Understand a medical bill or insurance explanation of benefits
Decodes a confusing medical bill or EOB line by line, spots possible errors, and prepares your calls.
The prompt
Help me understand a medical bill and my insurance statement.
Bill details: [PASTE LINE ITEMS - dates, codes, descriptions, charges]
Explanation of benefits (EOB) from my insurer: [PASTE - billed, allowed, paid, my responsibility, denial codes or notes]
What care I actually received: [VISIT, TESTS, PROCEDURES, DATES]
My plan basics, if known: [deductible, copay, coinsurance, out-of-pocket max, in- or out-of-network]
What confuses or worries me: [DETAILS]
Steps:
1. Explain each line in plain language and match bill lines to EOB lines.
2. Define the terms on my documents (allowed amount, adjustment, deductible, coinsurance).
3. Flag things worth questioning: duplicate charges, services I don't recall, dates that don't match, out-of-network charges at an in-network facility, a bill that doesn't match the EOB's "you owe" amount.
4. Do the math using only my numbers and show it.
Return:
- A line-by-line table: service | billed | insurer paid | I owe | match or question.
- A list of questions for the provider's billing office and for my insurer.
- Short call scripts, plus what to ask for (itemized bill, payment plan, financial assistance, and how to file an appeal if a claim was denied, with the deadline marked [CONFIRM WITH INSURER]).
Don't assume rules that depend on my plan or location - mark them [CONFIRM WITH INSURER]. This is general information, not legal or financial advice.
Highlighted [brackets] are blanks to replace with your own details.
Fill in the blanks and use this promptMore Personal Life & Wellbeing prompts
What to fill in
- PASTE LINE ITEMS - dates, codes, descriptions, charges
- VISIT, TESTS, PROCEDURES, DATES
- DETAILS
- CONFIRM WITH INSURER
How this prompt is built
This prompt follows the RTF structure (Role, Task, Format). RTF tells the model who to be, what to do and what shape the answer should take. It is the quickest structure that still gives noticeably better results than a bare request.
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