Part of the TripSit.ai Family of Services
Every month, insurance companies issue approximately 70 million coverage denials in the United States. That is roughly 20 million patients receiving an average of three denials each — patients whose physicians have determined that a specific treatment is medically necessary.
WeHealth helps patients, caregivers, and healthcare professionals fight back with evidence.
Coverage denials issued every month in the U.S.
Patients affected, averaging three denials each
Of patients formally appeal their denials
Behind each denial is a patient whose physician has determined that a specific treatment is medically necessary, only to have that clinical decision overridden by an administrative process. For many patients, navigating the appeal process is overwhelming. The language is complex, the legal frameworks are unfamiliar, and the burden of assembling clinical evidence falls on people who are already managing serious health conditions.
Three foundational principles guide every letter WeHealth produces.
Every appeal letter is grounded in published, peer-reviewed clinical evidence — FDA-approved drug labels, clinical practice guidelines from recognized medical societies, peer-reviewed journal articles, systematic reviews, and registered clinical trials. Real, verifiable sources with actual journal publications and DOI identifiers.
Patients have a fundamental right to participate in decisions about their own care. When a physician and patient together determine that a specific treatment is the best course of action, that decision reflects a clinical relationship built on examination, history, and individualized assessment. Treatment decisions should be made in the exam room, not in an administrative review office.
The prescribing physician evaluates the patient directly, considers their complete medical history, assesses comorbidities, reviews prior treatment responses, and applies their training and experience. WeHealth supports the well-established medical and legal principle that the treating physician's individualized clinical assessment carries significant weight in coverage determinations.
WeHealth compiles relevant clinical evidence, identifies applicable legal protections, and produces a structured appeal document grounded in published medical literature and established clinical guidelines.
20-30 citations per letter from peer-reviewed journals, clinical guidelines, FDA documentation, and registered trials.
Insurance-type-specific legal citations — ERISA, ACA, Medicare, Medicaid — with the correct statutory and regulatory references.
Comparative safety profiles between the denied treatment and insurer-preferred alternatives, with documented adverse event data.
Structured for medical directors, utilization review committees, and independent review organizations. Download as PDF, Word, or Markdown.
WeHealth serves everyone involved in the coverage determination process.
Patients who have received a coverage denial and need help articulating the clinical case for their prescribed treatment, and caregivers advocating on behalf of a loved one.
Physicians and clinical staff who want to support their patients' appeals with a comprehensive evidence package, reducing the administrative burden on their practice.
Organizations that assist individuals navigating the coverage determination process, equipped with evidence-based tools to strengthen every appeal.
Denied treatments lead to worse outcomes and higher long-term costs. Successful appeals protect patients from both medical harm and financial devastation.
Insurance denials create an enormous administrative burden on physician practices. WeHealth reduces that burden by compiling the clinical evidence and legal framework that practices would otherwise spend hours assembling.
Reduces hours spent per appeal from days to minutes
Comprehensive citation packages that meet medical director expectations
Insurance-type-specific legal frameworks (ERISA, ACA, Medicare, Medicaid)
Supports the physician's clinical judgment with published evidence
Frees clinical staff to focus on patient care, not paperwork
Downloadable as PDF, Word, or Markdown for any workflow
WeHealth does not collect, store, or include any patient-identifying information in the letters it generates. No names, dates of birth, addresses, insurance member IDs, or other personal identifiers are part of the generated output. The letter is a clinical and legal argument that the user personalizes with their own information before submission.
We believe that every patient deserves access to the treatment their physician prescribes. We believe that coverage decisions should be based on clinical evidence, not administrative convenience. And we believe that the appeals process should not require a law degree or a medical research team to navigate.
WeHealth is how we put those beliefs into practice — one patient, one letter, one appeal at a time.
WeHealth is a service of the TripSit.ai family of companies
Where Patient Voice Meets Clinical Evidence
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