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Medical bill audits

Find what your medical bill is hiding.

Audra audits every charge against federal billing rules and your state's consumer protection laws — in 60 seconds — and drafts a ready-to-send appeal letter. No phone calls. No advocate fees.

4

Bills audited

$30.4K

Errors found

Median so far

Audit complete

ER-2026-A-04812

Memorial General Hospital · ER visit

0 findings · $ 0 estimated savings

Critical

Level 5 ER coded for a Level 3 visit

Sutures only, no imaging or IV meds. CMS guidelines require 2 of those for Level 5.

$ 0

High

Duplicate radiology charge

X-ray of left wrist billed on two consecutive lines (CPT 73100).

$ 0

Medium

Out-of-network ER physician

In-network facility billing an out-of-network provider — No Surprises Act violation.

$ 0

Appeal letter ready

$ 0

Illustrative example. Real findings vary by bill.

The numbers

$210B

Overcharged on US medical bills, every year

Kaiser Family Foundation

1 in 5

Hospital bills that contain a billing error

JAMA Internal Medicine

60 sec

Time for Audra to audit a bill end-to-end

Audra median

The problem

The system isn't designed to flag the errors. It's designed to collect.

Federal studies show that 19–25% of US hospital bills contain billing errors. Almost all of those errors are in the hospital's favor. Insurers won't catch them — they don't have the records. Hospitals won't catch them — the errors are profitable.

You have rights: the No Surprises Act, ERISA appeals, your state's consumer protection laws. But exercising them means decoding CPT codes, learning insurance jargon, and writing letters from scratch while you're already dealing with a sick family member or a recovery.

Audra does the part you can't afford an advocate for.

How it works

Three steps. Sixty seconds.

01

Upload a bill

Drop a PDF, photo, or EOB. Your browser encrypts the file with AES-256-GCM before it ever leaves your device. Audra never sees plaintext.

02

Audra audits every line

Each charge is checked against federal billing codes (CPT/HCPCS/DRG), your insurer’s contracted rates, and your state’s billing protection laws. Errors, upcoding, and illegal charges surface in 60 seconds.

03

Send the appeal

You get a clear savings estimate, a ready-to-send appeal letter, a phone script, and a 30-day deadline tracker. Copy and send.

Inside the audit

Every finding is cited. Every dollar is shown.

Audra's reports read like a senior patient advocate wrote them by hand. Every claim is backed by a specific rule from CMS, your insurer's policy, or your state's billing statutes. Hospitals respond to citations, not vibes.

  • Cite the exact CPT or HCPCS code in dispute.
  • Quote the specific paragraph of CMS / NSA / state law.
  • Compare to your insurer's contracted allowed amount.
  • Generate appeal letter, phone script, deadline tracker.

Audit report

Memorial General Hospital

3 findings
99285

ER visit, Level 5

$1,840

Upcode
73100

X-ray wrist, complete

$640

Duplicate
99281

ER visit, Level 3

$660

OK
J7030

Saline infusion 1L

$48

OK
99284

ER consult, out-of-network

$540

NSA

Original

$3,728

Disputed

$2,360

If you pay

$1,368

What Audra catches

The errors that cost you the most.

Every audit checks for the most common — and most expensive — patterns of US medical billing error. A typical disputed bill turns up two to four of these.

Duplicate charges

Same procedure billed twice on different lines or different dates.

Upcoded procedures

A routine visit billed at a higher complexity level than the record supports.

Unbundled charges

Charges separated that CMS rules require be billed as a single package.

No Surprises Act

Out-of-network charges from in-network facilities you never consented to.

Balance billing

Hospitals charging the gap when state law forbids it.

Phantom services

Procedures or supplies billed but never delivered.

Wrong CPT codes

Procedure codes that don’t match the documented service.

Missing pre-auth

Charges that should have been reduced when prior auth was obtained.

See your own math

What could Audra find in your bills?

Grounded in the industry-published rates of billing errors on hospital bills. Conservative midpoint — your number is likely higher if you've had a hospital stay this year.

$

Best estimate of what you + your insurer paid for medical care in the past 12 months.

Estimated overcharges Audra could surface

$336per year

Based on industry data: ~60% of hospital bills contain at least one billing error, with an average error amount of ~7% of the billed total. Your number is likely higher if you had any inpatient stay, ER visit, or specialty imaging in the period.

