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What actually goes wrong on a medical bill
One article for each thing this service checks. Written for someone holding a bill they do not understand, not as a feature list.
- Balance billing — being charged above the contracted rate What balance billing is, why it is usually not allowed in network, and the exact request that resolves it.
- Your bill is higher than your EOB says you owe The single most common mismatch between a medical bill and an EOB, and exactly what to ask about it.
- A charge on the bill that your EOB never mentions An unmatched line usually means the claim went somewhere you have not looked yet — but not always.
- Your EOB's own numbers do not add up When the disagreement is inside your plan's own arithmetic, the billing office cannot fix it — this one goes to the insurer.
- Your plan denied a charge and the provider billed you anyway What a denial code means, why some denials are the provider's problem and not yours, and how to tell which is which.
- The same service charged twice How to tell a real duplicate from a service that genuinely happened more than once, using your EOB.
- Emergency care and the No Surprises Act Federal law caps what you can be charged for emergency care, and the protection cannot be signed away at registration.
- Your bill came in far above the written estimate If you are uninsured or self-pay and the bill exceeds your Good Faith Estimate by $400 or more, there is a federal process.
- Nonprofit hospitals must have a financial assistance policy Most US hospitals are nonprofits, and the law requires them to run a charity care programme and tell patients it exists.
- A bill with no itemized detail A summary statement cannot be checked against anything. Asking for the itemized version is the first move, and providers generally have to give you one.
- A bill arrived before the Explanation of Benefits Why a bill without an EOB cannot be checked, and what to do while you wait for one.
- The same service billed several separate times in one day When the plan adjudicated every line, nothing is technically wrong — but how a service is split still changes what it costs.
- More units billed than your plan processed Units are the quietest kind of overcharge, because the service is real and only the quantity is wrong.