WritersLogic Verifiable AI Agent Hub Audit Medical Bill API

The Audit Medical Bill API from WritersLogic Verifiable AI Agent Hub — 1 operation(s) for audit medical bill.

GitHub OpenAPI

Operations 1

POST /api/v1/audit-medical-bill Medical Bill Upcoding & Overcharge Slasher #

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OpenAPI Specification

writerslogic-com-audit-medical-bill-api-openapi.yml Raw ↑
openapi: 3.2.0
info:
  title: WritersLogic Verifiable AI Agent Hub Audit Medical Bill API
  version: 2.0.0
  description: Pay-per-call agents settled in USDC on Base via x402. Every response carries a signed provenance envelope.
  contact:
    name: WritersLogic
    url: https://writerslogic.com/agents
    email: agents@writerslogic.com
servers:
- url: https://agents.writerslogic.com
tags:
- name: Audit Medical Bill
paths:
  /api/v1/audit-medical-bill:
    post:
      operationId: medical_bill_auditor
      summary: Medical Bill Upcoding & Overcharge Slasher
      description: 'Paste an itemized hospital or physician bill and get a decision first: dispute it or not, the estimated dollars above a defensible price, and a dispute letter ready to send. Flags E/M upcoding, NCCI unbundling, duplicates and unit errors line by line, prices professional claims against the CMS physician fee schedule, checks the No Surprises Act self-pay dispute deadline, and lists the letter''s placeholders. Facility-charge benchmarks are model estimates and are labeled as such. Not legal or medical advice.


