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CaseWhy Appeals — every Medicare appeal, explained, written, and tracked

CaseWhy Appeals is the Medicare appeals engine that works alongside what you already use — your practice software, your CRM, your own spreadsheet. It doesn't replace your system of record; it does the appeal. See every appeal type it covers on the coverage map.

What a family sees

• Explain it. What the notice actually says, in plain language, with the rule behind it cited.
• Write it. The appeal letter and the filled forms, ready to send.
• Keep track of it. Both deadlines computed, a step-by-step tracker, and reminders that don't stop at one letter.

What a professional gets

• Letters that cite the rule, with a checkable citation chip on every claim — never a bare assertion.
• Both clocks computed automatically: the filing deadline and the decider's own deadline, for every level from the plan up through the Medicare Appeals Council.
• The CMS forms for the case's level filled, not just described — including the Appointment of Representative form (CMS-1696) naming you.
• An Appeal Tracker per case: the numbered steps, due dates, and what's done.
• Letters exported on your own organization's letterhead.
• Every deadline into your calendar by an ICS feed — one subscription covers every client.
• No client names stored. A client is a label and a reference number you choose — never a name, never a Medicare number.

Seats

Why this exists

"We built CaseWhy Appeals because our own family's Medicare letters didn't explain themselves — a denial would arrive, and figuring out whether it was even worth appealing, and by when, took hours we didn't have. Then we learned the real number: only 1 in 9 Medicare Advantage denials gets appealed, but more than 8 in 10 appeals win. That gap is the appeal paradox, and it's the reason this exists — not because appealing is hard to win, but because almost nobody does it." — Peter, founder of CaseWhy

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