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Lower your medical bill.
Start by knowing what you're being charged.

Upload your medical bill and let Itemizeit do the heavy lifting. We review the charges line by line, show you what deserves a closer look, and prepare the dispute letters, itemized bill requests, questions, and follow-ups you need to take action. Get your review in about 5 minutes.

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Worth reviewing

$7,046

app.itemize-it.com · Bill Review

Mercy Medical Center✓ Reviewed

99284 · ER visit lvl 4$1,850.00

Worth asking99285 · ER visit lvl 5$2,640.00

96365 · IV infusion 1hr$612.00

Duplicate70450 · CT head$2,940.00

Overpriced70450 · CT head$2,940.00

Review confidenceHigh

Preparing your dispute letter…

✓ Dispute letter ready

80%

of medical bills contain at least one error

$1,300+

average overcharge in a 3-day hospital stay

~5 min

to get your medical bill reviewed

Flat fee

No percentage of your savings taken

Error and overcharge figures: 2020 Equifax analysis of hospital bills.

How it works

Medical bill help,
without doing
it all yourself.

Upload your bill, understand what deserves a closer look, and let Itemizeit handle the bulk of the process.

Upload your medical bill

Answer a few quick questions and upload a photo or PDF of your bill. Each bill becomes its own tracked case in your Itemizeit dashboard.

We review your medical bill line by line

Itemizeit looks for possible duplicate charges, calculation issues, billing inconsistencies, insurance and payment discrepancies, and other charges or details that may deserve a closer look.

Get your action plan

See your findings in plain English and know what to do next. Itemizeit can prepare dispute letters, itemized bill requests, questions, and follow-up communications based on your review.

What we look for

Common medical billing
issues we look for.

Itemizeit scans every line for the patterns most patients never spot.

📄

Duplicate Charges

Same item billed more than once

The same procedure or service appears on separate lines with identical codes. One charge is often buried pages apart from the other so it goes unnoticed.

✦ One of the most common errors

Medical bill dispute letter

Your medical bill dispute letter, ready to review.

Every paid plan includes a personalized medical bill dispute letter based on the supported findings in your review and the billing details shown on your statement.

April 15, 2026

Riverside Medical Center

Billing Department

123 Hospital Drive, Suite 100

Springfield, IL 62701

RE: Billing dispute, Account #SRMC-IP-6204
Date of service: March 12, 2026

Dear Billing Department,

I am formally disputing the charges below and requesting written documentation for each item identified.

1.Code 70450 (CT Head) appears twice on March 12 for $2,940 each. Please confirm two separate scans were performed and documented.

2.Code 99285 (ER Visit Level 5) was billed at the highest complexity level. Please provide documentation supporting this visit level.

3.Please provide a copy of your financial assistance policy and application.

Please respond in writing within 30 days. This account is in dispute pending your response.

Respectfully,
Alex Johnson
(555) 012-3456

📋

Specific to your bill

Your letter references the relevant billing details and findings from your review instead of using a generic dispute template.

📬

Certified mail instructions included

We show you how to send and track your letter so you can maintain a documented paper trail.

📅

Follow-up letters included

Follow-up communications are available as your case progresses.

🔒

You approve before anything is sent

Review the exact communication and authorize it before anything is sent on your behalf.

How to dispute a medical bill →

Itemized medical bill review

Your itemized medical bill, reviewed line by line.

Itemizeit reviews the billing details shown on your statement for possible duplicate charges, calculation issues, inconsistencies, and other items that may deserve a closer look. You get a plain-English explanation of each supported finding.

Sample itemized statement · Riverside Medical Center · March 12, 2026

3 findings identified

CodeDescriptionBilledReview

99285Emergency dept visit, level 5 (highest)$2,640Question visit level

70450CT head without contrast$2,940No issue identified

70450CT head without contrast$2,940Possible duplicate

96365IV infusion, initial substance$612No issue identified

99231Hospital follow-up visit$380Verify this occurred

36000Peripheral IV placement$124No issue identified

Statement total$9,6363 items flagged for review

What a billing question can look like

A separate charge appears alongside
the main procedure. Is it actually separate?