        Price: 3.00 USDC on Base (x402).'
      x-x402-price-usdc: '3.00'
      x-x402-amount: '3000000'
      x-payment-info:
        protocols:
        - x402
        price:
          mode: fixed
          currency: USD
          amount: '3.00'
      x-audience: business
      x-sample-url: https://agents.writerslogic.com/api/v1/samples/medical-bill-auditor
      security:
      - x402: []
      - apiKey: []
      requestBody:
        required: true
        content:
          application/json:
            schema:
              type: object
              additionalProperties: false
              required:
              - facilityType
              properties:
                billText:
                  type: string
                  minLength: 10
                  maxLength: 30000
                  description: 'Alternative to lineItems: paste the itemized bill, one line item per line, e.g. "99285  EMERGENCY DEPT VISIT LVL 5   1   $3,250.00". Lines with a CPT/HCPCS code and a dollar amount are read in code; send exactly one of lineItems or billText.'
                lineItems:
                  type: array
                  minItems: 1
                  maxItems: 200
                  items:
                    type: object
                    additionalProperties: false
                    required:
                    - cptOrHcpcsCode
                    - description
                    - chargedAmount
                    - units
                    properties:
                      cptOrHcpcsCode:
                        type: string
                        pattern: ^[A-Za-z0-9]{5}$
                        description: 5-character CPT or HCPCS Level II code.
                      description:
                        type: string
                        maxLength: 500
                      chargedAmount:
                        type: number
                        minimum: 0
                        maximum: 10000000
                        description: Total billed for this line, USD.
                      units:
                        type: integer
                        minimum: 1
                        maximum: 10000
                      modifiers:
                        type: array
                        maxItems: 4
                        items:
                          type: string
                          pattern: ^[A-Za-z0-9]{2}$
                      serviceDate:
                        type: string
                        pattern: ^\d{4}-\d{2}-\d{2}$
                      revenueCode:
                        type: string
                        pattern: ^\d{3,4}$
                facilityType:
                  type: string
                  enum:
                  - emergency_room
                  - urgent_care
                  - outpatient_hospital
                  - inpatient_hospital
                  - ambulatory_surgery_center
                  - physician_office
                  - laboratory
                  - imaging_center
                  - other
                coverage:
                  type: string
                  enum:
                  - uninsured_self_pay
                  - in_network
                  - out_of_network
                  - medicare
                  - medicaid
                  - unknown
                  description: Determines which No Surprises Act protections can apply.
                patientState:
                  type: string
                  pattern: ^[A-Za-z]{2}$
                visitSummary:
                  type: string
                  maxLength: 4000
                  description: 'What actually happened: symptoms, duration, tests, treatment.'
                facilityName:
                  type: string
                  maxLength: 200
                patientName:
                  type: string
                  maxLength: 200
                accountNumber:
                  type: string
                  maxLength: 100
                goodFaithEstimateAmount:
                  type: number
                  minimum: 0
                  maximum: 10000000
                  description: Good Faith Estimate received (self-pay).
                claimType:
                  type: string
                  enum:
                  - professional
                  - facility
                  description: Physician (CMS-1500) or hospital/facility (UB-04) bill. Medicare physician fee schedule benchmarks apply only to professional claims.
                billReceivedDate:
                  type: string
                  pattern: ^\d{4}-\d{2}-\d{2}$
                  description: Date the initial bill was received; used for the 120-day dispute deadline.
            example:
              facilityType: emergency_room
              claimType: professional
              coverage: uninsured_self_pay
              patientState: TX
              visitSummary: Twisted ankle, 40-minute visit, one X-ray, no fracture, given an ACE bandage and ibuprofen.
              goodFaithEstimateAmount: 1200
              billReceivedDate: '2026-10-20'
              lineItems:
              - cptOrHcpcsCode: '99285'
                description: ED visit level 5
                chargedAmount: 1850
                units: 1
                serviceDate: '2026-09-14'
              - cptOrHcpcsCode: '73610'
                description: X-ray ankle 3 views
                chargedAmount: 640
                units: 1
                serviceDate: '2026-09-14'
              - cptOrHcpcsCode: A4570
                description: Splint / elastic bandage
                chargedAmount: 185
                units: 1
                serviceDate: '2026-09-14'
              - cptOrHcpcsCode: '99070'
                description: Supplies and materials
                chargedAmount: 95
                units: 1
                serviceDate: '2026-09-14'
      responses:
        '200':
          description: Paid result with provenance
          content:
            application/json:
              schema:
                type: object
                properties:
                  data:
                    type: object
                    properties:
                      headline:
                        type: object
                        description: 'Decision first: the verdict, the dollars at stake, confidence and the exact next step.'
                        properties:
                          decision:
                            type: string
                            enum:
                            - DISPUTE_RECOMMENDED
                            - REQUEST_ITEMIZED_RECORDS
                            - BILL_LOOKS_REASONABLE
                          summary:
                            type: string
                          amountAtStakeUsd:
                            anyOf:
                            - type: number
                            - type: 'null'
                            description: Dollars saved or recoverable if the recommended action succeeds; null when it cannot be computed from the input.
                          amountBasis:
                            type: string
                          confidence:
                            type: string
                            enum:
                            - high
                            - medium
                            - low
                          nextStep:
                            type: string
                      summary:
                        type: object
                      no_surprises_act:
                        type: object
                      lines:
                        type: array
                        items:
                          type: object
                      overall_assessment:
                        type: string
                      applicable_protections:
                        type: array
                        items:
                          type: object
                          additionalProperties: false
                          required:
                          - protection
                          - citation
                          - applies_because
                          properties:
                            protection:
                              type: string
                            citation:
                              type: string
                            applies_because:
                              type: string
                            link:
                              type: string
                              description: Official text of the cited rule, when the service knows it.
                      dispute_letter:
                        type: object
                        additionalProperties: false
                        required:
                        - subject
                        - body
                        properties:
                          subject:
                            type: string
                          body:
                            type: string
                      readyToSend:
                        type: object
                        description: Addressee, attachments, send method, date and the bracketed placeholders to replace before sending the dispute letter.
                        properties:
                          addressee:
                            type: string
                          placeholdersToFill:
                            type: array
                            items:
                              type: string
                          attach:
                            type: array
                            items:
                              type: string
                          sendMethod:
                            type: string
                          date:
                            type: string
                          noSurprisesActDeadline:
                            anyOf:
                            - type: string
                            - type: 'null'
                      next_steps:
                        type: array
                        items:
                          type: string
                      llm:
                        type: string
                        enum:
                        - ok
                        - partial
                        - unavailable
                        description: 'unavailable: the model step failed and the result contains only code-established findings. partial: some lines were not reviewed by the model (see warnings and each line''s model_reviewed).'
                      warnings:
                        type: array
                        items:
                          type: string
                      llm_error:
                        type: string
                      billTextParse:
                        type: object
                        description: 'Present when billText was sent: lines read, lines not read, and a warning when the lines do not add up to the stated total.'
                      benchmarkSources:
                        type: object
                      disclaimer:
                        type: string
                      notice:
                        type: string
                  _provenance:
                    type: object
                    description: C2PA-aligned manifest and W3C VC 2.0 (eddsa-jcs-2022) issued by the hub DID; verify at POST /api/v1/verify-provenance
                required:
                - data
                - _provenance
        '400':
          description: Invalid request (no payment consumed)
          content:
            application/json:
              schema:
                type: object
                properties:
                  error:
                    type: string
                  code:
                    type: string
        '401':
          description: Invalid X-API-KEY
          content:
            application/json:
              schema:
                type: object
                properties:
                  error:
                    type: string
                  code:
                    type: string
        '402':
          description: Payment required or invalid
          content:
            application/json:
              schema:
                type: object
                description: x402 v2 PaymentRequired (also base64 in the PAYMENT-REQUIRED header)
                properties:
                  x402Version:
                    type: integer
                  error:
                    type: string
                  code:
                    type: string
                  resource:
                    type: object
                  accepts:
                    type: array
                    items:
                      type: object
                  extensions:
                    type: object
        '502':
          description: Upstream failure; the payment is released or not settled
          content:
            application/json:
              schema:
                type: object
                properties:
                  error:
                    type: string
                  code:
                    type: string
      tags:
      - Audit Medical Bill
components:
  securitySchemes:
    x402:
      type: apiKey
      in: header
      name: PAYMENT-SIGNATURE
      description: x402 v2 payment payload (base64) sent after a 402 challenge
    apiKey:
      type: apiKey
      in: header
      name: X-API-KEY