Real Agent Cases

Get a $22,604 ER bill in collections waived after Claude helped find grounds to challenge it

Posted
by Walter Kerr and Jackie Davalos (The Seattle Times / New York Times)
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How we verify

Evidence: Article or interviewA newsletter, journalist or interview account of what happened.

Outcome

Two years after an ER visit, Jackie Davalos got a collections notice saying $22,604 was owed to the hospital, having never received a bill; the records wrongly listed Davalos as uninsured. A first dispute only removed one medication charge. Davalos's partner, Walter Kerr, uploaded the billing and medical records to Claude and asked whether they had any further recourse. Claude suggested several arguments, including that legal requirements on debt and insurance might not have been met. Using many of them, Kerr wrote to executives at the hospital and its parent company, and shortly after the hospital waived the entire bill, later acknowledging a clerical error. A legal aid lawyer who reviewed it said some of Claude's analysis was right but it misunderstood some of the laws it cited.

Agent

Claude

Prompt Recreated prompt

The source didn't share its exact prompt, so we wrote this from what it describes.

Run this task now, exactly as written below. Everything you need is here, so start straight away and only stop if something required is missing or a rule below tells you to.

Goal: Review my billing and medical records and tell me what grounds I may have to dispute this bill, then help me write to the right people.

Fill in before running:
- The bill or collections notice: [ATTACH]
- Billing and medical records, with insurance details at the time: [ATTACH]
- What's already been tried and the replies: [DETAILS]

You're not my lawyer. Stick to facts I give you, label any rule you mention as something to check against the official source, and keep the tone firm but polite.

Rules:
- List possible grounds for dispute, and for each say which law or rule it relies on and who it applies to (hospital, insurer or collector).
- Mark every legal point as something to confirm with a legal aid service or the official source.
- Point out simple fixes first, like wrong insurance details or missing bills.
- Draft a short, factual letter to the billing department and a senior contact.
- Check facts that can change (prices, opening hours, dates, availability, rules) against the official source, and tell me anything you couldn't verify.

Output: A list of grounds with how sure you are about each, and a draft letter.

You'll know it worked when: the bill is corrected or waived and nothing goes on my credit record.

Try this in:

This prompt has blanks to fill in, like [ATTACH]. We'll copy it instead of filling it in, so you can edit it before you send.

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Optional stronger version

Our rewrite with extra checks. The poster didn't test it.

Run this task now, exactly as written below. Everything you need is here, so start straight away and only stop if something required is missing or a rule below tells you to.

Goal: Review my billing and medical records and tell me what grounds I may have to dispute this bill, then help me write to the right people.

Fill in before running:
- The bill or collections notice: [ATTACH]
- Billing and medical records, with insurance details at the time: [ATTACH]
- What's already been tried and the replies: [DETAILS]

You're not my lawyer. Stick to facts I give you, label any rule you mention as something to check against the official source, and keep the tone firm but polite.

Rules:
- List possible grounds for dispute, and for each say which law or rule it relies on and who it applies to (hospital, insurer or collector).
- Mark every legal point as something to confirm with a legal aid service or the official source.
- Point out simple fixes first, like wrong insurance details or missing bills.
- Draft a short, factual letter to the billing department and a senior contact.
- Check facts that can change (prices, opening hours, dates, availability, rules) against the official source, and tell me anything you couldn't verify.
- Ask about the hospital's financial assistance programme as a backup.

Output: A list of grounds with how sure you are about each, and a draft letter.

You'll know it worked when: the bill is corrected or waived and nothing goes on my credit record.

Before you finish: re-read my goal and constraints, check your answer against each one, and list anything you assumed or couldn't confirm.

Source

https://www.seattletimes.com/business/people-are-using-chatbots-to-fight-medical-bills-with-mixed-results/

  • After two pet insurance policies lapsed, Dimitri Sudomoin was billed $359 in 'earned premium' and spent two months being threatened with collections. Weeks of emails with the insurer's customer team got nowhere and a supervisor closed the thread saying they had gone as far as they could. With Claude planning the campaign, Sudomoin filed a complaint with the insurer's home-state regulator in New York and emailed two of its executives. The insurer folded in three and a half hours: the bill was settled at $118 as a 'special exception', with a written promise that nothing ever went to a credit bureau.

    Claude · Personal · Source date:

  • After a relative died following four hours of emergency care, Matt Rosenberg got the hospital's coded UB-04 form and asked Claude to compare each charge with what Medicare would pay. Claude spotted unbundled stent supplies worth over $100,000, a bypass charge for surgery that never happened, and ventilation billed alongside critical care, and estimated Medicare would have paid about $28,675. Rosenberg had ChatGPT check the analysis, spot-checked the rules, and sent a six-page letter. The hospital countered at $36,356 and they settled at roughly $32,500.

    Claude, ChatGPT · Personal · Source date:

  • Adam Fern asked ChatGPT, 'Knowing what you know about insurance rules, how can I get this bill lower.' It produced a note, which Fern copied and pasted to the doctor, and says the bill went down by $1,400.

    ChatGPT · Personal · Source date: