Medical bill review assistance
A large share of medical bills contain errors, and US patients have enforceable rights most have never heard of: the No Surprises Act, hospital financial-assistance obligations, state balance-billing protections. People routinely pay bills they don’t owe because disputing one feels impossible.
This service reviews a bill, checks which protections apply, and prepares the dispute letter the patient sends. Flat fee, no percentage of savings.
The job
A customer sends you an itemized bill (you show them how to request one; that alone kills some bills). You check the charges against typical prices for the procedure and region, run a rights check to see which protections apply, and when a dispute is warranted, generate a citation-locked letter the patient signs and sends to the provider or insurer.
You are not negotiating on anyone’s behalf and you’re not giving medical or legal advice. You’re a preparer: you organize the facts, surface the applicable rules, and put a well-cited letter in the patient’s hands.
Who it suits
People with patience for paperwork and calm phone manners. Former medical-office, billing, or insurance staff have a head start, but the engine carries the rules knowledge.
Startup cost and tools
| What | Cost | Notes |
|---|---|---|
| Engine calls per client | ~$5.35 | Rights check ($0.10), price context ($0.15–$0.30), citation-locked letter ($5.00) |
| Payment + intake page | $0–$45/mo | Standard stack; use an intake form that never asks for medical details you don’t need |
Engine prices are the live public catalog prices, the same sheet agents pay. No subscription is required to use them.
The licensing question
Patient billing advocacy is unlicensed in most US states today, and this blueprint keeps it that way by staying in document-preparation territory: the patient signs, sends, and negotiates. Two lines you do not cross: negotiating or settling insurance claims for a fee (that’s licensed public-adjuster or attorney work in most states) and anything that resembles medical advice. Outside the US, check whether patient-advocacy or claims-management rules apply where you operate.
Handle documents with care: collect the minimum, store nothing longer than the engagement requires, and say so in writing.
How the engine does the heavy lifting
The engine checks procedure prices by region, runs the rights quiz against the patient’s situation, and produces dispute letters where every citation is verified before it ships.
/api/care/rights$0.10Medical-Bill Rights Check (quiz-first)/api/care/rights-letter$5.00Citation-Locked Medical-Bill Letter/api/care/search$0.15Procedure price search/api/care/negotiate$0.10Medical bill negotiation guideYour first customer in 30 days
- Review two real bills free for people you know, start to finish, so you’ve walked the full path before charging.
- Write your scope page: what you do (review, rights check, letter prep), what you never do (negotiate for you, give medical or legal advice, take a percentage).
- Set a flat fee per bill review. Keep it simple; one number.
- Introduce yourself to two independent insurance agents and one patient-advocacy community. Referrals in this lane come from trust, not ads.
Hand this to your assistant
This blueprint has a machine-readable page with the current endpoints, prices, and setup steps. Paste this into Claude, ChatGPT, or any assistant that can fetch a URL:
Machine page: https://pulse.theaslangroupllc.com/fieldguide/medical-bill-review.json
Start this one
The engines are pay-per-call, no subscription. Agents pay per call over x402 (USDC on Base or Solana). If you're a human, get a starter key: it takes about a minute, includes a $0.25 trial balance, and tops up by card (Stripe) or USDC. No crypto wallet required. Prefer email? Write to info@theaslangroupllc.com with the subject "Starter key: medical-bill-review" and we'll provision one by hand, usually the same day.
The Field Guide book, with all 75 blueprints expanded, is in progress. The hub is free either way.