Frequently Asked Questions

FairMedBill is a professional-grade forensic medical bill auditor. Our proprietary 10-Guardian AI engine performs an in-depth scan of your medical bills, cross-referencing every line item against CMS Medicare benchmarks, NCCI unbundling rules, and common clinical discrepancy patterns to catch overcharges that humans miss.

Beyond detection, we equip you with a complete Resolution Toolkit: custom-crafted legal dispute letters, word-for-word negotiation scripts, and one-click regulatory escalations to state authorities. We don't just find the errors—we give you the evidence and the authority to erase medical debt.

FairMedBill runs 10 parallel detection modules to identify common medical billing issues, including:

• Duplicate charges
• Incorrect quantities or durations
• Date-of-service conflicts
• Mathematical errors
• Unbundled services (NCCI edit issues)
• Potential upcoding
• Charges not supported by clinical notes
• Good Faith Estimate overages under the No Surprises Act
• Pricing discrepancies compared to CMS benchmarks
• Facility billing pattern anomalies

Each flagged item includes a plain-English explanation.

FairMedBill combines deterministic validation (math checks, duplicate detection, date logic) with structured coding and pricing heuristics.

Some findings are definitive (such as calculation errors). Others highlight potential issues that we provide you with the tools so you can ask informed questions. You review all results before deciding what to dispute.

After reviewing the findings, your Resolution Toolkit includes:

• Select the items you want to dispute
• Generate customized 3-tier dispute letter(s) (PDF)
• Use a structured phone script when calling billing departments
• Prepare escalation documentation if needed
• Generate a settlement proposal where appropriate

Everything is tailored to your specific bill. View a sample dispute letter →

No. FairMedBill is a document analysis and dispute preparation tool.

We help you identify potential discrepancies and generate structured documentation. We do not provide legal advice or represent you. Some users start here before deciding whether professional representation is necessary.

Yes. FairMedBill is particularly useful for uninsured or self-pay patients.

It can help identify if a healthcare provider has not applied a self-pay or uninsured discount, usually a large percentage discount from the "full price" normally billed. It can also review for duplicate charges, unsupported services, pricing discrepancies, and negotiation support using CMS benchmark references. Many uninsured patients benefit from reviewing itemized bills before paying.

If no significant discrepancies are detected, you receive a structured confirmation report.

Many users value the peace of mind of having their bill reviewed before paying.

FairMedBill provides a unique combination of speed, depth, and patient-centric pricing:

• Uses CMS benchmark references
• Supports multi-document comparison
• Runs structured validation checks
• Generates dispute-ready documentation instantly
• Charges a flat fee instead of a percentage

Yes. Bills of any age can be analyzed, though dispute timelines may vary by state.

Even when formal disputes are limited, reviewing older bills may help with negotiation. If your insurer has already reimbursed the healthcare provider, you can still dispute erroneous charges. If you paid a deductible, this will mean cash back to you.

Yes. Patients have the right to request itemized bills and question charges.

FairMedBill provides structured documentation and scripts to help you communicate clearly and professionally with billing departments.

Most patients only receive a "Summary of Account." You have a legal right under Federal and State regulations to a "Complete Itemized Superbill."

We provide a template to help you request this from your provider's billing department so our AI can perform a full audit. The more detail your bill includes, the more errors we can detect.

Industry data shows that up to 80% of medical bills contain errors.

While we cannot guarantee a refund, our 10-Guardian AI is designed to find the specific coding and pricing discrepancies that hospitals often overlook.