Medical Bill Review for Personal Injury Firms
Turn hours of manual EOB review into minutes. Every finding cites CMS rules. Every dollar impact is quantified. Your demand letters write themselves.
Paralegals spend 2–8 hours manually reviewing medical bills per case. Reviewers miss issues. Quality varies. And it costs $150–$1,800 per case for manual review.
16
Scan Engines
2.6M
NCCI Edits
$29
Per Case
<3 min
Processing Time
Process
How NilesAI Works for Your Firm
Upload
Upload the EOB and itemized bill to a case
Extract
NilesAI extracts every line item and charge
Scan
16 scan engines run against 2.6M+ billing rules
Report
Get a findings report with CMS citations and dollar impact
Dispute
Generate a dispute letter with one click
Validation
What NilesAI Catches
Every bill runs through all 16 scan engines. Every finding is cited with the specific CMS rule violated.
CPT Validity
Code Validation
Code Currency
Code Validation
Modifier Validation
Code Validation
NCCI Bundling
Bundling & Compliance
Global Period
Bundling & Compliance
Fee Schedule Variance
Fee & Charge
Charge Outlier
Fee & Charge
Charge Mismatch
Fee & Charge
Duplicate Detection
Pattern Detection
Upcoding Pattern
Pattern Detection
Frequency Abuse
Pattern Detection
Modifier 25 Abuse
Pattern Detection
Bilateral Procedure
Specialty
Anesthesia Time
Specialty
Place of Service
Context-Aware
Units Validation
Context-Aware
ROI
Calculate Your Savings
ROI Calculator for Law Firms
Your firm could save
$ /month
Hours saved
hrs/mo
Cost with NilesAI
$/mo
Cross-Document Analysis
Upload both the EOB and the itemized bill to the same case. NilesAI cross-references charges between documents — catching mismatches that single-document review can never find. Charge amounts, procedure codes, dates of service, and units are all compared line by line.
Security
Compliance & Security
HIPAA-Ready
Built for PHI handling from day one
Audit Logging
Complete audit trail for every scan
No PHI in AI
Personal health info never sent to AI models
BAA Available
Business Associate Agreement for enterprise
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.
Built on authoritative data
Start reviewing bills in minutes
Upload your first case and see exactly what NilesAI catches — with CMS citations and dollar impact on every finding.