Start Your Medicare Appeal Consultation

We’ll review your situation and guide you through your next steps—quickly and clearly.

✔ Reviewed within one business day
✔ Designed for time-sensitive Medicare appeals

Start Your Intake

Please complete this intake form so we can understand your situation and identify the strongest path forward. This allows us to prepare for your paid Case Review Consultation and provide focused guidance.

Most clients begin here after receiving a Medicare denial and feeling unsure what to do next.

Your information is confidential and reviewed by a nurse with Medicare appeals experience.

We review intake submissions within one business day.

This helps us understand your denial so we can guide you efficiently.

First name

Last name

Phone

Preferred Contact Method

Do you have a deadline listed on your denial notice?

Yes

Not sure

Is your deadline within the next 72 hours? (urgent cases prioritized)

Yes

Not sure

What type of denial are you dealing with?

What was denied?

Do you have a copy of your denial notice?

Do you have medical records related to this situation?

Tell us what happened

Are you currently being billed or at risk of being billed?

If yes, estimated amount (optional):

I understand this form does not create a provider-patient relationship and that services begin with a paid consultation.

Upload your denial notice (optional, but helpful)

What Happens Next

Once you submit your intake, we begin reviewing your situation right away. Medicare appeal deadlines can be short, so timely action is important.

1. Review

We analyze your intake details and denial notice to understand your situation and identify key issues.

Within one business day, we contact you to schedule your Case Review Consultation and walk through your options.

2. Consultation

3. Action

If appropriate, we prepare a structured appeal packet to help strengthen your case.

Need Immediate Help?

If your deadline is within the next 72 hours, we recommend calling for faster assistance.
📞 (317) 900-1522
📧 info@wellsmedicareadvocacy.com

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