You upload the bill
Drag-and-drop a PDF, photo (PNG, JPG, HEIC, WebP), or pasted text. Add the EOB or Good Faith Estimate if you have one. No account, no credit card, no phone number.
How BillBusted works
Upload a bill. Get a plain-English audit. Act on what we find.
BillBusted reads your medical bill the way a careful, well-informed family member would — only faster, and against a checklist of the eight most common error patterns. Here's exactly what happens after you click upload.
- Free scan: 60 seconds, no account.
- Resolution Pack $29: full case file, delivered in minutes.
- Full Audit $49: adds CPT and Medicare-reference benchmarks.
- Done-For-You $149: we submit and follow up for you.
The five-step process
What happens in those 60 seconds.
AI extracts every line item
OCR and text extraction pulls the CPT codes, charges, dates of service, units, and modifiers. Anything ambiguous gets flagged for verification rather than guessed.
Pattern audit against eight error categories
Duplicates, upcoding, unbundling, modifier errors, units overstated, NDC mismatches, diagnosis-procedure mismatches, missing itemization. Up to 49% of medical bills contain at least one error (CFPB, 2023).
Patient-rights trigger check
If your facts suggest a No Surprises Act case, a 501(r) charity-care match, a $400 Good Faith Estimate dispute, an ERISA plan appeal, or a state insurance complaint, we surface it with the relevant rule reference.
Plain-English result, then a clear next step
A short summary, up to three flagged concerns, and one recommended action: dispute, request documents, run a deeper paid tier, or pay confidently.
What's in each report
Concrete deliverables at every tier.
What you receive
Free Scan
Resolution $29
Full Audit $49
Done-For-You $149
Plain-English summary of the bill
Yes
Yes
Yes
Yes
Up to 3 flagged concerns
Yes
Full list
Full list
Full list
Prioritized issue matrix
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Yes
Yes
Yes
Provider & insurer phone scripts
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Yes
Yes
Used by us
Formal dispute letter drafts
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Yes
Yes
Sent for you
Follow-up timeline + checklist
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Yes
Yes
Executed for you
CPT / Medicare-reference benchmark
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Yes
Yes
Charity care (501(r)) eligibility check
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Yes
Yes
Plan-type-specific 5-step action plan
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Yes
Yes
Dispute submission to the provider
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—
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Yes
14 / 30 / 60 / 90-day automated follow-ups
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Yes
Delivery timeline
How fast you get each deliverable.
Free Bill Scan: result on screen within ~60 seconds of upload.
Resolution Pack ($29) and Full Audit ($49): full case file delivered to your email within minutes of payment clearing. Most orders land in under 5 minutes; complex bills with many line items can take up to 15.
Done-For-You ($149): case file generated within minutes. Dispute submission to the provider within 24-48 business hours (our team does a quick review to confirm everything looks right before it goes out). Automated 14 / 30 / 60 / 90-day follow-ups run from there.
BillBusted for Business: per-employee scans return as fast as the consumer free scan. HR sees aggregate dashboards refresh monthly.
The eight medical billing error patterns we check
What “audit” actually means.
Every BillBusted bill check tests against all eight of these. Up to 49% of medical bills contain at least one error (CFPB, 2023).
Duplicate charges
The same line item billed twice for the same date of service, or once at the practice and once under a hospital facility fee.
Upcoding
Service billed at a higher level than the documentation supports (e.g., a 99214 office visit when only 99213 is justified, or 99285 ER instead of 99284).
Unbundling
A panel or composite service billed as separate parts to inflate the total.
Modifier errors
Wrong or missing CPT modifier (e.g., -25, -59, JW) that changes payment or breaks bundling logic.
Units of service overstated
Common on infusion therapy and drug administration — billed units exceed what was actually delivered.
NDC code errors
National Drug Code mismatched against the dispensed drug or strength on the medical record.
Diagnosis-procedure mismatch
The diagnosis code (ICD-10-CM) doesn't justify the procedure billed.
Missing itemization
Summary statement with no CPT-level breakdown — the line items needed to verify the bill aren't visible until you request the itemized version.
The patient-rights triggers we surface
Beyond the bill itself.
If your facts suggest one of these federal or state pathways, the audit flags it with the relevant rule reference:
- No Surprises Act — emergency care, out-of-network providers at in-network facilities, air ambulance.
- IRS 501(r) charity care — non-profit hospital Financial Assistance Policy match, with eligibility against the 200-400% Federal Poverty Level thresholds.
- Good Faith Estimate $400 rule — self-pay final bills ≥$400 above the GFE, with the 120-day federal filing window.
- DOL EBSA escalation — appeals route for ERISA self-funded employer plans.
- State insurance complaints — 50-state directory of insurance-department complaint routes.
- Amounts Generally Billed (AGB) cap — 501(r)(5) requirement that non-profit hospitals can't charge financial-assistance-eligible patients more than insurers actually pay.
How it works FAQ
The questions buyers actually ask.
How long does a BillBusted scan take?
A BillBusted free Bill Scan takes about 60 seconds from upload to result. Paid tiers (Resolution Pack, Full Audit, Done-For-You) generate the full case file within minutes once payment clears. Up to 49% of medical bills contain at least one error (CFPB, 2023), and the speed comes from the AI reading line items and pattern-matching against the eight most common error categories rather than a human reviewing each line by hand.
What does the BillBusted Resolution Pack include?
The BillBusted Resolution Pack includes a prioritized issue list for your bill, phone scripts for the provider and insurer, formal dispute letter drafts, an evidence checklist, and a follow-up timeline. About 73.7% of patients who dispute a medical bill receive a correction (JAMA Health Forum, 2024), and the Resolution Pack is built to make sure the dispute is well-organized, properly worded, and aimed at the right authority for your facts.
How does the BillBusted AI actually review my bill?
The BillBusted AI reviews your bill by extracting every line item (CPT code, charge, date, units, modifier) and checking it against the eight most common medical billing error patterns: duplicates, upcoding, unbundling, modifier errors, units overstated, NDC mismatches, diagnosis-procedure mismatches, and missing itemization. Up to 49% of medical bills contain at least one error (CFPB, 2023). The AI flags the signals; you decide how to act on them.
When does BillBusted deliver the case file?
BillBusted delivers the full case file within minutes of payment clearing for the Resolution Pack ($29) and Full Audit ($49) tiers. The Done-For-You ($149) tier delivers the case file immediately and then submits the dispute to the provider within 24-48 hours. About 73.7% of patients who dispute receive a correction (JAMA Health Forum, 2024), and fast delivery keeps your dispute inside the typical 30-day pre-collections window.
Try the free scan first.
If the scan finds something worth fighting, the paid tiers turn that finding into a complete dispute case file.