Built for trust

Your data, in your hands.

Audra treats every uploaded bill as protected health information from the moment you drop it in. Read the full security overview.

Encrypted before it leaves your device

Every file is encrypted in your browser with AES-256-GCM. The decryption key never reaches our servers in plaintext. Even if our infrastructure were compromised, your bills would be unreadable.

We don’t sell your data. Ever.

No ad networks. No data brokers. No sharing with insurers, hospitals, or marketers. Your bills are used to audit your bills. That’s it.

Delete on demand

One click in Settings purges everything: bills, audits, profile, appeal history. Hard-delete, not soft.

How Audra works

Built on rules. Not on guesses.

Most AI tools generate confident-sounding text. Audra generates findings tied to a specific rule, with the citation in the appeal letter. Different category of product.

Rules

Federal regulations, not vibes.

Every finding cites a specific rule: the No Surprises Act (45 CFR § 149.410), CMS National Correct Coding Initiative edits, Medicare Physician Fee Schedule allowables, and your state's surprise-billing statutes. We don't say "this looks high" — we say "this exceeds the CMS allowable for code 80053 by 28x."

Pipeline

Deterministic checks before any AI.

A rules engine runs math validation, duplicate detection, unbundling checks against the live NCCI edit list, and benchmark comparisons against current CPT allowables. The AI only acts on what the rules engine extracted. It cannot invent line items or fabricate findings.

Sources

Citations a billing rep cannot brush off.

Appeal letters include the exact statute, paragraph number, and CMS reference behind each disputed charge. Hospital billing departments routinely concede when shown a regulation citation. Vague complaints get ignored; cited ones get refunded.

Privacy

Encrypted before it leaves your device.

Files are encrypted with AES-256-GCM in your browser. Only ciphertext reaches our storage. The per-file key is wrapped with a server-side master key (envelope encryption). Row-level security on every database table means even Audra engineers cannot query another user's bill data.

Pricing

Your first audit is free.

Pay only when Audra finds something worth disputing. If we don't surface at least one finding worth more than the audit fee, the audit is on us.

See full pricing

One-time

$30

per bill

  • Full audit report
  • Appeal letter
  • Phone script
  • Deadline tracker
Buy one audit

Pro

$15/mo

25 audits/month

  • Everything in One-time
  • Up to 25 audits/month
  • Family bills included
  • Priority support
Start Pro

FAQ

Common questions.

What is Audra?
Audra is an AI medical bill auditor for US patients. Upload any medical bill or EOB and Audra cross-references every charge against federal billing rules (No Surprises Act, CMS NCCI edits), your insurer's contracted rates, and your state's consumer-protection laws. Findings come back in 60 seconds, along with a ready-to-send insurance appeal letter.
How much does Audra cost?
Your first audit is free, no card required. After that: $30 per one-time audit, $9/month for Pro Lite (5 audits/month), $15/month for Pro (25 audits/month), or $29/month for Pro Family (40 audits/month across 5 family members). Pro Annual is $144/year. We never take a cut of what you recover on appeal.
Is Audra giving me legal or medical advice?
No. Audra is an informational analysis tool. We surface patterns and citations from public billing rules. For advice on your specific case, talk to a licensed attorney, patient advocate, or your insurer.
Will my insurance company know I used Audra?
No. Your appeal letter is written in your voice and doesn’t mention us. Insurers see a well-cited patient appeal, not a third-party submission.
How old can a bill be?
We support bills up to 3 years old. Many billing protections — including No Surprises Act violations — have statutes of limitations that still cover that range.
What file types do you accept?
PDFs, JPEGs, PNGs, HEIC images, and WEBP. You can upload an itemized hospital bill, an EOB from your insurer, or a photo of a paper statement.
What if Audra doesn’t find anything?
If we don’t surface at least one finding worth more than the audit fee, the audit is free. The first audit on your account is always free regardless of what we find.
Is this HIPAA-compliant?
As a consumer-direct service, Audra isn’t a HIPAA Covered Entity — but we follow the equivalent practices: end-to-end encryption, RLS-locked storage, immutable audit logs, and a BAA available for B2B partnerships.

One audit. Sixty seconds.

Stop paying for billing errors.

The audit takes 60 seconds. Your first one is free. The appeal letter is ready to send the moment Audra finishes.