Someone in yourcorner who speaksthe system's language.
Denied a medication? Stuck in prior-authorization limbo? A "not medically necessary" letter you know is wrong? Cove Health pairs you with a licensed physician — armed with our proprietary AI software — who advocates on your behalf, citing the facts, the applicable healthcare guidelines, and the precedent that get patients what their plans already owe them.
licensed physician
cited & sourced
Rx Coverage Reconsideration
The system is complex by design. You shouldn't have to face it alone.
Healthcare has become consumer-centric in every way but one: when a plan says no, patients are left to argue medicine and law by themselves. Cove Health changes that.
Plans vary wildly
Every insurer has its own nuance, criteria, and fine print — and they rarely make it easy to find.
Providers are stretched
Your doctors are buried in day-to-day care. Chasing an appeal often falls to the bottom of the pile.
Denials hide behind committees
"Not medically necessary" decisions are often opaque — made far from anyone who knows your story.
No one owns your outcome
Between the plan and the practice, the one person truly invested in the result is you. Until now.
From uploaded records to a letter that lands — in four steps.
Upload your records
Securely share your medical records and the denial or issue you're facing. It takes minutes.
We review the merit
A licensed physician evaluates your case. If it has merit, we move forward — and you tell us who to contact on your behalf.
We draft & cite
Our physician drafts a rigorous advocacy letter, citing every relevant fact and healthcare guideline that supports you.
We advocate
The letter goes to the right party — your plan, another physician, a government body, or a workplace program — fighting for what you're owed.
Where artificial intelligence meets physician judgment.
Healthcare never stops changing, and the administrative burden is opaque even to experts. Our proprietary AI software continuously draws on a living database — then a licensed physician brings the human judgment that turns analysis into advocacy. The blend is what makes it cutting-edge: machine reach, human discernment.
- ✓Proprietary AI software — purpose-built for healthcare advocacy, not a generic chatbot bolted on.
- ✓A living case database — relevant precedent, refreshed continuously as rules and rulings evolve.
- ✓Local administrative hearings — outcomes and reasoning that show what actually persuades reviewers.
- ✓Human intelligence, always in command — the AI surfaces and structures; a licensed physician decides and signs.
› matching denial type: "medical necessity"
› pulling federal guidelines [7 matched]
› pulling state code + IMR rights ✓
› cross-ref admin hearings 324 cases
› physician review required ✓
› drafting reconsideration letter
See the kind of letter that gets results.
Every Cove Health letter is physician-signed and grounded in the facts, the applicable guidelines, and the precedent. Here are three illustrative examples — open any one to read it in full.
Medical Necessity Appeal
Overturning a "not medically necessary" denial for advanced imaging, citing federal claims-review rules and state medical-necessity law.
Read sample letter →Prior Authorization Request
Securing approval for an on-label specialty medication, documenting that all step-therapy requirements are already satisfied.
Read sample letter →Step-Therapy & Formulary Exception
Winning an override where the plan's preferred drug is contraindicated or has already failed, with each ground documented.
Read sample letter →Samples are illustrative and do not describe real patients.
One issue or many — we've got you.
- ✓ Licensed physician review of your records
- ✓ One fully drafted, guideline-cited advocacy letter
- ✓ Sent to the party of your choice
- ✓ No subscription, no commitment
- ✓ Ongoing advocacy across multiple issues
- ✓ Priority physician review
- ✓ Unlimited letters while subscribed
- ✓Continuous case tracking & follow-ups
Cove Health provides non-legal patient advocacy. We are not a law firm and do not provide legal representation.
A diagnosis doesn't disappear because a value is missing from a chart. Patients deserve someone who will say so — clearly, and in the system's own language.
Healthcare advocacy, finally on your side.
Cove Health exists because of a real, unmet need. The healthcare landscape is complex, insurance plans are full of variability and nuance, and providers are consumed by day-to-day care. Too often, no one is truly accountable for a patient's outcome.
As healthcare grows more consumer-centric, patients deserve the ability to hire qualified medical professionals to advocate for them— to push, in a non-legal capacity, for what health plans are duly required to provide. Especially when it comes to prior authorizations, medication coverage, and denials of "medical necessity."
That's the need Cove Health fills. We're a health technology company, and we've built something new for it: a category we call Healthcare Advocacy as a Service. Our proprietary AI software does the heavy lifting of research and analysis, and our licensed physicians supply the human judgment — a blend of human and artificial intelligence that delivers cutting-edge advocacy built for the modern era of healthcare. Every patient gets an expert in their corner who knows the terrain, and won't be brushed aside by an opaque committee or an inflexible guideline.
Patients, finally heard.
"I'd been fighting my insurer for four months. Cove Health's physician wrote one letter — with citations I never could have found — and the denial was reversed in twelve days."
"My son's growth medication kept getting denied over a missing data point. They understood the redetermination guidelines inside and out. It felt like finally having an expert on my side."
"The prior-auth maze was impossible to navigate while working full-time. For a flat fee, a real physician handled the whole thing. Worth every penny."
Testimonials are illustrative composites shown for demonstration purposes.
Everything you might be wondering.
What exactly does Cove Health do? +
Why would I need an advocate? +
Is Cove Health a law firm? +
Who actually reviews my case and writes the letter? +
What does it cost? +
What kinds of issues can you help with? +
How long does the process take? +
How is my medical information protected? +
Do you guarantee my denial will be overturned? +
How do I get started? +
Still have a question?
You shouldn't have to navigate the healthcare system alone.
Upload your records, tell us who to reach, and let a licensed physician make your case.
Start my case today