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Request Your Itemized Bill

You have a legal right to an itemized bill. We'll generate a formal request letter you can send to the provider.

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Why do you need an itemized bill? A summary bill only shows a total. An itemized bill lists every charge with CPT codes — that's what lets us detect errors like duplicate charges, upcoding, and overpriced services. Under the No Surprises Act, providers must give you one when you ask.

Fill in the details

Your Full Name

Hospital / Provider

Account Number

Date of Service

Your Mailing Address

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Phone Script

"Hi, I'm calling about account number [XXX]. I'd like a complete itemized statement showing every charge, CPT code, and date of service. I understand I have a right to this under federal law. Can you mail or email that to me?"

Other ways to get your itemized bill:

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Insurance Portal

Your EOB has line-item details. Check your insurer's website.

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Call Billing Dept

Ask for an itemized statement with CPT codes.

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Patient Portal

Many hospitals let you download bills online.