About MedBillHero

Why I built this and what it actually does

I didn't wake up one day and think, "You know what sounds fun? Medicare claims."

Why I built this

I built MedBillHero because I was trying to help my wife, who's chronically ill, keep track of all her medical stuff — hospital visits, weekly doctor appointments, prescriptions, the whole mess.

I logged into Medicare.gov to find a specific claim and it was… painful. The search didn't really work. It took me forever to find what I needed. When I finally did, it still didn't really explain what anything meant or why certain amounts were there.

Then I had to figure out who her Part D provider even was, create another account on their site, and that portal looked like it was straight out of the 90s. I'm pretty tech-savvy and I still struggled to get basic information. Half the time it felt like the sites were actively working against me.

Meanwhile, she just needed simple answers:

"What did I pay?"

"What did Medicare pay?"

"Where am I with my deductible?"

"Did this claim go through yet?"

I remember thinking: If I can't keep up with this and this is literally what I do for a living (build software), how is anyone else supposed to?

So instead of just complaining about it, I built the thing I wished existed: one place that pulls in all her Medicare claims and makes them understandable without needing to be a coder, a lawyer, or a billing specialist.

That became MedBillHero.

What MedBillHero actually does

MedBillHero isn't trying to do absolutely everything. It's designed to make 90% of the annoying stuff way easier, so you don't spend your life logging into five different portals.

Here's what it does:

Pulls in your Traditional Medicare claims (Parts A, B, and D)

From one login, you get a clean list of your claims instead of jumping between Medicare.gov and your Part D plan's website.

Shows your spending in one place

You can see what Medicare paid and what you paid, broken down by Part A, B, and D. No digging through PDFs, no guessing.

Tracks your deductibles for Parts A and B

You don't have to remember where you are for the year — we keep that updated for you.

Gives you a simple "catch me up" view

Instead of scrolling around trying to remember what's new, you can see recent claims and get a feel for how this year compares to last year.

Helps you understand what you're looking at

We translate a lot of the cryptic codes and descriptions into normal language so you can understand what a claim is actually for.

Lets you be more "set and forget" if you want

You can get claim updates by email so you don't have to keep logging into anything just to see what's changed.

The whole point is: less time wrestling websites, more "okay, I know what's going on."

What MedBillHero doesn't do (on purpose)

I think it's important to be clear about where the edges are. MedBillHero is very good at a specific thing — Traditional Medicare claims — and there are things it doesn't (and realistically can't) cover right now.

1. It's for Traditional Medicare, not Medicare Advantage

If you're on Medicare Advantage (Part C), you usually log into your insurance company's own portal. There are tons of different companies and each one has its own system, APIs (or no APIs), and rules.

Right now:

  • MedBillHero only connects to Traditional Medicare (the original Medicare.gov system and linked Part D claims).
  • If you're on a Medicare Advantage plan, MedBillHero unfortunately won't work for you yet.

It's not because I don't want to support it — it's just not realistic to reliably plug into every single private plan and keep it all working. I'd rather do one thing well than pretend to support everything and disappoint people.

2. It doesn't pull in Medigap (supplement) details

If you have a Medigap (supplement) plan, those payments typically live in yet another system.

MedBillHero:

  • Shows what Traditional Medicare paid and what you paid on the Medicare side.
  • Does not pull in every last detail from your Medigap policy or portal.

You can still use MedBillHero to see your Medicare claims and out-of-pocket amounts there, but it won't be a full accounting of every dollar that moved through your Medigap plan.

3. It's not a billing-error law firm or recovery service

Some companies dig through your bills, find errors, and then charge a percentage of whatever they "save" you.

That's not what MedBillHero is.

  • We do surface potential issues and make it easier for you to spot weird stuff.
  • We help you understand what happened and get organized so you're not calling Medicare or providers blind.

But we're not taking a cut of "savings," and we're not replacing attorneys, advocates, or any formal appeals process.

4. It doesn't replace Medicare, your broker, or your doctors

MedBillHero is a tool, not a replacement for:

  • Medicare.gov
  • Your insurance broker or agent
  • Your doctors or medical team

You should still talk to humans when something serious or confusing is going on. The goal here is to make those conversations easier: you can see what's happening, have the details in front of you, and ask better questions.

Why I'm okay with it not doing 100%

Could I try to bolt on every portal, every plan, every PDF, every edge case? Maybe. But the more I tried to make it "do everything," the more it started to look like the thing I was trying to escape in the first place.

So I'm intentionally focused on:

  • Traditional Medicare (A, B, D)
  • Making claims easy to see and understand
  • Saving time, stress, and endless logins

If MedBillHero can make 90% of this stuff simpler for people like my wife (and for caregivers like me), that's a win. It doesn't have to be perfect to be massively useful.

If that sounds like something you'd actually use, start with the free audit and see your own data pulled into one place. If it helps you breathe a little easier when you look at your medical bills, then I've done what I set out to do.

- Tom

Founder, MedBillHero

Ready to Get Started?

See how MedBillHero can save you hours every week managing your Medicare claims.

Start with your free audit →

FREE • No credit card required • HIPAA compliant