Why Appeals Get Denied
Most denials happen for predictable reasons: the narrative does not match the cited rule, the record is incomplete, or the proof is not organized in a way a reviewer can validate quickly.
- Policy mismatch: the appeal addresses the wrong issue (or ignores the exact notice language).
- Supply chain gaps: invoices, supplier identity, authorization, traceability, or inconsistent entity details.
- Control gaps: SOPs, QC checks, packaging/shipping controls, monitoring, and training records.
- Section 3 / linkage risk: identity, related-account signals, or evasion flags not addressed with documentation.