How it works
From upload to appeal in 60 seconds.
You shouldn't need to be a billing expert to dispute a medical bill. Audra reads your bill the way a seasoned patient advocate would — line by line, code by code — and tells you exactly where to push back.
01
Upload
Drop a PDF, JPEG, PNG, HEIC, or WEBP into the uploader. You can use an itemized hospital bill, an EOB (Explanation of Benefits) from your insurer, or a photo of a paper statement.
Before the file leaves your browser, Audra generates a fresh 256-bit encryption key and encrypts the file with AES-256-GCM. Only the ciphertext travels to our servers. The key is wrapped on our side with a master KMS key, so even an operator with direct database access cannot decrypt it.
02
Audit
Audra runs OCR (optical character recognition) over the document and extracts every line item: dates, CPT/HCPCS/DRG codes, provider names, charge amounts, and adjustments.
Each line is then evaluated against three rule sets: (1) CMS federal billing rules, (2) your insurer’s contracted rates and policies for your plan type, and (3) your state’s consumer protection laws — including surprise billing protections under the No Surprises Act and state-specific balance billing rules.
Findings are scored by severity, dollar impact, and likelihood of a successful appeal.
03
Appeal
You get a structured audit report you can read in 3 minutes: a savings estimate, a ranked list of findings with citations to the actual rules, and explanations in plain English.
Alongside the report, Audra drafts a ready-to-send appeal letter in your voice, a phone script for talking to the billing department, and a 30-day deadline tracker that emails you reminders. Copy, paste, and send.
Frequently asked
Questions people ask before their first audit.
How long does an audit take?
Most audits finish in 30 to 90 seconds. Audra runs OCR on your document, extracts every line item, then cross-references it against federal billing rules, your insurer's contracted rates, and state consumer-protection laws. You'll see the full report — findings, dollar savings estimate, and a draft appeal letter — within two minutes of upload.
What kinds of bills can Audra audit?
Audra works on itemized hospital bills, Explanation of Benefits (EOBs) from insurers, urgent care invoices, lab bills, anesthesia bills, radiology bills, and surgery center invoices. Anything that contains CPT, HCPCS, or DRG codes is fair game. We don't currently audit pharmacy or dental bills.
What file formats do you accept?
PDF, JPEG, PNG, HEIC (iPhone), and WEBP. Photos of paper statements work too — OCR handles slightly blurry or angled images fine, though clearer is always better.
Is my medical information actually private?
Files are encrypted in your browser with AES-256-GCM before they leave your device. Only ciphertext reaches our storage. The per-file decryption key is wrapped with a server-side master key (envelope encryption) and never persisted in plaintext. Row-level security on every database table means even our own engineers can't query another user's data through normal channels.
How accurate is the audit?
Audra cites the specific rule, regulation, or contracted rate behind every finding. You can verify each one against the source (CMS NCCI edits, your state's surprise billing statute, your insurer's published policy). We err toward false positives over false negatives — better to flag a borderline charge for your review than miss a real overcharge. If your audit doesn't surface at least one finding worth more than the audit fee, we refund you.
Will Audra negotiate with the hospital for me?
Not directly — but the appeal letter Audra drafts is ready to send under your name, includes specific rule citations, and is formatted to the standard insurers and providers expect. We also generate a phone script for talking to the billing department and a 30-day deadline tracker that emails you reminders. Most users send the letter, get a corrected bill within 2-3 weeks, and never need to make a call.
What if my insurance already paid the bill?
You can still dispute. Errors in the original charges affect what you owe out-of-pocket (deductible, coinsurance, copay) and may also be billed to you incorrectly even after insurance processes the claim. Audra catches errors regardless of who paid what.
Does Audra work in all 50 states?
Yes. Federal protections (No Surprises Act, balance-billing limits on emergency care) apply nationwide. Audra also incorporates state-specific consumer protection laws — for example, California's AB-72, New York's Surprise Bill Law, Texas SB-1264, and similar statutes in every state. See the methodology page for the full source list.
How much does it cost?
Your first audit is free, no card required. After that, single audits are $30 each, or you can subscribe: Pro Lite for $9/month (5 audits), Pro for $15/month (25 audits), or Pro Family for $29/month (40 audits across 5 family members). Pro Annual at $144/year saves you ~20%. We don't take a cut of what you save on appeal — your savings are 100% yours.
What if Audra finds nothing wrong with my bill?
Then you know your bill is clean, which is itself valuable — many users pay for a peace-of-mind audit before sending a large payment. If we don't surface at least one finding worth more than the audit fee, we refund you under our money-back guarantee.
Sources we cite
Every finding links back to a public source.
Audra only cites primary, public, authoritative sources. Below is the short list — see the methodology page for the full review cadence + editorial standards.
- No Surprises Act (CMS) \u2014 federal balance-billing protections + IDR process.
- CMS NCCI edits \u2014 quarterly procedure-to-procedure + medically-unlikely edits.
- CMS Medicare fee schedules \u2014 Medicare baseline rates we use as a charge sanity check.
- CMS hospital price transparency rule \u2014 mandatory hospital standard-charge files (since 2021).
- EMTALA (CMS) \u2014 emergency-care obligations under federal law.
What Audra is \u2014 and isn't.
Audra is an informational analysis tool. It surfaces patterns and cites the public rules behind them. It is not a law firm, medical provider, or financial advisor. For advice specific to your situation, consult a licensed professional.