An AI that turns a denied insurance claim into a source-cited, signature-ready appeal — and can't invent a citation.
The bottleneck in denials isn't winning — it's filing. Merits turns an hour of appeal-drafting into about a minute, for $9, so the winnable denials small practices write off get filed.
The closed library
The gap it targets — KFF, 2024
- What it is
- Drafts insurance-denial appeals quoted, line by line, from real payer policy and federal law — and re-checks every citation against its source before it appears.
- Who it's for
- Physicians and small / independent practices, and the billers and billing companies that work their claims.
- How it works
- Upload the denied EOB → patient identifiers are stripped in the browser → in about a minute, a complete, signature-ready appeal: the cited letter, the records to attach, and where to file.
- Why it's different
- A general AI will cite a regulation that doesn't exist on a letter a physician signs. Merits works only from a closed library, so it structurally can't invent a citation.
- Pricing
- $9 per letter, down to about $5 in volume — or a $20/mo plan (20 letters a month). No account or contract for pay-per-use; cancel the plan any time.
- Privacy
- Patient name, ID, and date of birth are stripped in the browser; Merits never receives who the patient is.
- Availability
- Runs in any browser — desktop or mobile. Nothing to install.
- What it isn't
- Not legal or medical advice; no guaranteed outcome. A human reviews, edits, and signs every letter.
Available for comment
João Guilherme Franco, Founder — on AI hallucination in documents a clinician signs; the economics of denied claims; what external-review data shows about why care gets paid on appeal; and the prior-authorization burden on small practices.
Boilerplate. Merits is a US tool that drafts insurance-denial appeals for physicians, independent practices, and the billing companies that work their claims — each one quoted from a named, openable source. Per letter; no account or contract.
Founded 2026 · meritsappeals.com