MERITS — PRESS FACT SHEET
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 $15, so the winnable denials small practices write off get filed.

THE CLOSED LIBRARY — 484 payer policies across 43 insurers · 40,000+ independent-review decisions · 1.7M coding rules (ICD-10, NCCI, HCPCS) · 240 FDA drug labels · 0 invented citations.
THE GAP (KFF, 2024) — 7.7% of Medicare Advantage prior-auth requests denied · 11.5% of denials appealed · 80.7% of appeals overturned.

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 — $15 per letter, dropping to about $7 in volume. No account, no install, no contract, no subscription.
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: AI hallucination in documents a clinician signs; the economics of denied claims; what external-review data shows; the prior-authorization burden on small practices.
MEDIA CONTACT — press@meritsappeals.com
See a finished appeal: meritsappeals.com/demo

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
