What CoverageCheck does

A complete review of your Medicaid denial in 48 hours.

CoverageCheck reviews your denial against federal eligibility rules, your state's rules, and the procedural protections you are entitled to. You receive a plain-English report explaining exactly what happened and how to fight it.

What CoverageCheck reviews

Every angle a denial can be wrong from.

Federal Medicaid eligibility criteria

Income limits, asset rules, citizenship and residency requirements, and federal categorical eligibility under Title XIX.

State-specific eligibility rules

All 50 states plus the District of Columbia. Each state's expansion status, MAGI thresholds, household composition rules, and category-specific eligibility.

Work requirement exemption criteria

Medical frailty, caregiver status, student status, pregnancy, age, and other exemptions to the 80-hour-per-month work requirement that takes effect January 2027.

Six-month redetermination procedural requirements

Whether your state followed the procedures it must follow before terminating coverage at a six-month review. Notice, response windows, and reasonable opportunity protections.

Required notice and appeal rights

Whether your denial notice met federal due process requirements: specific reason for denial, citation of the rule, your appeal rights, and the deadline to file.

Income threshold verification

By state, household size, and Medicaid category. Whether the income calculation in your case used the correct numbers and the correct method.

What you receive

A report you can act on the same day you receive it.

Plain-English report explaining the denial

No jargon. We write it the way we would explain it to a family member.

Error identification with specific citations

When errors are found, we cite the exact rule that was misapplied so you can reference it in your appeal.

Step-by-step appeal instructions

Where to file, what to include, and how to request a hearing in your specific state.

Pre-drafted appeal letter, when errors are found

Tailored to your case and the specific error identified. You sign it and submit.

Timeline for filing

Appeal deadlines vary by state. Your report tells you exactly how long you have and from what date the clock starts.

Privacy by design

Your medical documents are not our data.

Encrypted during processing

Documents are encrypted in transit and at rest from the moment they are uploaded.

Automatically deleted after report delivery

Once your report is in your hands, your uploaded documents are permanently removed from CoverageCheck systems.

HIPAA-aware handling

Lonia AI is not a covered entity, but we apply HIPAA-grade safeguards as a matter of principle.

No data retention after report is sent

We keep account metadata and a record that a report was generated. We do not keep your medical or eligibility documents.

See the full privacy policy for more detail.

Ready when CoverageCheck is.

Join the waitlist and be notified the moment we launch.