What Recourse helps with

Recourse focuses on Medicare Advantagecoverage 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

  • Standard MA denials (IDN). We draft a regulatorily grounded Level 1 appeal for free to review, then mail it certified with tracking for $129 — only if you tell us to.
  • NOMNC / DENC fast appeals (skilled nursing, home health, rehab coverage ending). Our free fast-appeal helper walks you through the urgent QIO process.

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.
  • We'll still point you to the right official resource for these below.
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 by noon of the day before coverage ends. 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.

See your appeal letter — freeNo payment until after you read the draft