On the side of the patient. Every time.

The problem we exist to solve

The US medical billing system is not designed with patients in mind. Hospitals publish chargemaster rates that are three to five times what they actually expect to collect. Over 80% of hospital bills contain billing errors — most of which run in one direction. Charity care programs that could eliminate entire bills go unadvertised. Insurance companies deny claims knowing that fewer than 1% of patients will appeal.

The result is that most Americans who receive a large medical bill pay far more than they should — not because they lack resources, but because the information asymmetry between the patient and the billing system is enormous. Hospitals have entire revenue cycle departments. Insurers have legal teams. Most patients have nothing but a phone number to call and hours they can't afford to spend on hold.

MedErase exists to close that gap. We put professional case managers, billing auditors, and patient advocates on the side of the patient — people who know the system from the inside and use that knowledge on your behalf.

What we actually do

When you bring us a medical bill, we start with a complete audit. We request your itemized bill — not the summary statement, the full line-by-line record — and cross-reference every CPT code against Medicare's published fee schedule. We verify your Explanation of Benefits against what the hospital actually billed. We screen for charity care eligibility under IRS Section 501(r). We check for No Surprises Act violations.

Most of the time, we find something. A duplicate charge. A upcoded procedure. A charity care program the hospital never mentioned. An out-of-network physician bill that federal law prohibits. Each of these becomes a documented dispute filed in writing — not a phone call, a formal written record that the provider must respond to.

When the audit is complete, we negotiate. We use Medicare rate data as a benchmark, present documented errors as leverage, and — for accounts in collections — negotiate lump-sum settlements that reflect what the bill should have been in the first place.

You make zero phone calls. We handle all direct communication with your hospital, insurer, and any collection agencies. You receive a written report of what we found, and a written settlement when the case is resolved.

Our case managers

Our case managers come from hospital billing departments, insurance companies, and revenue cycle management firms. They know how hospital billing systems work from the inside — which encoding decisions get made and why, how charity care programs are administered, which insurance denial reasons are boilerplate and which require specific documentation, and how far billing departments will negotiate when presented with documented errors.

That institutional knowledge is the core of what we offer. The same expertise that hospitals use to protect their revenue is what we use to challenge it on your behalf.

Our model

We operate on a contingency basis: if we don't reduce your bill, you don't pay us. This means our interests are fully aligned with yours. We have no incentive to take on cases we don't believe we can improve, and every incentive to get you the maximum reduction possible.

We serve patients across all 50 states. Medical billing law — the No Surprises Act, FDCPA, HIPAA, and IRS 501(r) — is federal, which means our case managers can work on your behalf regardless of where you received care.