KEPRO seems to have a complex relationship with patients and families who have had to appeal decisions made by the company. Some reviewers have reported positive experiences, particularly when working with independent physicians who review medical records and make recommendations. However, others have described interactions with KEPRO representatives as unhelpful, rude, and unprofessional. The company's processes for handling appeals have been criticized for being vague and lacking transparency. In some cases, patients and families have reported feeling rushed or ignored by KEPRO staff. The issue of limited communication and lack of empathy from KEPRO representatives has been highlighted in multiple reviews. The company's reliance on oral appeals, without a paper trail, has also been criticized. It appears that some reviewers feel KEPRO prioritizes the interests of insurance companies over those of patients and their families.