Navigating the Financials Tab
Deep Dive into Your Charges
The Financials tab gives you complete visibility into every charge on your medical bill, with powerful comparison and correction tools. Here's how to navigate it effectively.
Understanding Line Items
Each line item on your bill is displayed with:
- Service Description — What the charge is for, with medical term tooltips so you can hover over procedure names for plain-English definitions
- CPT/HCPCS Code — The billing code used
- Date of Service — When the service was provided
- Billed Amount — What the provider charged
- Allowed Amount — What insurance considers reasonable
- Your Responsibility — What you owe
Charges are sorted by amount so the most significant ones appear first.
Bill vs. EOB Comparison
If you uploaded both your bill and your Explanation of Benefits (EOB), the Financials tab compares them side by side. reKUPR supports multiple EOB formats to ensure accurate matching:
- CPT-based EOBs — Standard line-item matching by procedure code, shown with emerald color coding
- Category-summary EOBs — Grouped by service category rather than individual codes, shown with indigo color coding
Each matched pair displays a match confidence indicator so you know how strong the pairing is.
What to look for:
- Do the billed amounts match between documents?
- Did insurance process all line items?
- Are the dates of service consistent?
- Do the codes match between documents?
Discrepancies are highlighted automatically so you can spot issues quickly.
Discrepancy Detection
reKUPR flags several types of discrepancies:
- Overcharges — Billed amount exceeds what insurance allowed or what's typical
- Denials — Services your insurance refused to cover
- Coding Issues — Mismatched or incorrect procedure codes
- Missing Items — Charges on bill not reflected in EOB
- Amount Mismatches — Bill shows different amount than EOB
Each discrepancy includes an explanation of what it might mean and whether action is recommended.
Line Item Corrections
Sometimes document extraction doesn't capture a value perfectly. If you notice an incorrect amount, code, or description on a line item, you can edit the extracted values directly and re-analyze. This ensures your analysis is based on accurate data without needing to re-upload.
Tips for Effective Review
- Focus on large charges first — These have the biggest impact on your total
- Check the match confidence — Lower confidence pairings may need a closer look
- Use tooltips — Hover over medical terms you don't recognize for instant definitions
- Correct any errors — If an extracted value looks wrong, edit it and re-analyze
- Compare to your records — Match charges to services you remember receiving
The Financials tab is your tool for detailed investigation. Use it when you need to understand exactly what you're being charged for.