Illustrative example. A composite scenario built from typical ranges in our research, not a real customer. Your numbers will differ.
The situation
The patient paid for outpatient surgery themselves and was given a Good Faith Estimate of $5,900. The bill came to $6,850, and the itemised version listed 46 lines.
What was uploaded
- The itemised bill from the facility's billing office
- The Good Faith Estimate given before surgery
What the engine found
Bill above the Good Faith Estimate
$950The total was $950 over the estimate, above the $400 threshold for the federal dispute process, with 120 days from the bill date to start it.
Rule:
gfe_overage
The numbers
- Found
- $950
- Expected
- $710
- Recovered within 2 months
- $640
The review also found a supply line billed twice ($310), which sits inside the $950 and is not counted twice. The billing office removed it and reduced a facility charge by $330, bringing the bill under the dispute threshold.
What it would cost, three ways
Over the same 2 months, in USD.
Self-serve
$149
Flat fee for a bill from $2,000 to $15,000, paid up front. No percentage of the savings.
Recovery plan
Not offered
Not offered for patients.
Managed
Not offered
Not offered for patients.
Time spent
About 1 hour: requesting the itemised bill, uploading two documents and sending one letter.
The lesson
Asking for the itemised bill was the step that made everything else possible, and knowing the 120-day deadline meant the patient could start the federal dispute if the billing office had not corrected it.
ERPSav gives no medical or legal advice: it compares your bill with your own documents and drafts a review request you send, for a flat fee.