Insurance companies win because they expect you to get frustrated and quit. They use confusing words and strict deadlines to protect their profits.
My methodology changes the game by focusing on Topical Authority.
We do not just complain. We cite the specific rules the insurance company broke to create an undeniable argument.
We use medical facts to make it impossible for them to say no. Documentation is the only language they understand.
We focus only on the steps that actually work. This saves you time, stress, and prevents unnecessary delays.
I have built an ecosystem to help you take control. Each site has a specific job to help you succeed.
This is your home base for logic and education. Learn how the system works and why claims get denied.
Read the StrategyThis is where you get the work. Access my library of battle-tested appeal templates and step-by-step guides.
Get the TemplatesThis is my curated directory. Find the top-rated advocates and billing tools if you need professional help.
Search the DirectoryYour Trusted Advocate in the Medical Claims Industry.
I realized that the average person does not stand a chance against big insurance without a proven system. Asking nicely doesn't work. Logic does.
I build the guides and templates that give you the power of an expert without the high legal fees. I focus on product-first solutions because speed and accuracy matter when money is on the line.
"The power belongs to those who have the documentation and the strategy."
— Sean WaltersWhy insurance companies use "Contractual Obligations" to avoid paying and how to dismantle their excuse using policy language.
Case StudyHow to document your claim so it is bulletproof. Learn the exact hierarchy of evidence that forces administrative reviews to rule in your favor.
WorkflowThe small mistakes in medical codes that lead to big denials and how to spot them before you file your first appeal letter.
Technical GuideDo not send a letter and hope for the best. Use a strategy that the insurance company cannot ignore.
Get the Templates at ClaimsValidated.com