PLEASE READ
Important information.
ClaimFix is built to help you. To do that responsibly, we need to be clear about what ClaimFix is — and what it isn't.
What ClaimFix is.
An educational toolkit of professionally written appeal letter templates and supporting documents. The materials are designed to help you understand the appeal process, organize your case, and communicate clearly with your insurance company.
What ClaimFix is not.
Not legal advice.
ClaimFix is not a law firm, and the templates are not legal advice. We are not licensed attorneys. If your situation involves complex legal issues, potential litigation, or employer-benefit plan disputes (ERISA), consult a licensed healthcare attorney.
Not medical advice.
ClaimFix does not recommend or evaluate specific medical treatments. The templates help you communicate about treatments that your physician has already prescribed or recommended.
Not a guarantee of outcome.
No appeal letter — including those built from ClaimFix — guarantees a specific result. Outcomes depend on your insurance policy, documentation, medical records, denial reason, applicable laws, and your insurer's review.
Not a replacement for licensed professionals.
ClaimFix supplements, but does not replace, the advice of your attorney, physician, licensed insurance broker, or state insurance commissioner.
Your responsibility.
You are responsible for the accuracy of the information you include in any appeal you submit. Always review your finished letter for accuracy. Always meet your insurer's deadlines. Always keep copies of everything you send.
When to consult a professional.
We recommend consulting a licensed healthcare attorney if:
- You believe your insurer has acted in bad faith
- Your situation involves a self-funded employer plan (ERISA)
- You're considering filing a lawsuit
- The disputed amount is high enough that legal counsel is cost-justified
- Your appeal involves a vulnerable patient (minor, incapacitated adult)
We recommend consulting your physician if you have questions about your medical care or treatment options.
Refunds.
ClaimFix Complete includes a 30-day money-back guarantee. If the toolkit isn't right for your situation, contact us within 30 days of purchase for a full refund.
Contact.
Questions about this page or our products?