An AI advocate
for every medical bill.

Hospital bills, insurance denials, collections. Parlio agents do the research, do the planning, and negotiate it down. You stay in control and approve every step.

See how it works β†’
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ER visit Β· St. Joseph's

Insured Β· Out-of-network anesthesia

Won
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Itemized bill request

Got the line-item charges. 3 duplicates = $1,840.

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Surprise-billing appeal filed

No Surprises Act applied Β· out-of-network anesthesia flagged.

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Charity-care eligibility

Income screen β†’ 60% reduction on remainder.

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Settled

Final balance: $4,210 Β· 19 days total

You saved

$10,610

vs. original bill

$14,820

What we handle

Every kind of medical bill.

From a single ER visit to a multi-year collections file, we handle all of it.

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Hospital / ER

avg. 47% off

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Surprise bills

avg. 62% off

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Denials & appeals

3 of 4 won

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Collections

settle at 38%

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Dental

avg. $640 off

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Ambulance

avg. 71% off

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Pre-treatment estimates

31% under list

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Pharmacy

avg. 44% off

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Mental health

avg. $1,120 / yr

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Lab / imaging

avg. 55% off

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Physical therapy

avg. 33% off

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Other medical

we'll quote you

The playbook

How we win each one.

Different bills, different tactics. Click a tab to see the playbook we run.

Itemize. Then benchmark. Then negotiate.

Hospitals price the same procedure 3–5Γ— what Medicare pays. We pull the itemized bill, audit the codes, and benchmark against fair-price data, then negotiate from there.

Avg. saved

$8,420

settled at 34% of charges

Line-item bill audit

Pull the itemized bill and check every code for duplicates, unbundling, and upcoding. Typical findings: 12–18% of charges removed.

Charity-care eligibility

501(c)(3) hospitals must offer financial assistance. We check your income against the policy and apply for the right discount tier.

Cash-pay rate match

Hospitals quote one rate to insurance and a lower rate to cash payers. We negotiate to the cash-pay rate.

Process

How it works

1

Tell us about the bill

Forward the bill or just describe what you owe. We figure out the rest.

I just got an ER bill for $14,820
Got it. Was this run through insurance?
Yes. The bill says I owe $14,820 after insurance. Anesthesia was out-of-network.
That's likely a surprise bill, protected under the No Surprises Act. Send a copy of the itemized bill and I'll start the appeal.
Uploaded πŸ‘
2

We research the bill

Line-item bill audit, fair-price benchmarks, surprise-bill protection check, and your hospital's financial-assistance policy. Every claim we'll make backed by data.

Bill Audit

Medicare reimbursement$1,820
Regional fair-price benchmark$3,940
Hospital cash-pay rate$5,200
Duplicate / unbundled charges$1,840
Surprise-bill protectionQualifies
Charity-care window240 days remaining
3

We build the case

A multi-track strategy: itemized review, surprise-bill appeal where it qualifies, charity-care application, and a target settlement number with leverage points. You see and approve the plan before we move.

Negotiation Strategy

Target settlement$3,800–$4,500

Leverage Points

  • Out-of-network anesthesia, surprise-bill protected
  • $1,840 in duplicate / unbundled charges
  • Hospital is a nonprofit, must offer charity-care
  • Bill is 276% above the regional fair-price benchmark

Confidence Score

88%

4

We negotiate through every channel

Email the billing office. Call the financial counselor. Upload the appeal through the insurer's portal. Whatever the situation needs.

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Email

Drafted appeal letters and itemized-bill requests sent on your behalf. You approve every message.

To: St. Joseph's Billing

Sent

β€œPer the No Surprises Act, the out-of-network anesthesia charge of $4,210 should not be billed to me…”

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Voice

AI-powered calls to financial counselors and collections agents. You set the boundaries; we make the call.

Call: Financial counselor

14:22

β€œNegotiated a 60% charity-care reduction on the remaining balance. Settlement letter incoming.”

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Browser

Files appeals through insurer portals, uploads supporting docs, and tracks status, even when there's no API.

Anthem appeals portal

Submitted

β€œAppeal filed with medical-necessity letter and itemized billing documentation. Conf #AP-91432.”

Why Parlio

Built specifically for healthcare.

Trained on healthcare billing. Approved by you. Backed by real benchmarks.

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Trained on healthcare billing

Our agents read medical billing codes, federal protections, and hospital policies the way a billing manager does.

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HIPAA-aware

Your health information is encrypted, access-controlled, and handled with the privacy a hospital owes you.

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Real benchmarks

We pull from Medicare reimbursement rates, national fair-price databases, and regional cash-pay rates. Not vague β€œindustry estimates.”

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You approve every move

Every email, every call, every dollar. We never settle a bill without you.

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No savings, no fee

Performance-based pricing. If we don't reduce the bill, we don't charge.

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Paper trail, every time

Every dispute documented to support appeal rights and credit-bureau complaints.

Got a bill that doesn't add up?

Join the waitlist for early access.