Denial codes in plain English
What the code actually means, what to verify first, and which letter answers it. No decoder ring. Just the line, the reason, and the next move.
This is the appeals desk for therapists: denial codes in plain English, appeal letters you can edit and send today, prior-auth clocks by payer, and the parity complaint process for NY, NJ, and CT. No login. No charge.
Book a callEvery denial letter is written to be put down. Every prior-auth clock is set hoping you'll lose track of it. We publish the timelines, the codes, and the letters because a therapist with the right paragraph wins more often than the paperwork wants you to know.
What the code actually means, what to verify first, and which letter answers it. No decoder ring. Just the line, the reason, and the next move.
Editable templates for the common denials: medical necessity, frequency limits, downcoding, telehealth. You supply the facts and the clinical judgment; the template keeps the argument from starting on a blank page.
Who has how many days to answer you, what starts the clock, and what to send the day they miss it. What "soon" means in practice calendars, not marketing calendars.
When a denial breaks parity law, which agency handles which plan type, what to gather, and how to describe the problem in concrete terms. Navigation, not legal advice.
What changed, when it published, and what a working clinician should do about it. Every entry carries a source and a last-verified date. Old information stays marked as old.
Prefer it drafted for you? VibeCheck handles the prior-auth paperwork inside the practice — and it works for you, not the payer.
Why VibeCheckNo login. No charge.