Frequently asked questions

Yes. You can upload a bill, complete the review, and see how many findings were identified, your overall review confidence, the estimated amount worth reviewing, and a preview of the first two findings without paying anything or entering a card.

It is the total of the charges we identified as deserving a closer look. It is not guaranteed savings, not a confirmed error, and not a promise that your provider will change the bill.

We review your bill line by line, identify charges that deserve a closer look, and prepare customer-authorized written requests for explanation, documentation, insurance reprocessing, or correction. When a provider cannot support a charge with documentation, they often correct or remove it. You review and approve every word before anything is sent.

No. On every package that includes sending, you review the exact document and authorize it before anything goes out.

That happens, and it is a legitimate outcome. You will see a clean result explaining what we checked. You will not have paid anything for the free review, and we will still flag financial-assistance options if the balance is a strain.

Yes. Tell us during the review questions and it changes what we recommend, since accounts in collections usually call for verification calls rather than letters alone.

No. ItemizeIt does not provide legal, medical, clinical, insurance, or coding advice. Our resources and documents are informational and administrative.

No. Pricing is flat and per case. One bill, one case, one price, plus any optional add-ons you choose.

Purchases become final once personalized work begins, because you are buying the review and document preparation, not a guaranteed result. See the Final-Sale Policy for the full terms and the exceptions we preserve.

Two ways. If the response comes through your case, we add it to your Documents tab and email you that new mail arrived. If the provider mails or emails you directly, open your case and use the “Did your provider reply?” card on the Overview tab to upload a photo or PDF of it. Either way, the response is read and summarized in plain English right on your case — what it says, what it means, and what your options are.

First: well done — your questions did that. Before you celebrate, check the response against your own records: confirm the new balance, and if the letter doesn’t include one, ask the billing office for a corrected statement showing the adjustment. Once the numbers match, use Close my case on your Overview tab. Your documents and the dated record of what was sent stay available under the retention schedule, so you keep proof of the outcome.

That is your call, and both answers are reasonable. Look at what the response actually addressed: if they corrected the significant items and documented the rest, accepting may be the practical choice. If they skipped over questions without answering them, the response card on your Overview tab walks you through what remains open. Follow-ups in your plan continue only for what is still unanswered, and you can close the case whenever the outcome works for you.

Not necessarily, but we will be straight with you about what a denial means. A denial that answers your questions with documentation is a real answer — sometimes the bill holds up, and knowing that is worth something. A denial that doesn’t address what you asked is different: the response card on your case explains which questions went unanswered, and follow-ups remaining in your plan keep those specific questions on the record. Beyond that, your options include asking for the documentation behind their decision, exploring the financial-assistance guidance in your case if the balance is a strain, or closing the case with a complete dated record of what you asked and what they said. What we cannot do is force a provider to change a bill — no one can — but we make sure your questions were asked properly and answered on paper.

The response could not be read clearly — usually a blurry photo, a missing page, or a letter that neither grants nor denies anything. Use Upload a clearer copy on the response card to add a better photo or the remaining pages. If the letter itself is genuinely vague, that is worth knowing too: a response that commits to nothing does not resolve your questions, and your follow-up schedule reflects that.

Our job is to make sure your questions are asked clearly, delivered properly, and answered on the record — and to help you understand every response so you can decide your next move with good information. After a decision, that means explaining what the response does and does not address, keeping your follow-up schedule honest, maintaining the dated paper trail, and pointing you to options like corrected statements or financial assistance. The decisions themselves — theirs and yours — stay where they belong.

Providers commonly take two to four weeks to respond to a written dispute, and sometimes longer. Your case timeline shows what has been sent, what has been received, and what comes next.

Probably not — billing offices are slow, and silence at two weeks is normal. This is exactly what the follow-up schedule is for: the Day 14 follow-up notes that a response is due, and Day 30 escalates the request. You don’t need to do anything or contact us; your Timeline tab shows each follow-up as it is prepared and sent.

Written follow-ups are prepared for Day 14 and Day 30 on the paperwork package, and each one goes out after your approval. Extended Follow-Up adds Day 45 and Day 60. The Advocate package includes those follow-ups plus verification and status calls. If the schedule runs out with no reply, we tell you honestly where things stand and what your options are — you keep the full dated record of everything that went out.

No. The moment a response is recorded on your case, pending follow-ups go on hold so you never send a “why haven’t you answered” letter to a provider who just answered. Your Timeline shows them as on hold.

Overview is your home base: current status, your next step, and any response cards. Report holds your review findings. Documents has every letter, email, and provider document on the case. Timeline shows everything that has happened and what comes next, with dates. Ask a question lets you ask about your specific case and findings. Settings is where your contact info and case controls live. When you’re unsure what’s happening on your case, the Overview and Timeline tabs answer it faster than any email could.

When a provider response is summarized on your Overview tab, the I need guidance button expands a plain-English walkthrough of your options for that specific outcome — what to verify, what to consider, and what each path means. It is written for your situation, not a generic help article.

Because summary bills hide the detail. A single “Laboratory — $780” line cannot be checked; the itemized version showing each code and charge can. When your bill isn’t itemized, we prepare a formal written request for the itemized version first, the reply lands in your Documents tab, and the full review runs against the real line items. It adds a little time up front and considerably more substance to everything after.

Whenever the outcome works for you — after an adjustment, after a denial you’ve decided to accept, or any time you’re done. When a provider response is on your case, a Close my case button appears right on the Overview tab; you can also close from your case’s Settings tab at any point. Closing stops future follow-ups. Your documents remain available under the retention schedule.

In your case’s Settings tab. Keeping your mailing address current matters because dispute letters list it as the return address for the provider’s reply.

From the Check My Bill button anywhere on the site, or from your dashboard. A clear photo or a PDF both work — every page, including the ones that look like boilerplate, since codes and totals often hide there. The free review starts as soon as the upload finishes.

Yes — if the provider sends an itemized version, a corrected statement, or any updated bill, upload it to your existing case rather than starting a new one. The review runs again against the new document, and your findings and documents update to match. Re-uploading is also the fix when your first photo was blurry or missing pages.

In your case’s Settings tab, any time you want. You don’t need to contact anyone or give a reason.

Uploaded bill documents are scheduled for deletion 30 days after upload, or until your case closes if that is longer. You can also delete a bill at any time from Case Settings. Letters and correspondence sent on your behalf are retained for 3 years for audit and dispute purposes. Authorization records are retained for 3 years. Payment records are kept for 7 years as required for tax and financial recordkeeping. See our Data Retention and Deletion page for the full schedule.

Most “what’s happening with my case” questions are answered on your case’s Overview and Timeline tabs, and the Ask a question tab can answer questions about your specific findings. If you’ve checked those and still need a person, email hello@useitemizeit.com and we’ll get back to you.