Our Mission
Prior authorization should not leave patients stuck.
When insurance says no, AuthFight helps patients understand the denial, build the appeal, coordinate doctor review, and get it submitted to their insurer.
The reality
Many denials can be challenged. Most patients never file the appeal.
AuthFight closes that gap by handling the appeal work, coordinating doctor review, and tracking every case to a decision.
53M
prior authorization requests filed in Medicare Advantage in 2024 alone
KFF · 2024
88%
of denied patients never appeal — not because they don't have a case, but because fighting back feels impossible
KFF · 2024
81%
of appealed Medicare Advantage prior authorization denials were fully or partially overturned in 2024
KFF · 2024 · Medicare Advantage
The Problem
The appeal process is where too many patients get lost.
Prior authorization was designed as a cost-control mechanism. In practice, it often becomes a wall between patients and their prescribed care — dense, bureaucratic, and hard to navigate.
When a claim is denied, most patients are given a notice with a code they don't recognize, a deadline they might miss, and instructions that assume they have hours to spend navigating phone trees and insurance portals.
Most people do not have that time. So many appeals never get filed at all.
Default outcome
88%
of denied patients never appeal. The process does not need to be impossible. It only needs to feel that way long enough.
The process wears people down
Denial notices are written in billing codes. Appeal windows are short. Phone wait times are long. Every step adds friction.
Doctors want to help but don't have time
A clinical appeal letter takes hours to write. Physicians are seeing dozens of patients a day. The paperwork waits, and deadlines expire.
Many denials can be challenged
In Medicare Advantage, 81% of appealed prior authorization denials were fully or partially overturned in 2024. A denial is not always the final word.
Prior authorization often creates a paperwork burden that patients are left to carry alone.
American Medical Association, 2023 Prior Authorization Survey
AuthFight is built to remove that burden from the patient.
AuthFight didn't start with a whiteboard or a pitch deck. It started at the pharmacy counter, where the same conversation happened too many times: a patient walked in for their medication and left without it. Prior authorization denied. No clear next step. No one with time to guide them through the appeal.
We know this system from the inside. We know the denial codes, the appeal timelines, the patient rights, and the clinical arguments insurers are required to consider. We built AuthFight to put that knowledge to work for every denied patient.
Pharmacies are our partners in this. They see these denials every day. They watch patients walk away from the counter with nothing. AuthFight gives them a way to do something about it.
The founding insight
Every denied patient who gives up without appealing is a case that never got a real chance to be reviewed.
AuthFight — built to change that defaultWhat We Do
We handle the appeal. Patients handle living.
AuthFight is a fully managed prior authorization appeal service. Patients answer a few questions. We handle the appeal work from there.
Step 01
Clinical appeal letter
Our AI drafts a medically grounded appeal letter citing relevant plan criteria, clinical guidelines, and denial-specific arguments that insurers are required to review.
Step 02
Physician coordination
We send the letter to the patient's doctor and follow up for review, signature, and supporting documentation when appropriate. This is the step most patients cannot manage alone.
Step 03
Direct insurer submission
Once signed, we submit directly to the insurer and track the response. Patients and pharmacies see real-time status on their dashboards — no calling, no waiting on hold.
Step 04
Escalation if needed
If the internal appeal is denied, we escalate to external independent review — a federally mandated process with a binding decision. We assess eligibility and handle the filing.
Step 05
Backed by pharmacy partners
AuthFight works with partner pharmacies who use our platform to recover denied revenue and keep patients on their medications. Patients referred by a partner pharmacy pay nothing.
Step 06
The result
A patient who walked in with a denial walks out knowing someone is helping them challenge it. Less paperwork. Fewer phone calls. A real path forward.
The appeal is managed end to end, but clinical authority stays where it belongs: with the patient's physician.
Signed by your doctor before submissionOur AI
The AI drafts the appeal. Your doctor reviews and signs.
We built our AI to understand prior authorization from the inside: the denial codes, the federal timelines, and the clinical arguments insurers are required to consider. Here's exactly what it does, and what it never will.
- Translates your denial code into plain English
- Calculates your Fight Score from your insurer's own federal data
- Identifies the strongest arguments for your denial type
- Drafts a complete, professional appeal letter for your case
- Auto-sets your appeal deadline so you never miss it
- Tracks your appeal from submission to resolution
- Make medical decisions about your care
- Submit anything without your doctor's review and signature
- Replace your physician's clinical judgment — ever
- Use your health data to train AI models
- Guarantee an outcome — no one can promise that
- Share your information with anyone beyond your appeal
Every appeal letter goes to your doctor before it goes anywhere. They review it, sign it when appropriate, and their clinical expertise remains the backbone of the appeal.
What We Stand For
Three things we refuse to compromise.
These are the rules behind every appeal we draft, every workflow we automate, and every patient case we touch.
Access is the whole point.
If you're sick and fighting for prescribed care, complexity should never be what stands between you and help. AuthFight turns hours of appeal work into a few questions — so every denied patient can actually fight back.
The system can be beaten.
It is designed to feel final. But patients have appeal rights, insurers have review obligations, and many denials are overturned when people actually challenge them.
Technology should fight for people.
Not process them. Not route them. Not delay them. AuthFight uses AI to do the hours of appeal work that stand between a denial and a real review.
Every day, patients walk away from appealsthey had the right to file.
That ends here. If you've been denied, your fight isn't over. Start with your Fight Score.
See My Fight Score →Signed by your doctor · Works with all major insurers · HIPAA-level security