How Paxer audits a bill

You add a bill. Paxer checks every charge against your plan and against regional prices, flags what looks wrong, and drafts the dispute letter you send.

A worked example

An ER bill. Illustrative only, not a real patient.

The bill

CT scan, head (70450)$1,200
CT scan, head (70450)(duplicate)$1,200
ER facility fee$1,400
Emergency physician (out-of-network)$400
Total billed$4,200

What Paxer finds

Duplicate charge

The same CT scan appears twice on the same date for the same amount. A service performed once should be billed once.

$1,200

Cost-share miscalculation

Coinsurance was applied before your deductible was met, inflating what you were asked to pay.

$320

Surprise / balance bill

The out-of-network ER physician billed above your in-network cost-share, a likely No Surprises Act violation.

$260

Benchmark overcharge

The facility fee is well above the regional median for the same code.

$180
Estimated recoverable$1,960

Then Paxer drafts the letter. It cites each finding and the math in plain language. You review and edit it, download the PDF, and send it to your provider or insurer. Paxer tracks the response deadline and reminds you. When money comes back, you log the recovery against the case.

Common questions

How much does Paxer cost?
Your first bill audit is free. After that, Paxer Plus is $19/mo: a flat subscription (not a contingency fee) that covers unlimited audits and dispute letters. You keep 100% of anything you recover, and can cancel anytime.
Will Paxer contact my provider or insurer for me?
No. You stay in control. Paxer drafts the dispute letter; you review it and send it yourself, so nothing goes out without your say-so.
What kinds of errors does it find?
Duplicate and unbundled charges, cost-share miscalculations, balance and surprise billing, and upcoding or charges above the regional benchmark. The worked example above shows several of these on one ER bill.
Is my information secure?
Your documents are private to your account and never shown to other users. See our Privacy Policy for how your data is handled.
Is this legal or medical advice?
No. Paxer is a tool to help you review your own bills. Estimates are not guarantees, and dispute letters are drafts you review before sending.
What if my dispute isn’t successful?
Your Paxer Plus subscription is the same flat price either way. Paxer never takes a cut of recoveries, and dispute outcomes are never guaranteed.

Audit your first bill