What we review on your bill

What we look for

• Possible duplicates. The same service code appearing more than once for the same date.
• Quantities requiring verification. Unit counts that appear inconsistent with a typical visit.
• Services requiring clarification. Line items you may not recognize or remember receiving.
• Possible insurance-processing concerns. Charges that appear not to reflect an expected insurance adjustment.
• Differences worth questioning. Amounts that differ noticeably from typical charges for the same service in your region.
• Bundling questions. Individual line items that are commonly billed as a single grouped service.
• EOB mismatches. Charges that may not match what your Explanation of Benefits shows.
• Unapplied insurance payments or adjustments. Amounts that appear not to reflect an expected payment or contractual adjustment.
• Unexpected out-of-network charges. Providers who may have been out of network at an in-network facility.
• Estimate differences. Gaps between a written estimate and the final bill.
• Missing information. Details that should be requested from the provider before paying.
• Financial-assistance opportunities. Whether the provider is likely to maintain an assistance or charity-care policy.

What a bill alone cannot tell us

A statement is not a medical record. We can identify that something looks inconsistent and worth asking about, but we cannot confirm what care was actually delivered, what the documentation supports, or what your insurer ultimately determines. That is exactly why our documents request verification rather than assert conclusions.

How we describe findings

We use neutral language throughout: possible duplicate, charge worth reviewing, quantity requiring verification, service requiring clarification, potential discrepancy. We never describe a charge as fraud, an illegal charge, or a confirmed error, because a bill review cannot establish any of those.