Dispute your medical bill. Keep 100% of what you save.
Concierge services take 20 to 60% of whatever they cut off your bill. We don't. Pay once, download a statute-cited dispute letter, and pocket every dollar you save.
Preview free · $9 guide · $29 letter · $49 full kit · No subscription
Kit includes Letter + Guide. Letter includes Guide. No double-pay.
Attn: Billing Department
Your generated letter (example: NSA balance billing path)
$29 flat. No cut. No subscription.
The industry charges a percentage of your savings, which means the less they help, the less they earn. 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?
How much is the bill?
Insurance status
Was this provider in your insurance network?
What state is the provider in?
Is the hospital a nonprofit?
What looks wrong with the bill?
Your details for the letter
Your draft dispute letter
This letter is customized to your situation. Review, edit if needed, then download the PDF.
Includes every letter template, insurance-appeal ERISA kit, charity care application, negotiation call script, and CMS/state AG escalation toolkit.
See pricingThree 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.
For people who want to learn the system and do everything themselves.
- 50-page bill dispute playbook
- Negotiation scripts
- Charity care checklist
A ready-to-send letter customized to your bill, with the right citations.
- One personalized letter
- Cited to NSA / 501(r) / state law
- PDF + editable Word doc
- Follow-up checklist
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)
| 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.
Hand us the bill and we'll handle the whole thing: letters, calls, charity-care apps, escalation. $299 flat. You 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.
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. That fact pattern 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 for a 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.
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. It is 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 to 50% reductions are typical. For uninsured prompt-pay negotiations, 40 to 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 to 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. The 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.
Not ready to negotiate yet? Grab the free checklist.
The 5 steps hospital billing departments actually 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. In your inbox in a minute.
$9 guide · $29 letter · $49 kit
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