- Healthcare Denials Attorney
- THIS IS AN ADVERTISEMENT - DISCLAIMER
If your health insurance company denied care your doctor recommends, do not assume the decision is final. You may have the right to appeal, and deadlines can be short. I help patients and families in Kentucky and Ohio challenge health insurance denials through a structured, evidence-backed appeal process.
I am a former felony prosecutor with a background in science and engineering. I bring a disciplined approach to health insurance appeals by reviewing the denial letter, identifying the plan rules and criteria applied, and preparing a complete, deadline-driven appeal supported by medical records, treating-provider support, and the plan’s terms.
I handle denials under employer plans (Employee Retirement Income Security Act (ERISA)), Medicare Advantage (Part C), Marketplace plans (Affordable Care Act (ACA)), and individual policies. Denials can feel discouraging and confusing. You do not have to navigate the process alone.
Request a consultation and upload your denial letter to get started.
Frank Mungo, Esq., Health Insurance Denial and Employee Retirement Income Security Act (ERISA) Appeal Lawyer
Founder, AppealHealthcare.com–Licensed in Kentucky and Ohio
When patients are denied care, I help them challenge the decision with facts, deadlines, and a disciplined appeal strategy grounded in the plan’s terms.
I founded Appeal Healthcare for one reason: to help patients and families fight back when health insurance companies deny medically necessary care. My practice focuses on health insurance denial appeals involving surgery, prescription drugs, mental health treatment, rehabilitation, and specialty care. I review the denial letter, identify the plan language and criteria the insurer relied on, and build a complete, deadline-driven appeal supported by medical records and treating-provider support.
Legal expertise with a scientific edge
I am a former felony prosecutor with a background in physics and engineering. I approach appeals the way insurers do, by translating “medical necessity,” “plan exclusions,” “utilization review,” and clinical criteria into a clear, evidence-backed response. That means your appeal is organized, specific, and built to address every stated reason for the denial.
Why patients turn to Appeal Healthcare
I represent patients across Kentucky and Ohio in appeals involving federally regulated and state-regulated health plans, including employer plans governed by the Employee Retirement Income Security Act (ERISA), Marketplace plans governed by the Affordable Care Act (ACA), individual policies, Medicare Advantage, and other managed-care arrangements where applicable. I handle denials involving prior authorization, out-of-network issues, step therapy, formulary restrictions, and post-service claim denials. My focus is simple: build the strongest possible appeal record and guide you to the next best step.
What sets my practice apart
Denied care is not the end. It is where we begin.
If you received a denial letter, you do not have to navigate this alone. Please share your denial letter and any supporting documents, and I will review them and follow up to discuss your options.
Call (859) 372-6670 or visit AppealHealthcare.com to get started.
No outcome promises. Results depend on the plan terms, deadlines, and medical evidence. No attorney-client relationship is formed unless a written agreement is signed.
