State guide · DC ·
Dispute a medical bill in District of Columbia.
District of Columbia gives you stronger protections than federal law alone. Audra audits your bill against D.C. Out-of-Network Patient Protection Amendment Act of 2022, the federal No Surprises Act, and your insurer's contracted rates — then drafts a ready-to-send appeal letter in 60 seconds.
The law
D.C. Out-of-Network Patient Protection Amendment Act of 2022
Cite: D.C. Law 24-298 (D.C. Code § 31-3271 et seq.)
D.C. Law 24-298 codifies and extends the federal No Surprises Act protections at the District level, enforced by the Department of Insurance, Securities and Banking (DISB).
Your rights
What District of Columbia protects you from.
- 01
In-network cost-sharing for emergency services + post-stabilization care at any facility.
- 02
No balance billing for out-of-network providers at in-network D.C. facilities.
- 03
DISB administers complaint resolution at disb.dc.gov.
- 04
D.C. Hospital Discount Care Act caps charity-care eligibility hospital bills at low income-based amounts.
How Audra helps
From upload to appeal in 60 seconds.
01
Upload your bill
Drop a PDF, photo, or EOB into Audra. Encrypted in your browser before it leaves your device.
02
We check it against the law
Audra cross-references every line item against D.C. Out-of-Network Patient Protection Amendment Act of 2022, the federal No Surprises Act, your insurer's contracted rates, and CMS billing rules.
03
Get a ready-to-send appeal
We draft a letter citing the specific DC statute and any federal protections that apply, formatted for your insurer and provider. Print it, email it, or send it from inside Audra.
In-state coverage
Works for bills from any District of Columbia provider.
Audra audits bills from every major hospital system in District of Columbia, including:
If your bill comes from an out-of-state provider, Audra still works — federal protections apply nationwide.
If the provider won't budge
File a complaint with the DC Attorney General.
If your appeal letter doesn't resolve the bill within 30 days, escalate to the D.C. Office of the Attorney General — Consumer Protection. They have authority to investigate billing complaints and, in some cases, subpoena provider records.
Official complaint portal
D.C. Office of the Attorney General — Consumer Protection
oag.dc.gov/consumer-protectionStop paying what you don't owe.
Your first audit is free. After that, $30 per bill, or $15/mo for up to 25 audits/month.
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