Our mission

guidemyclaim.com began with a personal experience. Robert Kotcher, the site's founder, was billed roughly $800 for a vitamin D deficiency test that his rheumatologist had ordered as part of care for ankylosing spondylitis—a chronic inflammatory condition that requires careful, ongoing monitoring.

The following month, he learned that his health plan would abruptly stop paying for the treatment his physician had prescribed. Out-of-pocket cost was projected at about $10,000 per month—a figure that would have been devastating without a path forward.

Robert spent months navigating a dense appeals process: deadlines, medical necessity language, internal plan appeals, escalations, and independent external review. The system was difficult to parse even for someone willing to invest significant time and persistence.

That experience shaped a simple conviction: if the process was this hard for him, it is almost certainly hard for many other patients and families—often during illness, stress, or financial strain, when clarity matters most.

Our mission is to make the administrative side of health insurance appeals easier to understand and act on. We build structured, patient-centered tools—starting with guided appeal letters—so people can organize their facts, communicate more clearly with their plans, and move forward with greater confidence. guidemyclaim.com does not replace clinicians, advocates, or attorneys where those relationships are needed; it exists to lower the friction of getting a strong, professional document in hand when you are ready to push back on a denial or an unfair benefit decision.