Make sense of your Medicare claims

We translate the codes, explain what you paid for, and catch billing errors—all in one place.

FREE • No credit card required • Approved by Medicare.gov • HIPAA compliant

See what you're missing

What Medicare.gov shows:

Confusing medical jargon and basic financial details

Service (52000)

DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE (52000)

Qty:1
Provider charged:$850.00
Medicare approved:$226.16
Applied to deductible:$0.00
Coinsurance:$45.23
You may be billed:$45.23

What MedBillHero shows:

AI-enhanced descriptions with helpful context and insights

Summary

You had a diagnostic bladder exam with Dr. Martinez on August 25, 2025. The total bill was $850, with Medicare covering $177.31 and you paying $45.23 in coinsurance.

52000(HCPCS)
$45.23
You paid

Cystoscopy to examine the inside of the bladder

This is a diagnostic procedure where a doctor uses a thin, flexible tube with a camera (called a cystoscope) to look inside your bladder and urethra (the tube that carries urine out of your body). The cystoscope is gently inserted through the urethra to examine the bladder walls for any abnormalities, inflammation, stones, or other conditions. This is typically done to investigate symptoms like blood in urine, frequent urination, bladder pain, or urinary tract infections that don't respond to treatment.

Specialty
Urology
Category
Diagnostic Urology Procedure
Clinical Notes
This is a common outpatient procedure that usually takes 5-10 minutes. Local anesthetic gel is typically used to minimize discomfort. Most patients can return to normal activities the same day.
Service Date
August 25, 2025
Provider charged
$850.00
Medicare Allowed
$226.16
Medicare Paid
$177.31
Your responsibility
$45.23
ApprovedCoinsurance Applied

This service requires coinsurance payment from you.

See the difference? Get clear, helpful explanations for all your medical claims.

Get answers instantly—no hold times

Stop sifting through Google results or Medicare's 200+ page handbook. Ask our HIPAA-compliant AI assistant anything about your coverage, claims, or costs. Available 24/7, understands your specific situation, and gives you instant answers with official Medicare documentation.

Real Conversation Example

Does Medicare cover annual wellness visits?

🔍 Searching Medicare coverage...

Yes! Medicare covers one wellness visit per year at no cost to you - no deductible, no coinsurance. This includes a health risk assessment, personalized prevention plan, and screenings based on your health history.

I had one last month and got billed $45. Why?

🔍 Analyzing your claim from August 25th...

Found it. You were charged for code 99214 (office visit) instead of G0438 (wellness visit). Your doctor likely discussed a health issue during the visit, which converts it from a free wellness visit to a regular office visit with 20% coinsurance.

This is common but sometimes avoidable. The $45.23 charge is correct based on how it was coded.

Can I get that refunded?

Possibly. If the visit was primarily for your annual wellness check and the other issue was minor, you can request your doctor recode it as a wellness visit.

I can help you draft a letter to your doctor's billing department explaining this and requesting a review. Want me to create that?

Yes

📝 Generating letter...

Done. I've created a letter requesting they review the coding, included your claim details, and explained Medicare's wellness visit guidelines. You can send this to their billing department - I've included the contact info from your claim.

🔒 HIPAA Compliant: Your medical information stays private and secure - unlike ChatGPT or other public AI tools

Understand your diagnoses in plain English

Medicare completely hides diagnosis codes from your claims. You're left guessing what conditions you're being treated for. We show every diagnosis with a clear explanation of what it means, symptoms, and what to expect.

M3500(ICD_10)
Primary

Sicca syndrome (dry eyes and mouth condition)

Sicca syndrome is a condition that causes dryness in your eyes and mouth due to reduced production of tears and saliva. This can occur on its own or as part of other conditions like Sjögren's syndrome. Symptoms typically include dry, gritty eyes, difficulty swallowing, and a persistently dry mouth.

Clinical Notes

This is a chronic condition that typically requires ongoing management rather than a cure. Treatment focuses on symptom relief and preventing complications from dryness.

