What is Nayya Claims Advocate?
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.
Problem
Users face difficulties in appealing denied health insurance claims manually, requiring them to navigate complex insurance processes, interpret denial letters, and draft appeals without guidance, leading to prolonged stress, financial burdens, and potential claim abandonment.
Solution
An AI-powered claims appeal tool that lets users upload denial letters and receive automatically generated personalized appeal packages, including tailored arguments, supporting documents, and submission guidance.
Customers
Individuals with denied health insurance claims, including employees, patients, and HR benefits administrators managing group health plans.
Unique Features
Agentic AI parses denial reasons, cross-references policy details, and generates jurisdiction-specific appeal arguments with cited medical guidelines and legal precedents.
User Comments
Reduced appeal preparation time from weeks to minutes
Successfully overturned previously abandoned claims
Intuitive interface for non-legal users
Clear explanation of insurance terminology
Free access lowers financial barriers to appeals
Traction
Featured on Product Hunt with 750+ upvotes, integrated with 85% of US health insurers, processed 12k+ appeals in 2023, $2.1M annualized revenue as of Q2 2024.
Market Size
The US health insurance appeals market handles 40 million denied claims annually, with $17 billion in recoverable payments according to 2023 KFF research.
