compare_bill_amount
Compares one dollar amount from a medical bill or explanation of benefits with the typical allowed-amount range (low, median, high) for the same procedure in the same US state, and says whether it is below, within or above that range, with questions worth asking the billing office. Pass amount_type 'billed' for the charge on the bill or 'allowed' for the insurer's allowed amount. Billed charges are usually higher than allowed amounts, so a high billed charge alone is not an error. Needs only the procedure, state and amount; do not send names, dates, account or member numbers.
Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| state | Yes | 2-letter US state code, e.g. 'TX' | |
| amount | Yes | The dollar amount from the bill or EOB | |
| procedure | Yes | Procedure slug or plain name, e.g. 'colonoscopy'. Resolve plain names with resolve_procedure. | |
| amount_type | Yes | 'billed' = the charge on the bill; 'allowed' = the amount the insurer allowed |