Jadhav is trying to give patients a practical way to challenge insurance denials without paying to have an appeal letter written.
Riyaa Jadhav is a co-founder of Counterforce Health, a free service that helps patients draft insurance appeals. Her work with patients at Johns Hopkins in Baltimore, Maryland, preceded her move into patient advocacy in North Carolina’s Research Triangle.
From Patient Work to Insurance Appeals
ABC11’s July 2025 profile describes Neal Shah bringing Jadhav to the Research Triangle after her work with patients at Johns Hopkins. Shah’s experience challenging denials during his wife’s cancer treatment helped shape the organization’s mission.
Jadhav’s account begins with listening. “I think my first instinct is to just listen to them and then hop on to what can we do next,” she told ABC11. That emphasis connects the technical work of generating a letter with the person facing a delay or refusal of care.
Showing Patients How to Respond
In the television report, Jadhav demonstrated how a patient could upload insurance coverage documents and a denial letter to generate an argument that could be printed and sent. Counterforce also took its service to rural North Carolina, where limited internet access could make an online-only tool harder to use.
She also discussed a cancer-drug case that continued to be denied despite supporting medical evidence. The example shows the limits of letter generation and the frustration that remains after a patient has assembled a strong case. Her public work combines an accessible drafting tool with direct attention to people navigating those decisions.