How to Get an Itemized Medical Bill
Itemized bills contain detailed CPT codes, units, and charges — essential for accurate auditing.
What is an itemized bill?
- •Lists each service, procedure, or supply as a separate line item
- •Contains CPT/HCPCS codes that identify specific medical services
- •Includes units, modifiers, and billed amounts for each charge
- •Different from a "Statement of Charges" or Explanation of Benefits (EOB)
Why do you need one?
- •KarvBill works best with itemized detail to catch billing errors
- •Many errors, duplicates, and overcharges only appear in itemized form
- •Insurance statements and summary bills are not sufficient for accurate auditing
Good vs. Bad Document Examples
Know what to look for before you upload. Here's how to identify an itemized bill.
✓ Upload This
Itemized Bill
PROVIDER MEDICAL CENTER
Patient: John Doe | Date: 01/15/2024
CPTDescriptionQtyCharge
99213Office Visit L31$150.00
80053Comp Metabolic1$45.00
85025CBC w/ Diff1$35.00
36415Venipuncture1$10.00
Look for these:
- ✓CPT codes for each service
- ✓Line-by-line breakdown
- ✓Units/Qty for each charge
- ✓Individual prices per service
✗ Avoid This
Summary Statement / EOB
EXPLANATION OF BENEFITS
Patient: John Doe | Claim #: 123456
Provider Charges: $1,250.00
Insurance Paid: $875.00
Deductible: $150.00
Co-insurance: $125.00
You Owe: $275.00
Service date: 01/15/2024
For itemized details, contact provider
For itemized details, contact provider
Missing critical details:
- ✗No CPT codes shown
- ✗No line items listed
- ✗Only totals displayed
- ✗Insurance summary not bill detail
How to request an itemized bill
- 1Contact your hospital or provider's billing department directly
- 2Ask specifically for "A full itemized bill with CPT/HCPCS codes, units, and line-item charges"
- 3Providers are required by law to provide this upon request
Email Template
Copy and send to your provider's billing department
One-Click Itemized Bill Retrieval
Coming SoonSkip the phone calls and emails. We're building a service that automatically requests and retrieves your itemized bill directly from your provider.