Claimvera Health

The system was built to deny you.

Claimvera Health builds free tools that hand patients the language, the deadlines and the legal footing to push back. Built by someone who spent a decade inside the systems that decide your claim.

The Atlanta skyline at night, with the gold-lit crown of Bank of America Plaza rising over midtown

The problem

Insurers are not betting you will lose. They are betting you will never file.

Denial is cheap when almost nobody challenges it, and the people who do challenge it win often enough that the arithmetic only works while the rest of us stay quiet.

19%

of in-network claims were denied by insurers on the federal marketplace.

0.5%

of those denials were ever appealed by the patient.

Roughly one claim in five is refused, and 199 out of every 200 refusals go unchallenged.

Source: KFF analysis of 2017 HealthCare.gov transparency data.

How it works

A denial is a sentence written in code.

Every adjustment on your Explanation of Benefits carries a code that tells you exactly why the money was refused and what your next move is. Insurers print the code. Nobody translates it. That is the whole gap we close.

Explanation of Benefits Illustrative example
Billed by provider$1,840.00
Plan discount$600.00
CO-50 Not medically necessary$1,240.00
Plan paid$0.00
You may owe$1,240.00
Figures are invented for illustration. This is not a real patient record.

  • What the code actually says

    Your insurer decided this service was not medically necessary for you. It is a judgement about your care, not a billing error, and it is one of the most frequently overturned denials there is.

  • What it does not say

    That you owe the money yet. A denial is a first position, not a final bill, and the appeal window usually opens on the date printed on the letter rather than the date you opened it.

  • What to do about it

    Ask your doctor for a letter of medical necessity, then appeal in writing and send it so you can prove it arrived. Those two steps carry more denials than any argument you can write yourself.

What we build

Tools that put the insider knowledge in your hands.

BenefitSleuth™

Enter the code from your Explanation of Benefits. BenefitSleuth™ tells you in plain English what it means, whether you actually owe the money, and the specific next step to take, including the rules in your state. No account, nothing stored, free to the patient.

Patent pending Nothing stored All 50 states Free
Decode your EOB
Portrait of LaTongia M. Jenkins-Scott

The founder

I spent a decade building the systems insurance companies use to process and deny claims. I know exactly how those decisions get made. Now I am handing that knowledge to the people on the other side of them.

LaTongia M. Jenkins-ScottFounder and chief executive, Claimvera Health LLC

  • Over ten years in healthcare IT, working directly on claims processing and payer systems
  • MBA in marketing and product management
  • Founded Claimvera Health LLC in Georgia, 2026
  • Patient advocate publishing as ClaimCoachTee

Contact

For press, partnership, licensing or grants.

claimcoachtee@gmail.com beacons.ai/claimcoachtee