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 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 waitlist: no payment collected while the hands-on workflow is being tested.
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 common categories
Duplicates, upcoding, unbundling, modifier questions, unit questions, NDC mismatches, diagnosis-procedure mismatches, and missing itemization.
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 waitlist
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
No
Yes
Yes
Planned
Provider & insurer phone scripts
No
Yes
Yes
Planned
Formal dispute letter drafts
No
Yes
Yes
Planned
Follow-up timeline + checklist
No
Yes
Yes
Planned
CPT / Medicare-reference benchmark
No
No
Yes
Planned
Charity care (501(r)) eligibility screen
No
No
Yes
Planned
Plan-type and state context notes
No
No
Yes
Planned
Dispute submission to the provider
No
No
No
Waitlist
BillBusted-managed follow-ups
No
No
No
Waitlist
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: waitlist-only while the hands-on workflow is being tested. No payment is collected today, and no dispute is submitted by BillBusted yet.
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 looks for these signals and explains what to compare next. It does not prove the bill is wrong by itself.
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 appear higher than what the record or EOB supports.
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 often are not 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 as something to verify with the relevant provider, insurer, plan document, or agency:
- No Surprises Act - emergency care, out-of-network providers at in-network facilities, and air ambulance signals to verify.
- IRS 501(r) charity care - nonprofit hospital Financial Assistance Policy signals to compare against the current hospital policy.
- Good Faith Estimate review - self-pay final bills that appear at least $400 above the GFE, with filing timing to verify against current federal guidance.
- DOL EBSA escalation - possible route for ERISA self-funded employer plan issues.
- State insurance complaints - state insurance-department complaint routes when insurer processing appears unresolved.
- Amounts Generally Billed (AGB) - a charity-care-related limit to verify if the hospital finds you eligible for assistance.
How it works FAQ
The questions buyers actually ask.
How long does a BillBusted scan take?
A BillBusted free Bill Scan usually takes about 60 seconds from upload to result. The live paid tiers, Resolution Pack and Full Audit, generate the case file within minutes once payment clears. Done-For-You is waitlist-only while the hands-on workflow is being tested.
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. The goal is to make your questions 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 visible bill details, such as CPT code, charge, date, units, and modifier when available, then checks for common billing signals: duplicates, upcoding, unbundling, modifier questions, unit questions, NDC mismatches, diagnosis-procedure mismatches, and missing itemization. The AI flags signals; you decide how to act on them.
When does BillBusted deliver the case file?
BillBusted delivers the case file within minutes of payment clearing for the Resolution Pack ($29) and Full Audit ($49) tiers. Done-For-You is waitlist-only right now, so it does not collect payment or submit disputes for customers yet.
Try the free scan first.
If the scan finds something worth fighting, the paid tiers turn that finding into a complete dispute case file.