Remedy is an applied AI company building medical bill dispute agents for consumers. We’re combining machine and medical code to automate the process of fixing erroneous medical bills & saving every American thousands of dollars.

Problem


Fraudulent medical bills are rampant.

It’s estimated that anywhere from 40 to 80% of them contain errors. They’re responsible for 70% of personal bankruptcies in the US and have now put an estimated 100 million Americans into debt.

They’re also a nightmare to understand & dispute.

Almost half of Americans have reported spending up to one month disputing one before. That’s months of back and forth emails, calls, gaslighting (honey, you’re not remembering things right), being shuffled around (we can’t help, call this department instead), feeling bad (am I being too mean by asking for a lower bill?), reading through fine print (what’s an EoB?), and more.

There are countless more stories of individuals getting saddled with massive medical debt & dealing with a lot of personal difficulty.

This issue largely persists because of a healthcare system that treats patients as second-class citizens. Payers & providers coordinate closely with each other, leaving patients with large, confusing bills & no guidance.

The problem is only growing worse—health care costs now are rising faster than inflation, meaning medical expenses make up a larger percentage of people’s income. Deductibles are also continuing to rise, meaning the cost sharing burden increasingly rests on the patient, rather than the payer.

Solution


There are ways to fight erroneous medical bills. There are several books written on how to dispute one yourself. There are also agencies that manually dispute them on your behalf.

What’s amazing is that this work is now automatable, thanks to

  1. AI voice agents automating phone calls
  2. Regulatory tailwinds forcing
    1. insurance companies to share consumer data via API. See: 21st Century Cures Act & California’s SB-1419, taking effect Jan 1, 2025
    2. hospitals to make their prices transparent

Many startups are building claims automations for payers or providers, but patients are being overlooked. Patients pay $571 billion in out of pocket expenses every year. They are customers waiting to be served.