Nayya is on a mission to connect people’s most important information so they can thrive in their health and wealth. We believe that when individuals are physically, financially, and emotionally strong, the world is a better place to be. Since our founding in 2020, we set out to develop the first AI-powered benefits platform that integrates applications and information across millions of sources so people can grow stronger and more resilient.
Easily appeal denied health insurance claims for free
In the event of a denied medical claim, Nayya Claims Advocate makes it easy for you to recover the money you’re entitled to from your health plan.
Simply upload your denial letter, and our Agentic AI tool will assemble a personalized appeal package for you.
Hello PH Community,
We’re so excited to make Nayya Claims Advocate available to a broader community of consumers. We’re thrilled to have your support and hear your feedback!
Why did we build Nayya Claims Advocate? 🛠️
Imagine you are a migraine sufferer who has struggled with chronic migraines for years. You have tried various treatments with limited success. Due to the lack of response to standard treatments, your doctor suggests a head CT to rule out any severe neurological conditions or even a brain tumor as the potential cause of your headaches. Fortunately, the CT comes out clean. Months later, you receive a letter from your insurer stating they are refusing to pay for your CT because they have deemed your use of a CT scan to have a “lack of medical necessity” in the context of your condition. You are told to expect a bill for several thousand dollars, payable within 90 days.
Every year in the United States, 850 million medical claims are denied — an average of more than two claims per person. Medical claims are often denied for a wide array of reasons, ranging from alleged lack of medical necessity to administrative or paperwork errors in the claim filing. Notably, fewer than 1% of people who receive a denied claim bother to appeal the denial.
Nayya Claims Advocate is an Agentic AI application that helps consumers appeal denied medical claims. When someone receives a denial letter, they simply need to upload the letter through the application’s UI. Based on the specific circumstances of the denial, the AI Agent takes a series of steps to produce a compelling and optimized denial letter, thereby maximizing the chances of a successful appeal.
How does it work?
1. Have a claims denial letter ready (PDF, DOCX, etc); Visit https://www.nayya.com/claims-adv...
2. Register for a FREE account (Google or email based login supported)
3. Go through the steps to generate your appeal letter
4. Download the appeal letter and mail (or email) it to your insurance company
Denied claims are common here in India and the reason behind not follow-ups cases due to numerous cases being tried to resolve the reason using Nayya, and now i am providing counter resolution with personal attorney along with relationship managers for our Insurance business, working for me.
This is incredible! I don't have to become a lawyer and advocate for myself anymore :)
Also, this blog post is a good starting point for reading how it was built but i'm curious to see part 2 and go into more of the details!