Authorized Representative

1. What Is an Authorized Representative?

When you submit your intake form and execute the HIPAA Authorization and Limited Power of Attorney (LPOA) in Step 3, you are designating Remedy Support as your authorized representative for the specific purpose of filing an insurance appeal on your behalf. This means you are granting us the legal authority to act in your name with your insurance carrier — to file your appeal, send correspondence, transmit documents, and receive status updates. You are not hiring an attorney. You are authorizing an administrative advocate to handle the paperwork and procedural steps that the carrier requires to consider your appeal.

2. Legal Basis for Authorization

Your right to designate an authorized representative is protected by federal and state law.

Under the Health Insurance Portability and Accountability Act (HIPAA), 45 CFR §164.502(b), you have the explicit right to authorize a person or entity to act on your behalf in all matters involving your health information and your relationship with your insurance carrier. This authorization is documented in the HIPAA Authorization you sign in Step 3.

A Limited Power of Attorney (LPOA) is a legal instrument that grants specific, narrowly defined authority to another person or entity to act on your behalf for a particular purpose — in this case, the filing and management of your insurance appeal. The LPOA you execute is governed by New York law and is enforceable against your insurance carrier. It does not grant general power of attorney; it is limited exclusively to the claim identified in your intake form.

Both documents — the HIPAA Authorization and the LPOA — are together what authorize Remedy Support to act on your behalf.

3. What Authority You Are Granting

By executing both documents, you are authorizing Remedy Support to:

• Prepare and file an administrative appeal of your claim denial on your behalf.
• Transmit your appeal to your insurance carrier by fax, the only transmission method carriers are required by law to accept and acknowledge.
• Correspond with your insurance carrier in writing on your behalf in connection with your claim.
• Receive health information from your carrier that is necessary to process your appeal, including your Explanation of Benefits, claim records, and any correspondence from the carrier.
• Monitor the status of your appeal and seek updates from your carrier on a regular basis.
• Provide you with written copies of all correspondence sent and received on your behalf, accessible through your case tracker.

You will receive copies of everything we submit to your carrier and everything your carrier sends back to us. You retain the right to review every document before we transmit it, and you may request revisions or request that we stop working on your behalf at any time before transmission.

4. What Authority You Are NOT Granting

Your authorization is limited. It does not grant Remedy Support the authority to:

• Accept a settlement or negotiated reduction on your behalf without your explicit written consent. You must approve any settlement offer before it is accepted.
• Make legal arguments or provide legal representation. Remedy Support is not a law firm and cannot advise you on coverage law, claim strategy, or litigation.
• Incur costs or fees beyond the flat $49 service fee you have agreed to.
• Settle claims, negotiate payment plans, or commit you to any obligation without your express permission.
• File lawsuits, complaints with state insurance commissioners, or any proceeding beyond the first-level administrative appeal.

If your appeal is denied and you wish to pursue an external appeal, state insurance department complaint, or legal representation, you must authorize those steps separately.

5. How to Revoke Your Authorization

You may revoke your authorization at any time by submitting a written request through our support page. If you revoke before we transmit your appeal to your carrier, we will cease work immediately and refund your $49 fee at our discretion. If you revoke after we have transmitted your appeal, we will immediately notify your carrier of the revocation in writing and will cease all further action on your behalf. Your authorization is automatically revoked if your case is closed or if you do not contact us regarding your case within 180 days of the last action.

6. This Is Not Legal Representation

Remedy Support is not a law firm. We are administrative advocates. The appeal we file on your behalf is an administrative document, not a legal pleading. We do not provide legal advice, legal analysis, or coverage law interpretation. If you have questions about your coverage, your plan terms, or your legal rights, you should consult a licensed attorney in your state.

The presence of our name on correspondence to your carrier does not mean we are your attorney. It means we are your authorized administrative representative for the limited purpose of filing your appeal.

Questions about what you are authorizing, what information we will request from your carrier, how long your authorization is valid, or how to revoke it — visit our support page.