Save Money. Fight Medical Overcharges.
NilesAI scans your medical bills against 2.6 million billing rules, Medicare fee schedules, and CMS compliance checks, then delivers a cited findings report in minutes. Upload a bill and know exactly where you're being overcharged.
The Problem
Medical billing errors are the rule, not the exception
$220 billion in outstanding medical debt
Less than 1% of patients audit their bills
Medical billing analysis, 2024
86% of claim denials are preventable
Healthcare billing research, 2024
Built on authoritative data
How It Works
From upload to action in five steps
Upload
Upload any medical bill, EOB, or itemized statement as a PDF or image.
Extract
Every line item, code, and charge is extracted and structured automatically.
Scan
Each line is checked against NCCI edits, Medicare fee schedules, MUE limits, modifier rules, and more.
Review
Get a cited findings report showing exactly what was flagged, why, and by which rule.
Act
Generate a dispute letter in one click with all findings cited and ready to send.
What NilesAI Does
Every line item, checked against the rules
Your bills are cross-referenced against federal compliance databases, not AI guesses.
16 Scan Engines, Every Line Item
Each charge runs through 16 independent scan engines covering NCCI edits, MUE limits, Medicare fee schedules, modifier validation, and more. Nothing slips through.
Every line item on your bill is run through 16 independent scan engines covering CMS billing rules, NCCI edit pairs, MUE unit limits, Medicare fee schedule comparisons, modifier validation, and more.
Unlike manual reviewers who get fatigued after dozens of line items, NilesAI applies the same rigorous checks to line 1 and line 100. Consistent quality, zero reviewer fatigue, every time.
Learn more ↓
Show less ↑
Instant Line-Item Extraction
Upload a PDF or image. NilesAI extracts every CPT code, charge, and modifier automatically. No manual entry needed.
Our OCR and AI-powered extraction handles PDFs, photos, and scanned documents. It reads CPT/HCPCS codes, modifiers, units, charges, and provider details from hospital statements, EOBs, and itemized bills.
No manual data entry, no copy-pasting into spreadsheets. Upload the document and extraction happens in seconds, so the compliance engine can get to work immediately.
Learn more ↓
Show less ↑
Cited Findings, Not Guesses
Every finding references the specific rule it violates (NCCI edit pair, MUE limit, or fee schedule) so you can verify it yourself.
Every flagged issue includes the specific CMS rule, NCCI edit pair number, or fee schedule reference it violates. Nothing is vague or hand-wavy.
This means your findings are defensible. You can look up the exact rule citation independently, share it with providers or insurers, and build a dispute that stands on verifiable evidence.
Learn more ↓
Show less ↑
Dispute Letters in One Click
Generate a ready-to-send dispute letter with all findings cited, formatted for providers and insurers.
Each dispute letter references the specific CPT codes flagged, the CMS rules violated, and calculates the total overcharge amount. It's formatted and ready to send to providers or insurance companies.
No more drafting letters from scratch or figuring out what to cite. One click generates a professional, evidence-backed letter that puts the burden of proof where it belongs.
Learn more ↓
Show less ↑
Cross-Document Analysis
Upload multiple bills from the same case. NilesAI catches duplicate charges and conflicts across documents.
When you upload an EOB alongside an itemized statement, NilesAI cross-references them to catch duplicates billed across documents, conflicts between what was approved and what was charged, and charges that appear on one document but not the other.
Single-document review misses these issues entirely. Cross-document analysis catches the billing errors that only become visible when you compare multiple records from the same case.
Learn more ↓
Show less ↑
Pay Only When We Find Something
Start free with 3 analyses per month. Upgrade only if NilesAI is saving you money.
The free tier gives you 3 full scans per month with summary reports included. If we find meaningful billing errors, you can unlock the detailed report with citations and a dispute letter for $29.
If your bill is clean, you pay nothing. There's no subscription commitment, no credit card required to start. You only pay when NilesAI finds errors worth disputing.
Learn more ↓
Show less ↑
Who It's For
Built for anyone fighting unfair medical bills
Individuals
Got a medical bill that seems too high? Upload it and find out exactly where you're being overcharged, in plain English.
The problem
Medical bills are confusing, and most people don't have the expertise to know when they're being overcharged.
How NilesAI helps
Upload your bill, and NilesAI automatically checks every line item against federal billing rules, then explains what it found in plain English.
What you get
-
Plain-English explanations of every finding -
Dollar-by-dollar breakdown of overbilling -
Ready-to-send dispute letter -
Works with EOBs, itemized bills, and hospital statements
Learn more ↓
Show less ↑
Personal Injury Firms
Catch more overbilling. Faster case turnaround.