What the bill says

27447Total knee arthroplasty1$12,400.00

12031Layered wound closure, 2.5 cm1$520.00

99231Subsequent hospital care visit1$220.00

97110Therapeutic exercise, per 15 min4$380.00

Four separate line items. The knee replacement is obvious. The others blend right in.

Why this charge may deserve a closer look

When a separate service appears alongside a larger procedure on the same date, it can be worth asking whether the additional charge represents a distinct service or was part of the primary procedure. Itemizeit turns that concern into a specific question instead of simply assuming the charge is wrong.

The question we prepare for you

Was the separately billed service performed as a distinct service beyond what was included in the primary procedure, and if so, what documentation supports billing it separately?

Anyone can write a letter. Knowing that 12031 is already bundled inside 27447 is the part nobody figures out on their own, and it's sitting on page two of a statement most people pay without reading.

Flat fees from $29

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No percentage of your savings

You approve before anything is sent

Customer stories

What real people
are saying.

Savings calculator

See what you’d keep.

Percentage-based services take a cut of every dollar they save you. We charge one flat fee, shown before you pay. Drag the sliders and compare.

Your bill amount$7,500

If your bill drops by30%

You'd save$2,250

Percentage-based servicecharges you 30% of what you save−$675

ItemizeIt flat feenever a %$29–$99 per case · free review first−$49

You'd keep$626 more than with a percentage service$2,201

No credit card. See your findings first.

Estimates for illustration — every bill is different and results vary. Percentage-based bill advocates commonly charge 25–35% of savings; the example uses 30%. ItemizeIt charges a flat fee per case ($29, $49, or $99), never a share of what you save.

Woman at her kitchen table laughing with relief while holding her medical bills

✓We never take a cut of your savingsOne flat fee, shown before you pay

How we compare

Why patients choose us
over the alternatives.

Other services take a percentage of what they save you. Itemizeit charges a flat fee per case so you keep every dollar of your reduction.

Feature	Itemizeit Medical bill review with dispute support, flat fee per case	Medical Bill Advocacy Service Works across provider types, typically assigns an advocate, pricing model varies	Hospital Bill Negotiation Service Focuses on hospital facility balances, typically no upfront fee, typically takes a percentage of the reduction	Legal Demand & Small Claims Service Focuses on escalation through demand letters and potential small claims action
Flat price, no percentage of savings	✅$29, $49, or $99 flat. We never take a cut.	Varies by service	Typically a percentage of the reduction	Often flat, varies by service
Medical bill line-by-line review	✅Yes, every charge reviewed and explained	Varies by service	Typically focused on hospital balances	Not a core feature
We send the communications for you	✅Yes, included at $49	Typically yes	Typically yes	Typically available
You see every communication before it goes out	✅Yes, you read and approve the exact document	Varies	Varies	Varies
Works on hospital, doctor, lab, and imaging bills	✅Yes, all provider types	Varies	Often hospital-focused	Not medically specialized

Flat fee, not a cut

Free upfront is not free.

Services that charge nothing upfront take a percentage of whatever you save, usually somewhere between fifteen and thirty-five percent. Knock $3,000 off a hospital bill and that is several hundred dollars out of your reduction.

We charge a flat fee per case. $29, $49, or $99, shown before you pay, with no subscription and no percentage. Whatever comes off your bill is yours.

Flat price per case, shown upfront

We never take a cut of your savings

No subscription, ever

Free review first, so you know what you are paying for

However much comes off your bill, your fee stays flat.

Flat fees of $29, $49 or $99 — never a percentage of what you save.

Pricing

Medical bill help without a subscription.

Every bill starts with a free medical bill review. If we identify items worth questioning, choose the level of help you want.
Packages from $29. No subscription. No percentage of your savings.

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