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Generate a No Surprises Act demand letter in 60 seconds.

Three PDFs: one to your provider, one to your insurer, one to CMS. Optional IDR escalation cover letter. All 50 states. English and Spanish.

Start a letter How it works

What you get

Three letters, one click

Provider demand, insurer adjudication request, and CMS complaint — all formatted, cited, and ready to mail.

State law citations baked in

California AB-72, New York Surprise Bill Law, Texas SB 1264, Florida HB 221, Illinois Network Adequacy Act, plus the federal NSA for every other state.

EOB OCR

Upload your Explanation of Benefits. We extract the dates, claim ID, and amounts automatically.

Stateless

Nothing is stored. The PDFs are generated, downloaded, and forgotten.

Tell us about the bill

Step 1 of 3 — The bill

Or upload your EOB

We'll fill in the dates and amounts for you.

browse files

State *

Type of bill *

Have you already paid? *

Not yet — I'm disputing before payingYes — I want a refund

Date of service *

Total amount billed *

Amount you were told you owe *

Claim ID (optional)

Insurance policy / member number (optional)

Pick your state

Surprise-billing protections differ by state. Choose yours to see the rights that apply.

Alabama Alaska Arizona Arkansas Californiastate law Colorado Connecticut Delaware District of Columbia Floridastate law Georgia Hawaii Idaho Illinoisstate law Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New Yorkstate law North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texasstate law Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Generate a No Surprises Act demand letter in 60 seconds.

What you get

Pick your state

Bill types