Typical Follow-up Care

  • • Regular monitoring of symptoms
  • • Eye drops or artificial tears
  • • Saliva substitutes if needed
  • • Possible referral to specialist
  • • Lifestyle modifications for symptom management
Specialty
Rheumatology
Category
Autoimmune/Rheumatologic

See all your claims and spending in one place

Medicare doesn't show Part D prescription claims at all—you have to log into your pharmacy provider's separate website. Part A and B are on Medicare.gov but in different sections. We unify everything: all your claims, all your out-of-pocket spending, all your deductible progress—across Part A, B, and D—in a single dashboard.

Deductible Progress

Part A - HospitalIn Progress
$0$1,632
Data source: From Medicare records
Part B - MedicalMet
$240$240
Data source: From Medicare records
Part D - PrescriptionOOP Tracking
You've spent:$235
Private plan limits not available

Catch billing errors before you pay

Medicare just shows you numbers with no analysis. Our AI checks every claim for billing errors, overcharges, duplicate charges, and fraud indicators. Most people never realize they were overcharged—but we flag it automatically so you can appeal.

Risk Check Results

No overcharges detected
No duplicate services
No fraud indicators
Standard coinsurance applied

We check for issues, but can't guarantee we'll catch everything. Always review your claims carefully.

Ready to understand your Medicare claims?

Join thousands who've simplified their healthcare with MedBillHero

FREE • No credit card required • Approved by Medicare.gov • HIPAA compliant

Never miss a new claim again

Get instant email notifications for each new claim as soon as it's processed. Perfect for caregivers and set-and-forget monitoring.

Instant Notifications

Receive detailed email alerts for each new claim as soon as it's processed by Medicare.

Set and Forget

No need to log in to check for new claims. Your inbox becomes your claims dashboard.

Perfect for Caregivers

Monitor multiple family members' claims without logging into multiple accounts.

New Claim Received
2 minutes ago

Cardiology Associates

Service Date: March 8, 2024

$247.50

Your cost: $49.50

Provider: Dr. Sarah Abdula, MD

Service: Echocardiogram (93307)

Diagnosis: Chest pain, unspecified

Saw Dr. Abdula for chest pain evaluation. Echocardiogram performed to assess heart function and rule out cardiac issues. Standard 20% coinsurance applied.

⚠️ Review - Possible Overcharge

* this feature requires a pro account

Frequently Asked Questions

Everything you need to know about MedBillHero

View Full FAQ

Do I need a credit card to try this?

No. Sign up without any payment information. Most people find the free version gives them everything they need.

I see multiple doctors and specialists - will this help me?

Yes. If you're managing chronic conditions like diabetes, cancer, or heart disease and see several providers, we pull all your claims into one place. Instead of trying to track bills from your cardiologist, oncologist, primary care, and prescriptions separately, you'll see everything together with running totals of what you've spent.

What kinds of billing issues does MedBillHero catch?

Common things we flag: duplicate charges for the same service, charges for "free" preventive services like wellness visits, unusually high bills compared to your history, and potential coding errors. We can't catch everything, but we check each claim automatically so you don't have to.

I get 10-20+ claims every month - is this easier than checking Medicare.gov?

Much easier. Medicare.gov splits Part A and B claims into different sections and doesn't show prescriptions at all. If you're managing multiple conditions with frequent doctor visits and medications, we show everything in one timeline with plain English explanations. No more logging into three different websites.

Is this safe to use?

Yes. We're approved by Medicare and HIPAA compliant. We connect through Medicare's secure system - we never see your password and never share your information with anyone.

What if I don't understand something on my bill?

Ask our chat assistant 24/7. It knows your claims history and can explain things like "Why does my insulin show up differently each month?" or "What is this $200 charge from last week?" in plain English.

Does this work with my Medicare plan?

If you have the standard Medicare card (Original Medicare), yes. Medicare Advantage plans aren't supported yet, but we're working on it.

FREE • No credit card required