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sensifaiREST API

MedBill Hunter

Detect duplicate charges, unbundling errors, and EOB discrepancies in medical bills with automated dispute letter generation in seconds.

关于此模型

Overview

MedBill Hunter is a commercial-grade healthcare finance and medical billing audit application built for patients, patient advocates, and medical billing practices. In under 60 seconds, it ingests itemized hospital statements, clinic bills, and insurance Explanation of Benefits (EOBs) to detect duplicate charges, unbundling errors, coding mismatches, and inflated fees — instantly generating professional, cited dispute letters ready to submit to insurers and healthcare providers.

### The Problem
Over 80% of hospital statements contain billing errors, resulting in billions of dollars in unjustified patient out-of-pocket costs. Confusing CPT/HCPCS codes, unbundled surgical procedures, duplicate lab line items, and out-of-network surprise balances make manual bill audits agonizingly difficult. Patients and patient advocates struggle to decipher technical medical codes, compare EOBs against itemized claims, and draft compliant appeal letters before payment deadlines lapse.

### The Solution
MedBill Hunter couples Sensifai AI Engine multimodal document intelligence with deterministic billing logic and healthcare fee benchmarks. It extracts every line item from photos or PDF statements, reconciles billed amounts against insurance EOBs, flags duplicate tests and unbundled service codes with confidence scores, and produces fully cited appeal letters with legal dispute citations — protecting patients from billing errors while saving advocates dozens of manual review hours.

### Key Capabilities
- Multimodal itemized statement & EOB extraction (supports messy paper photos, mobile snapshots, and multi-page PDFs)
- Duplicate charge detection & automated CPT/HCPCS unbundling pattern identification
- Deterministic EOB-to-statement reconciliation with copay, coinsurance, and deductible discrepancy audits
- Plain-language line-item breakdown translating cryptic medical jargon into clear patient explanations
- Automated ready-to-mail medical bill dispute & appeal letters citing Fair Debt Collection Practices & No Surprises Act
- One-click export of signed audit packets (PDF, CSV, JSON) with highlighted evidence references

### How It Works
Sign in with your Sensifai account, upload medical bill photos or itemized statements (or select from realistic clinical audit presets), and inspect real-time anomaly telemetry and generated appeal letters metered transparently at €0.05 per action from your Sensifai prepaid wallet.

核心功能

✓Real-time AI analysis via Sensifai Engine
✓Instant prepaid wallet metering
✓Exportable structured reports

使用场景

  • Patient advocate medical bill audits for reducing out-of-pocket patient liabilities
  • Emergency room and inpatient hospital statement discrepancy analysis and duplicate charge detection
  • Insurance EOB reconciliation against itemized healthcare provider statements
  • Automated generation of formal appeal letters under the No Surprises Act and hospital financial aid policies

定价计划

定价计划

Flexible

Pay-As-You-Go Metered Usage

Predictable billing

按需付费
€0.05/Request
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