State guide · NC ·
Dispute a medical bill in North Carolina.
North Carolina gives you stronger protections than federal law alone. Audra audits your bill against North Carolina General Statute § 58-3-200 + federal No Surprises Act, the federal No Surprises Act, and your insurer's contracted rates — then drafts a ready-to-send appeal letter in 60 seconds.
The law
North Carolina General Statute § 58-3-200 + federal No Surprises Act
Cite: N.C.G.S. § 58-3-200
North Carolina relies primarily on the federal No Surprises Act for surprise billing protections, supplemented by state network-adequacy rules and the NC Department of Insurance's complaint process. State law also caps out-of-pocket charges for emergency care.
Your rights
What North Carolina protects you from.
- 01
No balance billing for emergency services or for out-of-network providers at in-network facilities (under federal NSA, enforced by the NC Department of Insurance).
- 02
NC Department of Insurance Consumer Services Division processes surprise billing complaints and can subpoena hospital records.
- 03
State Medical Board has separate complaint process for billing-related professional conduct concerns.
- 04
Hospitals must provide an itemized bill within 30 days of a written request.
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 North Carolina General Statute § 58-3-200 + federal No Surprises Act, 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 NC 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 North Carolina provider.
Audra audits bills from every major hospital system in North Carolina, 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 NC Attorney General.
If your appeal letter doesn't resolve the bill within 30 days, escalate to the North Carolina Attorney General — Consumer Protection Division. They have authority to investigate billing complaints and, in some cases, subpoena provider records.
Official complaint portal
North Carolina Attorney General — Consumer Protection Division
ncdoj.gov/file-a-complaint/Stop 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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