Bill Buster

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  Health Calendar

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  Landing Page

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  Dashboard

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  Medical Bill Analyst

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  Insurance Analyst

Inspiration

A close friend was in an accident. Everyone recovered—until the paperwork arrived. We spent nights decoding CPT codes, EOBs, “allowed amounts,” deductibles, copays, and out-of-network surprises, and still couldn’t answer the basic question: What do we actually owe, and why? That frustration inspired Bill Buster—a companion that turns opaque healthcare paperwork into plain-English answers and simple next steps for anyone.

What it does

Translates policies & EOBs: Upload a plan, bill, or EOB → get a plain-English “What’s covered / What’s not / What you owe” card with citations to the source text. Bill Analyzer (simple math, zero jargon): Side-by-side bill vs EOB, three big numbers—Total Charged → Insurance Covered → Your Out-of-Pocket—plus one sentence explaining why. Pharmacy bill breakdown (single pharmacy): Parse the uploaded pharmacy bill to show list price, insurance contribution, claim steps, and your out-of-pocket. Medication & spend tracking: Auto-create a schedule with reminders, and log your monthly health spend. Action buttons: One-tap templates for itemized-bill requests, Good Faith Estimate comparisons, polite dispute/clarification notes, and payment-plan/charity-care requests.

How we built it

Challenges we ran into

Messy, very long PDFs: Tables, footnotes, and inconsistent headings broke naive parsing. Fix: robust normalization + OCR, table-aware chunking. LLM hallucinations: Ungrounded summaries drift from policy reality. Fix: strict RAG with source-required synthesis and field-level citations/confidence. Explaining billing math to non-experts: Jargon confuses; users need “why.” Fix: three-number summary + one-line reason; hover glossary for every term.

Accomplishments that we're proud of

Time-to-clarity: From upload to a cited coverage card in under a minute on our demo set. Explainability: Every number ties back to a clause; users can open the exact excerpt. Usability: Non-technical users report understanding why they owe an amount after one screen. Actionability: Clickable templates turn confusion into a polite, concrete next step with billing. Foundational architecture: The RAG + rules approach generalizes beyond health insurance.

What we learned

Ground truth wins: Retrieval + citations build trust; language alone isn’t enough. Design for one sentence: “You owe $X because ___” beats dashboards of charts. Small rules, big impact: Even a starter ruleset surfaces high-value “worth asking” issues. Scope with empathy: People want clarity and a next step—not 100 toggles.

What's next for Bill Buster

Security hardening: End-to-end encryption, zero-retention logs, third-party audits/compliance checks. Policy library at scale: Auto-ingest major carrier policies by plan/year—no manual uploads. Broader coverage: Extend parsing + rules to renters and travel insurance with the same plain-English outputs. Deeper actions: Prior-auth checklists, denial-appeal packs, and smoother payment-plan/charity-care flows. Partner ecosystem: Payer/provider/Rx integrations for real-time checks and seamless claims assistance.

Built With

• fastapi
• gemini
• javascript
• react
• typescript