MEDICAL BILL TOOL

Dispute Your Medical Bill — Keep 100% of Your Savings

Concierge services take 20–60% of whatever they save you. We don't. Pay once, download a lawyer-style dispute letter, and pocket every dollar you cut off your bill.

Preview free · $9 guide · $29 letter · $49 full kit · No subscription

Just want to learn
$9 Playbook
12-chapter DIY guide. No personalization — just the system.
MOST POPULAR
Generate a letter
$29 Letter
One personalized letter, cited to NSA/501(r)/HIPAA, PDF download.
Complicated case
$49 Full Kit
Everything — letter + guide + 5 templates + escalation toolkit.

Kit includes Letter + Guide. Letter includes Guide. No double-pay.

April 17, 2026
Swedish Medical Center
Attn: Billing Department
Re: No Surprises Act Balance-Billing Violation
I am writing to dispute the balance bill for emergency services furnished on March 15, 2026. The services fall within the protections of the federal No Surprises Act (42 U.S.C. § 300gg-111).
Under the Act, I may be billed only the in-network cost-sharing amount. I did not receive, review, or sign a valid notice and consent form per 45 CFR § 149.420. Amount in dispute: $3,200.
— continues with 5-item demand, CMS escalation path, and $10,000/violation penalty citation

Your generated letter (example — NSA balance billing path)

60-Day Money-Back Guarantee

If this doesn't help you save, you get your money back.

Email us within 60 days of purchase. No forms, no hoops, no "contact support" maze. Just reply to your Stripe receipt and we'll refund you.

Stripe-secured checkout
PCI-compliant payment processing. We never see your card details.
Runs entirely in your browser
Your bill amount, account number, and personal details never leave your device.
Cites real federal statute
HIPAA § 164.524, No Surprises Act, IRS 501(r), FDCPA — all verified and current.

$29 flat. No cut. No subscription.

The industry charges a percentage of your savings. The less they help, the less they earn — so the incentives are broken. We charge a flat fee and walk away. You get the tools; you keep the money.

Claim Maximizer Goodbill Resolve DIY free guides
Pricing model $29 flat ~20% of savings Opaque % / sub Free
You keep 100% of savings Yes No No Yes
On a $5,000 savings, they take: $29 ~$1,000 ~$750–1,500 $0
Lawyer-style letter with citations Yes Yes Yes Depends
Covers NSA, 501(r), HIPAA paths Yes Partial Partial Scattered
Speed to letter < 10 min Days Days You build it

Competitor pricing reflects publicly stated models as of April 2026. Confirm at the source before relying.

Build your dispute in 8 steps

Free to preview. Pay only when you want the finished letter as a PDF.

What kind of bill is this?

01 / 08

How much is the bill?

02 / 08
The full number on the bill, before any insurance adjustment.
If insurance already adjusted it, this is your "patient responsibility."

Insurance status

03 / 08

Was this provider in your insurance network?

04 / 08
No Surprises Act protections depend on this.

What state is the provider in?

05 / 08

Is the hospital a nonprofit?

06 / 08
Nonprofit hospitals must offer charity care under IRS 501(r). Most U.S. hospitals qualify — if unsure, try "I don't know."
For charity care eligibility check.

What looks wrong with the bill?

07 / 08
Pick all that apply. Not sure? Pick "I haven't gotten an itemized bill yet" — that's where every dispute should start.

Your details for the letter

08 / 08
All of this stays on your device. We don't collect or store any of it.

Your draft dispute letter

This letter is customized to your situation. Review, edit if needed, then download the PDF.

Want the full kit? — $49

Includes every letter template, insurance-appeal ERISA kit, charity care application, negotiation call script, and CMS/state AG escalation toolkit.

See pricing

Three ways to buy. Flat fees only.

Start with the $9 guide if you want to DIY. Grab the $29 dispute letter if you want it done. Get the $49 kit if the bill is complicated and you want every tool in the kit.

Guide
$9/once

For people who want to learn the system and do everything themselves.

  • 50-page bill dispute playbook
  • Negotiation scripts
  • Charity care checklist
Buy Guide — $9
Full Kit
$49/once

For complicated bills — ER, surgery, air ambulance, or denied insurance claims.

  • All 5+ letter templates
  • Insurance appeal (ERISA) kit
  • Charity care application
  • Negotiation call script
  • Escalation toolkit (CMS, state AG)
Buy Full Kit — $49
What's included at each tier
Feature Guide$9 Dispute Letter$29 Full Kit$49
50-page DIY playbook + negotiation scripts
Charity care (IRS 501(r)) checklist
Personalized dispute letter for your bill
Cited to NSA / 501(r) / HIPAA / state law
PDF + editable Word doc
Follow-up checklist + response tracker
5+ letter templates (coding errors, prompt-pay, DME)
ERISA insurance appeal kit
Charity care application templates
CMS / state AG escalation toolkit

Every tier is backed by our 60-day money-back guarantee. Reply to your receipt — that's the whole process.

Bill is $1,500+? Want it done for you?

Hand us the bill and we'll handle the entire negotiation — letters, calls, charity-care apps, escalation. $299 flat. Keep 100% of what we save.

See the Done-For-You option →

Not legal advice. This is a DIY tool. If your bill is being actively sued or referred to collections, consult an attorney.

What you actually get

A letter the billing office can't wave away

Every medical-bill package delivers a letter citing the specific federal and state protections you're entitled to, an itemization demand, a charity-care application where eligible, and a CMS complaint path. Here's a No Surprises Act balance-billing dispute.

