2 documents

These papers were typed in for this example, so there are no photos to show.

!Example case — all data is made up.2We read every line
Example case resultrecorded run

Up to $6,527
may come off your bills.

We found possible errors, duplicates and financial help based on 2 documents.

Days and deadlines are counted as of October 27, 2026.

!2 serious !2 worth checking ✓All other items look good

Main findings

3Here is what you may get back
Confirmed

You likely qualify for financial assistance

Sheet 1

Household of 3 · income $61,000 · 223.3% of the poverty line. Policy: 201–250% → 90% off.

Your income fits the hospital's financial assistance policy, but no discount is on the bill.

Policy p.11Policy p.326 CFR 1.501(r)-5(a)26 CFR 1.501(r)-6
$6,527.07May come off
Confirmed

Appeal the denial by Apr 13, 2027

Sheet 2, line 1

Insurance statement on sheet 2 (Oct 15, 2026) paid nothing on 1 line (code P31). An employer health plan must give you at least 180 days to appeal.

This is the last day to appeal what your insurance refused to pay.

What these lines mean
  • Sheet 2, line 1: Hospital charge for the hospital room and board. Charged $6,840.00. Your share: $6,840.00. Remark code P31: its meaning is printed on the back of the statement.
Policy p.129 CFR 2560.503-1
Worth checking

Apply by Oct 15, 2027

Sheet 1

12 months after your insurance paid (sheet 2, Oct 15, 2026). First bill after discharge: Oct 20, 2026. The federal minimum is Jun 17, 2027; the hospital's policy gives you until Oct 15, 2027, and the later date counts.

This is the last day to apply for the hospital's financial assistance.

Why it is not confirmed: no paper prints the payment date: this counts from the date of your plan's statement on sheet 2. Check the date with the hospital.

Policy p.5Federal rule26 CFR 1.501(r)-1(b)(3)
Oct 15, 2027Last day to apply, check it with the hospital
Worth checking

Ask for the itemized bill

Sheet 1

Sheet 1 shows a total without every charge. Line-by-line errors can hide there. A Florida hospital must send the itemized bill within 7 days of your request.

Ask for the itemized bill to see every charge; errors often hide in the total.

Policy p.1Florida Statutes 395.301
No amount yetLetter ready: request itemized bill
Checked — no money here

Sheet 1 line 2 matches your insurance statement

Sheet 1, line 2 · Sheet 2, line 2

Both say $412.30. Nothing to dispute here.

What these lines mean
  • Sheet 1, line 2: Procedure code for maternity care and delivery. Charged $4,400.00. Your share: $412.30.
  • Sheet 2, line 2: Procedure code for maternity care and delivery. Charged $4,400.00. Insurance paid $2,650.00. Your share: $412.30. Adjustment: the provider writes this off under its contract: neither you nor your plan pays it (reason: coinsurance).
No issue found

Estimates from the hospital's published policy. The hospital decides. A separate checker re-did every amount and date from the sheets: 4 checked.

Your protections

2

Answers about your bill in 7 business days

A Florida hospital must answer a question about your bill within 7 business days, and show the records behind the bill within 10 business days.

The hospital is licensed in Florida.

3

At least 240 days to apply for financial assistance

A nonprofit hospital must accept your application for financial assistance for at least 240 days after the first bill after you left the hospital.

The hospital is a nonprofit 501(c)(3) hospital.

Apply at least until: Jun 17, 2027, the federal minimum. The hospital's policy gives you until Oct 15, 2027, and the later date counts. Check the date with the hospital.
4

Money back if you are approved

If you are approved for financial assistance, the hospital must refund what you already paid above your new amount, and undo collection actions.

The hospital is a nonprofit 501(c)(3) hospital.

5

No more than insured patients pay

If you qualify for financial assistance, a nonprofit hospital cannot charge you more than it generally bills people who have insurance (AGB).

The hospital is a nonprofit 501(c)(3) hospital.

6

No collections for 120 days, and written notice first

A nonprofit hospital cannot send you to collections, report you to credit bureaus or sue for at least 120 days after the first bill, and must warn you in writing at least 30 days before.

The hospital is a nonprofit 501(c)(3) hospital.

No collections before: Feb 17, 2027
7

Collections stop while your application is reviewed

Once you apply for financial assistance in time, the hospital and its collectors must pause collection actions until it decides.

The hospital is a nonprofit 501(c)(3) hospital.

8

No denial for a document the form never asked for

The hospital cannot deny financial assistance because you did not send a document that its policy or form does not list.

The hospital is a nonprofit 501(c)(3) hospital.

9

At least 180 days to appeal a denial

An employer health plan must give you at least 180 days after a denial to appeal it, and decide the appeal of a past service within 60 days.

Your insurance statement shows a denied line.

Appeal by: Apr 13, 2027
10

3 years to sue over a hospital debt

In Florida, a lawsuit to collect a hospital debt must be filed within 3 years from when the hospital sent the debt to collections.

The hospital is licensed in Florida.

11

Out-of-network specialists at an in-network hospital

At an in-network hospital, an out-of-network anesthesiologist, neonatologist, pathologist or radiologist can bill you only your in-network share. You cannot sign this protection away.

Applies if a doctor at the hospital was out of network.

12

Emergency care at in-network prices

For emergency care, an out-of-network hospital or doctor can bill you only your in-network share.

Applies to emergency care.

1 more protection checked: not for this case, or for other states
13

Without insurance: an estimate first, and a dispute if the bill is $400 over

Without insurance you can ask for a good faith estimate before care. If the bill is at least $400 more than the estimate, you can dispute it within 120 days of the bill.

Only for care without insurance.

Outside Florida the federal protections above still apply. Rules on itemized bills, answers about a bill and collection lawsuits differ by state: look up your state's hospital billing law.

How this case was checked

Checked against the hospital's current public policy. How BillRadar finds a hospital's own policy →

  1. 1
    Papers already read2 documents, typed in for this example
    Sample data
  2. 2
    Checked every quote and amount4 items re-done from the papers
    Code checker

Notes

After a call, record a voice note on the call cheat sheet: who you spoke with, the reference number, what they promised. Muse Voice Transcribe writes it down, and it lands here.