notice of Denial of Medical Coverage or Payment”) — the plan denied or cut off a service. This is the notice our certified-mail appeal is built for; verify the fields below and continue.
  4. “An Important Message from Medicare” or “Detailed Notice of Discharge” (hospital) — hospital discharge appeals are a separate fast process: follow the QIO instructions on the notice no later than your scheduled discharge day. We don't handle these yet.
  5. Part D drug denial — denials from a Medicare drug plan follow a different process (often involving your prescriber) that we don't handle yet; see the drug-plan appeals link below.
  6. If you get stuck, call 1-800-MEDICARE (1-800-633-4227) any time, or contact your State Health Insurance Assistance Program (SHIP) for free, unbiased one-on-one counseling.

This is general information from official Medicare sources, not legal advice. Recourse is not a law firm and is not affiliated with Medicare or CMS.

Appeal a specific plan's denial

Check your denial notice freeRoute identification comes before any paid offer