Sample output
3312 Oakwood Drive
Renton, WA 98055
April 22, 2026

Rainier Regional Hospital
Attn: Patient Financial Services
[Hospital Address]
Re: No Surprises Act Balance-Billing Dispute — Account No. 26-A7842

Dear Patient Financial Services,

I am formally disputing the balance bill of $2,874 referenced above. The services at issue were emergency care furnished by out-of-network providers at an in-network facility on March 12, 2026 — a fact pattern that falls squarely within the protections of the federal No Surprises Act at 42 U.S.C. § 300gg-111 and its implementing regulations at 45 CFR §§ 149.410, 149.420.

The specific waiver argument, the HIPAA itemization demand, and the enforcement escalation are set out below…

Evidence checklist

What to attach — medical dispute

  • Full bill + EOB from your insurer
  • Proof facility is in-network
  • Lack of signed NSA consent
  • HIPAA itemization request
  • Any pre-authorization records
  • Certified-mail receipt of this letter

Escalation path

If the bill isn't adjusted

  • Day 30Second demand + CMS notice
  • Day 45CMS No Surprises help-line complaint
  • Day 60State Attorney General referral
  • Day 75Charity-care (501(r)) application if eligible

Names, addresses, and account numbers are illustrative. Your letter uses your actual case details and the federal + state protections that apply to your situation.

NSA dispute letter Itemization demand (HIPAA) Charity-care (501(r)) app CMS complaint path

Frequently asked questions

Is medical bill negotiation legal, and is this legal advice?

Negotiation is not only legal, it's a statutory right. The No Surprises Act (42 U.S.C. § 300gg-111), HIPAA Right of Access (45 CFR § 164.524), and IRS 501(r) all give you specific pathways to dispute bills and request records. The letters we generate cite these directly. That said, this tool is a self-help educational resource — not legal advice about your specific situation. If your bill is in active litigation or referred to collections, consult a licensed attorney in your state.

Will disputing my bill hurt my credit?

No. Disputing a medical bill before it goes to collections doesn't touch your credit at all. If it's already in collections, the FDCPA requires the collector to mark the debt as disputed on your credit file once you dispute in writing. Paid medical collections under $500 cannot be reported at all (as of 2023). Disputing generally helps your credit position, not hurts it.

How much can I realistically save?

Depends on the bill. If there are coding errors — duplicates, unbundling, upcoding — 30–50% reductions are typical. For uninsured prompt-pay negotiations, 40–60% off the chargemaster rate is the norm. For 501(r) charity care, eligible patients at nonprofit hospitals can have bills zeroed entirely. Bills already at reasonable rates may only move 10–20% through prompt-pay discounts.

How long does the whole process take?

Typically 30–90 days. HIPAA requires a response to itemized bill requests within 30 days. No Surprises Act disputes resolve in 30 days from notice. Charity care determinations are usually 30 days. Prompt-pay discounts settle same-day if the provider accepts.

What happens after I purchase?

Stripe delivers the tier you bought to the email on your receipt within a few minutes. The $9 Guide is a PDF. The $29 Dispute Letter arrives as a personalized PDF plus a follow-up checklist. The $49 Full Kit includes every template, the ERISA appeal, the charity care application, a phone script, and the escalation toolkit. No account creation, no login, no subscription.

What if the hospital ignores my letter?

Most first letters get a response within 30 days because you've invoked specific statutory deadlines (HIPAA § 164.524 for itemized bills, 26 CFR § 1.501(r)-4 for charity care). If they ignore you: (1) re-send certified mail, (2) file a complaint with the CMS No Surprises Help Desk (1-800-985-3059) if it's a balance bill, (3) file with your state insurance commissioner or AG, (4) for 501(r) violations, IRS Form 13909. The Full Kit includes all the escalation templates.

What about collections?

If the bill has been sent to collections, the FDCPA (15 U.S.C. § 1692) gives you a 30-day dispute window. Every letter we generate includes FDCPA § 809 language requesting a hold on collection activity during the dispute. If a collector has already reported to credit bureaus, you can also dispute under the Fair Credit Reporting Act — our Full Kit covers both paths.

Can I negotiate a bill I've already paid?

Sometimes, yes. 501(r) charity care applies retroactively for up to 240 days after the first post-discharge bill — if you qualify and already paid, you're entitled to a refund of anything above Amounts Generally Billed (AGB). For straight negotiations on already-paid bills, leverage is lower but still possible if you documented coding errors or billing mistakes. The $29 letter handles both.

How is this different from Resolve or Goodbill?

Concierge services like Resolve and Goodbill take 15–35% of whatever they save you, with weeks of turnaround. We charge a flat $9–$49 once, you keep 100% of the savings, and the letter is in your hands the same session. The tradeoff: you send the letter yourself and handle any phone calls. For most straightforward bills, the DIY path is faster and cheaper.

Do you keep my data?

No. Every field you fill in stays on your device — the tool runs entirely in your browser. We never send your bill amount, account number, provider name, or anything else to any server. Close the tab and it's gone.

Free · 2-page checklist

Not ready to negotiate yet? Grab the free checklist.

5 steps hospital billing departments respond to — itemized bill requests, the 7 most common coding errors, Medicare rate anchoring, 501(r) charity care, and the paid-in-full letter that protects you afterward. Delivered to your inbox in a minute.

One email, five steps, no spam. Unsubscribe any time — just reply to the email.

Preview free
$9 guide · $29 letter · $49 kit
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