Your child's care was denied. You don't have to figure it out alone.
The Prior Auth Nurse turns over 25 years of pediatric prior-authorization experience into plain-English tools and guides — so a parent can understand a denial and know exactly what to do next. Start free; go deeper when you need to.
Free tools deliver answers to your inbox. No spam, ever.
There's a gap in the system — and it lands on you.
When a child's medication, therapy, or procedure needs prior authorization and it gets denied, the appeal usually falls to the parent. Not because anyone did something wrong — it's just that no one in the system is set up to fight it for your family. That's the gap. The Prior Auth Nurse exists to stand in it with you: to explain what a denial actually means, and to show you the next right step.
When a template isn't enough, talk it through with Jen.
The free tools and the condition packs handle most denials. But some situations need a person, not a checklist — a denied first appeal, a complex case with co-occurring diagnoses, an external review you've never navigated before, or a payer pattern that doesn't fit a template. Book a private 60-minute call. Jen will read your specific situation, explain in plain English why the care was denied, and map your exact next steps.
Book a 1:1 consult with Jen →The Insurance Appeal Toolkit
For parents fighting an insurance denial — plain-English templates, fill-in-the-blank letters, payer-specific framings. Start with the Library Bundle for the best value, or pick the pack for your specific fight.
The Complete Appeal Pack Library
All six condition appeal packs in one bundle — ADHD, ABA, Biologics, Specialty Formula, Growth Hormone, TRICARE. Saves $15 vs. buying individually.
The Denial Survival Guide
$17The plain-English first step for any pediatric denial — what it means, why it happened, and exactly what to do next.
Or pick the pack for your specific fight — $17 each
ADHD
$17ABA Therapy
$17Biologics
$17Specialty Formula
$17Growth Hormone
$17TRICARE
$17System-Specific Playbooks
Deeper, longer playbooks for parents navigating a specific government program or stage of the journey. Form-by-form, state-by-state, denial-by-denial.
The Regulated Home
$17The Foundation Playbook. Most of what looks like a behavior problem is a regulation problem — the nervous-system playbook under everything else. 38 pages: co-regulation, meltdowns vs. tantrums, your child's sensory profile, the schedule as brain medicine, sleep, repair after the hard days, and how to advocate from a calm place. Jen's signature content.
Before the Diagnosis
$17For parents in the suspicion and diagnostic-odyssey phases. 32 pages: AAP screening tools by name, the four-step referral request that works, all 7 specialist types, the IDEA Child Find parallel track, and what to do during the waitlist.
The First 12 Months
$17The calm month-by-month playbook for the year after diagnosis. 32 pages: grief reframe, team building, evidence-based therapy selection, IEP navigation, insurance architecture, and the sustainability practices that prevent burnout.
Crisis Navigation
$17The playbook you read before crisis hits. 42 pages: building a crisis toolkit, the 988 vs 911 vs ED decision tree, your rights at the ED and during inpatient stays, the Stanley-Brown safety plan, school crisis, discharge planning, and what comes after. Build the plan on a calm day.
The Long Game
$17The decade-by-decade playbook for the long arc. 40 pages: IDEA transitions from age 3 through the services cliff at 21-22, guardianship vs. supported decision-making at 18, ABLE accounts in 2026, the three special needs trust types, the Letter of Intent, and the sibling layer most plans skip.
Complete SSI Application Playbook
$17Get SSI approved for your child. 39 pages: form-by-form walkthroughs, four worked deeming examples, all 50 states' supplement programs, the appeal process, and the age-18 redetermination.
Three free tools to help you right now.
Built from what payers actually require to approve a child's care. Each one delivers its result to your inbox — designed to leave you calmer and more capable than before you arrived.
Denial Decoder
Paste in your denial letter and we'll email you a plain-English breakdown — what it means, why it happened, and exactly what to do next. Free.
Use it free now →Appeal Letter Starter
Tell us what was denied and we'll email you a professional appeal letter template with placeholders to fill in. Free.
Use it free now →Deadline Tracker
Get a one-page printable PDF emailed to you with the deadlines you need to know, plus a tracker for every call and submission. Free.
Use it free now →Pediatric nurse · Mom of four · Grandmother to a child with autism
If you're carrying this alone, this guide is your starting point.
Every special-needs parent moves through six phases of the system — from "something is wrong and no one believes me" to "we're playing the long game." Jen names each one, validates what it actually feels like, and points you toward the next right step.
- Names the six phases of the parent advocacy journey
- The 60-day IDEA rule, EPSDT entitlements, and other rights most parents don't know they have
- Why your nervous system regulation matters as much as the strategy
- Where to go next once you know which phase you're in
Delivered to your inbox in under a minute. We'll also send you Jen's occasional notes when something new is published. No spam, ever. Privacy.
Pediatric nurse · Mom of four · Grandmother to a child with autism
If you were told no, hear the math first.
Most parents are told their family makes too much for SSI — without anyone actually running the deeming calculation. Jen walks you through what SSI really is, the deeming math families don't know exists, the 2026 federal numbers, what's at stake (cash + Medicaid + retroactive), and exactly how to make the first call.
- The deeming math most parents are never told about
- The exact words to use on the phone with SSA — and the most common first-call mistake
- Why over 60% of SSI applications are denied at first — and how most approved cases are won on appeal
- The 6-step process and where to start today
Delivered to your inbox in under a minute. We'll also send you Jen's occasional notes when something new is published. No spam, ever. Privacy.
Hi, I'm Jen — a pediatric Licensed Practical Nurse who knows this fight.
I've spent over 25 years helping get children's care approved. I know what each payer actually looks for to say yes to a medication, a therapy, or a procedure — and I've watched too many families face a denial with no one in their corner.
The Prior Auth Nurse is how I hand that knowledge to you directly. I'm not here to pick a fight with your child's doctor — I'm here to clear the confusion in the gap nobody else is paid to stand in.
Get Jen's notes when something new is published.
Occasional updates from Jen — new tools, new guides, the things every parent fighting a pediatric denial should know. No spam. Unsubscribe anytime.
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