Medicaid Denial Review

Lost your Medicaid coverage? Find out if it was a mistake.

$49. Plain English. 48 hours.

Medicaid denials and disenrollments are surging. Many are wrong. CoverageCheck reviews your denial notice and tells you whether errors were made, whether you still qualify, and exactly how to appeal.

HIPAA-aware No Percentage Fees 48-Hour Turnaround Appeal Letter Included
What is happening

10.5 million people could lose Medicaid coverage. Many of them incorrectly.

The One Big Beautiful Bill Act cut nearly $1 trillion from federal Medicaid spending over the next decade. States must now verify eligibility every six months instead of annually. Work requirements of 80 hours per month take effect in January 2027. The enhanced federal matching that helped states cover low-income adults was sunset on January 1, 2026.

During the 2023-2024 Medicaid unwinding, the majority of people who lost coverage were disenrolled for procedural reasons, not because they were ineligible. Missed paperwork. Incorrect addresses. Documentation that was submitted but never processed. The same pattern will repeat, at larger scale, starting in late 2026.

Patients who receive a denial or disenrollment notice have no affordable way to determine whether the denial was correct. Legal aid is overwhelmed. Patient advocates charge $150 to $350 per case. Most patients simply accept the denial and become uninsured. CoverageCheck costs $49.

10.5M

projected to lose Medicaid coverage by 2034

~$1T

cut from federal Medicaid spending over ten years

6 mo.

eligibility redeterminations starting Dec 31, 2026

How it works

Four steps to understanding your denial.

Step 1

Upload

Your denial or disenrollment notice, income documentation, and any previous enrollment confirmation.

Step 2

Pay

$49 flat fee. No percentages. No hidden costs. No ongoing charges.

Step 3

Review

CoverageCheck analyzes your documents against federal and state Medicaid eligibility criteria, required procedural protections, and work requirement exemptions.

Step 4

Report

Within 48 hours, you receive a plain-English report explaining what happened, whether errors were made, and exactly how to appeal. If errors were found, a pre-drafted appeal letter is included.

What we look for

Every denial has a reason code. Many of them are wrong.

1. Was proper written notice provided with the specific reason for denial?

2. Was the income calculation performed correctly?

3. Were all submitted documents accounted for in the determination?

4. Does the patient qualify for any exemptions (medical frailty, caregiver, student, pregnant, age)?

5. Were work requirement hours calculated correctly?

6. Was the redetermination conducted within the required timeframe?

7. Were appeal rights properly communicated in the notice?

8. Does the denial reason match the patient's actual circumstances?

Our Foundation

Built on three pillars

Every Lonia AI product is built on the same three non-negotiable principles, from the first line of code, in every tier, with no exceptions.

Accessibility

WCAG 2.2 AA. Plain English. Designed for patients who are scared and overwhelmed, not for compliance officers.

Compliance

HIPAA-aware document handling. Full audit trails. Automatic file deletion after report delivery. Your medical documents are not our data.

Security

OAuth-only authentication. Encrypted storage. Files are automatically deleted after your report is delivered. We do not keep your documents.

Launching December 2026

CoverageCheck launches before the redeterminations surge

Six-month eligibility redeterminations become mandatory December 31, 2026. CoverageCheck will be ready. Sign up to be notified.

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