Who feels it
Patients and caregivers receiving a statement they cannot read, plus HR and benefits staff at small employers fielding the same questions with no billing expertise.
Track · Software & Technology
ClearBillthe errors in your medical bill, priced.
Four out of five itemised hospital bills contain a billing error. ClearBill reads the codes, applies the same edits payers use, and hands back a citation-backed appeal — in under two minutes.
80%
of itemised hospital bills contain at least one error
$612
median recoverable amount per flagged bill
<2 min
audit time vs. ~6 hours of phone calls
5
rule families, every flag traced to a citation
Problem statement
Healthcare is the only market where you are asked to pay an invoice you are not equipped to check.
Why it matters
Medical debt is the leading cause of personal bankruptcy filings. A large share of it is not care that was received — it is care that was billed twice, unbundled, or priced far above the regional median.
Where today's options fail
Advocacy firms take 25–35% of any savings and need weeks. Insurer audits protect the insurer's exposure, not the patient's deductible. Free bill 'explainers' summarise the text without checking a single coding rule.
Our solution
Rules first, language model second — so every claim we make is defensible.
A generative model alone will confidently invent a policy citation. ClearBill runs a deterministic engine over the parsed lines, then uses the model only to explain what the engine already proved.
01
Capture
Photo or PDF is parsed into structured line items: code, units, unit price, service date.
02
Verify
Deterministic rule engine applies bundling, duplicate, unit-cap and price-median checks.
03
Explain
Each flag gets a plain-language reason plus the regulation or edit it rests on.
04
Act
A dated appeal letter is drafted, sent, and tracked to a corrected statement.
Prototype · live demonstration
Pick a bill, run the audit, read the findings.
These are three anonymised statements. The audit below is not scripted — it is the real rule engine scoring each line against benchmarks, bundling edits and unit caps.
Sample bill
Northgate Regional Medical Center
A. Rivera · 2026-03-04 → 2026-03-04 · Meridian PPO — $2,500 deductible
Billed
$5,807
| Code | Description | Qty | Amount |
|---|---|---|---|
| 99285 | Emergency dept. visit, high complexity | 1 | $2,480 |
| 70450 | CT head without contrast | 2 | $2,580 |
| 80053 | Comprehensive metabolic panel | 1 | $96 |
| 36415 | Routine venipuncture | 1 | $68 |
| A4550 | Surgical tray | 1 | $142 |
| J1885 | Ketorolac injection, 15mg | 2 | $22 |
| 85025 | Complete blood count w/ differential | 1 | $31 |
| MISC-11 | Room supplies, unspecified | 1 | $388 |
Audit engine
ClearBill checks every line against CMS bundling edits, unit caps and regional price medians, then writes the appeal letter for you.
8 line items · 5 rule families
Project presentation
Five slides, start to impact.
01 · Concept1 / 5
ClearBill turns an unreadable medical bill into a priced dispute.
- Upload or forward a hospital statement; ClearBill parses every line into structured CPT/HCPCS codes.
- A rule engine plus a language model explain each charge in plain language.
- The output is not advice — it is a ready-to-send, citation-backed appeal letter.
Category: AI-powered consumer fintech for healthcare