Upload the EOB and itemized bill. Get a findings report with dollar impact and dispute letter citing CPT codes.
The problem
Paralegals spend 2-8 hours per case manually reviewing medical bills for overbilling, and still miss things.
How NilesAI helps
Automated compliance checks run across all scan engines in minutes, not hours. Every finding is cited with the specific rule violated.
Why firms choose NilesAI
-
Full compliance analysis per line item -
CMS citations for every finding -
Cross-document analysis across EOBs and itemized bills -
Paralegal time drops from hours to minutes -
$29 per case vs $150-$1,800 for manual review
Learn more ↓
Show less ↑
Insurance & Claims
Every scan engine runs on every bill, every time. No reviewer fatigue. No missed bundling violations.
The problem
Reviewer quality varies from person to person and shift to shift. Fatigue leads to missed violations.
How NilesAI helps
Deterministic rules engine applies the same compliance checks every time, with cross-document analysis to catch conflicts across claims.
Built for claims ops
-
Consistent quality across every review -
Defensible, cited findings for disputes -
Batch processing for high-volume teams -
Full audit trail for compliance -
Volume pricing for enterprise teams
Learn more ↓
Show less ↑
Why NilesAI
Not all bill reviews are equal
| NilesAI | Generic AI | Manual Review | |
|---|---|---|---|
| Rule citations | | | |
| NCCI edits | | | |
| Speed | | | |
| Consistency | | | |
| Cost | | | |
Pricing
Simple, transparent pricing
Start free. Pay only when we find billing errors.
Try It Free
No credit card required-
3 free scans per month -
Full compliance analysis across all scan engines -
Summary report with overbilling total included -
$29 detailed report when overbilling meets threshold
Starter
-
15 cases/month (all reports included) -
Additional cases: $25/case -
PDF export and dispute letters -
Priority email support
Professional
-
50 cases/month -
Additional cases: $20/case -
All features including cross-document analysis -
Priority support
Enterprise
-
150+ cases/month -
Volume pricing on additional cases -
Custom integrations -
Dedicated account manager
Need more cases? Additional cases are $25/case on Starter, $20/case on Professional, and volume-discounted on Enterprise. Every extra case includes the full compliance analysis, citations, and dispute letter.
Frequently Asked Questions
You can unlock any additional case for $29 when findings meet the minimum threshold (at least 2 flags or $50+ in potential overbilling). Or upgrade to a Starter or Professional plan for monthly case allotments with lower per-case costs.
Yes. Every scan, free or paid, runs the full compliance analysis including NCCI edits, MUE limits, fee schedule comparisons, and more. Free scans include a summary report. The $29 detailed report adds full citations, dispute letter generation, and line-by-line breakdowns.
Upload your medical bill, EOB, or itemized statement. NilesAI extracts every line item and runs it through a full compliance analysis, including NCCI edits, Medicare fee schedules, and MUE limits. You get a detailed report showing exactly what was flagged and why.
NilesAI can analyze hospital bills, outpatient facility charges, physician invoices, emergency room bills, EOBs (Explanation of Benefits), and itemized statements. Upload them as PDFs or images.
Yes. Your documents are encrypted in transit and at rest. We do not sell or share your data. Bills are processed securely and you can delete your data at any time from your account settings.
Medical billing advocates typically charge hundreds of dollars and take days to review a single bill. NilesAI analyzes your bill in minutes for a fraction of the cost, checking against the same compliance databases that professionals use.
Potential overbilling means NilesAI found charges that may exceed standard rates, violate coding rules, or fail compliance checks. These are flags for you to review and dispute with your provider, not a guarantee of error.
Not at all. NilesAI translates every code and finding into plain language. The report explains what each charge is, why it was flagged, and what you can do about it.
Yes. If NilesAI finds overbilling on a paid bill, you can use the dispute letter to request a refund or credit from your provider. Many providers will adjust charges even after payment.
You pay nothing. The $29 detailed report is only offered when findings exceed the minimum threshold. If your bill is clean, you will see a summary confirming no issues were found, at no charge.
Get Early Access
Join the Waitlist
Be among the first to scan your medical bills with NilesAI. No credit card required.
You're on the list!
We'll reach out when early access is ready. Keep an eye on your inbox.
Think you were overcharged? Upload your bill. Get the answer in minutes. Free unless we find something.
Full analysis runs automatically. You only pay if we find billing errors worth disputing.
Join the Waitlist