For Patients Who Were Told No.
For Physicians Who Know Better.
WeHealth builds evidence-grade insurance appeal letters — for patients denied a biologic, a GLP-1, a cancer therapy, or any treatment their doctor prescribed.
For physicians whose clinical judgment deserves to be heard. For innovative therapies that should reach the patients who need them.
The Reality
Most Denials Are Not Final.
They Just Feel That Way.
Every year, tens of millions of insurance claims are denied in the United States. The vast majority go unchallenged — not because the denial was clinically justified, but because mounting a real appeal requires medical, regulatory, and legal knowledge most patients and physicians don't have time to assemble.
Denied a GLP-1
Your BMI didn't hit an arbitrary threshold — even though your doctor documented the metabolic risk.
Biologic Overridden
A reviewer who never examined you overrode your physician's carefully considered prescription.
Proven Treatment Blocked
Phase III trial data. Specialty society endorsement. Still denied. Because an algorithm said no.
WeHealth exists to change that equation.
We give patients, physicians, and their partners the evidentiary firepower to fight back — and win.
The Difference
Not a Template.
An Evidence-Based Argument Built for Your Case.
Most appeal letters are one or two pages of general protest. A WeHealth appeal is a structured, multi-layered clinical argument — typically 8 to 12 pages — that attacks the insurer's denial from every relevant angle simultaneously.
Every WeHealth appeal is built on the same evidentiary standards the FDA uses when it approves a drug. Specific clinical trial data. Specific endpoints. Specific patient populations. Not vague references a reviewer can dismiss.
The result is a letter the insurer's medical reviewer must address point by point — not dismiss with a form response.
What Every Appeal Includes
Why It Matters
Clinical trial data matched to your diagnosis and treatment
Establishes medical necessity using the same evidence standard the FDA applied at approval
Guidelines from every relevant specialty society
Shows the insurer that your physician's recommendation reflects professional consensus, not personal preference
Comparative safety data on the insurer's preferred alternative
Demonstrates what the insurer is actually asking the patient to accept instead
Complete prior treatment history
Proves the patient has already done what the insurer requires — often before they ask
Applicable federal and state patient protection laws
Invokes the legal framework that governs what insurers are and are not permitted to require
The patient's full clinical picture
Shows why the prescribed treatment is the right answer across the patient's entire health profile, not just the single denied line item
The Methodology
A Multi-Pronged System.
Thirty Years of Evidence-Based Medicine Behind It.
WeHealth is not a generic AI writing tool. The platform is built on three decades of deep expertise in clinical guideline development, systematic review methodology, and regulatory science — the same disciplines that govern how drugs get approved and how clinical standards get written.
Medical Necessity — Established, Not Assumed
We anchor every appeal in the clinical trial data and FDA-approved indications for the prescribed treatment, placing the patient within the exact population the evidence was designed to protect. For a GLP-1 denial, that means citing the specific weight reduction endpoints from the pivotal trials — not a general statement that the drug works.
Standard of Care — Defended with Consensus
We identify every relevant clinical practice guideline from the specialty societies that govern the patient's condition and demonstrate that the physician's recommendation is not an outlier — it is the standard. A single appeal may cite guidelines from three, four, or five separate professional organizations, each with specific recommendation language and evidence ratings.
The Full Clinical Picture — Presented Completely
Insurance denials frequently evaluate a single diagnosis in isolation. WeHealth presents the patient's complete health profile and demonstrates how the prescribed treatment addresses their needs in full — including comorbidities and systemic benefits that the insurer's narrow review ignored.
Prior Treatment — Documented and Credited
If the patient has already tried other therapies, WeHealth documents that history precisely — duration, outcomes, adverse events — so the insurer cannot pretend the patient hasn't already met their requirements.
Patient Protections — Cited and Enforced
More than 30 states have enacted laws that restrict what insurers can require before covering a prescribed treatment. WeHealth knows those laws and cites them when they apply.
Our Standard
Built to Withstand Scrutiny.
At Every Level.
A WeHealth appeal is constructed to hold up — not just at the initial review stage, but through external review, regulatory examination, and if necessary, legal challenge. Every claim is independently verifiable. Every citation is specific and traceable to a primary source.
Every argument is built to the standard of a document that could appear in a courtroom.
"We don't write letters that sound good. We write letters that are right."
Citations per appeal
Peer-reviewed trials, guidelines, FDA documents, real-world safety data, and applicable law
Pages per letter
Structured, multi-layered clinical argument — not a one-page form response
States with patient protection laws
WeHealth knows every applicable statute and cites them when they apply
Coverage
From GLP-1s to Rare Disease.
If It Was Prescribed, We Can Appeal It.
WeHealth is not limited to high-cost biologics or specialty drugs. The same methodology that builds an airtight appeal for a cancer immunotherapy applies equally to a GLP-1 prescription denied on BMI grounds, a dental procedure tied to a systemic condition, or a disease-modifying therapy for MS.
If a physician prescribed it and an insurer denied it, WeHealth can build the case.
Partners
For Practices, Patient Advocates,
and Pharmaceutical Partners.
WeHealth integrates into existing patient support workflows to ensure that denial appeals are handled with the same rigor as the original prescription.
Physician Practices
Your clinical judgment should not be overridden by a reviewer who never met your patient. WeHealth gives your prescriptions the evidentiary backing they deserve — so your recommendations stand.
Patient Advocacy Organizations
Your members deserve the same quality of appeal that a well-resourced health system would produce. WeHealth scales that capability to every patient you serve.
Pharmaceutical & Biotech Partners
Your therapy was approved because the evidence is strong. WeHealth deploys that evidence at full strength when an insurer pushes back — ensuring the patients who need your treatment can access it.
Ready to Appeal?
Tell Us What Was Denied.
We'll Build the Case.
Start today. Your doctor said yes. Let WeHealth make sure your insurance gets the message.