Where we work

Find your city, pick your advocate

Billing practices, state protections, and assistance rules change with every border. Choose your market below to see exactly how we handle bills there — and remember, we take cases nationwide.

Alabama(AL)

1 market
Birmingham–Hoover

Birmingham, AL

Birmingham is Alabama's medical hub, and its large hospital systems generate the state's most complex — and most negotiable — bills.

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Alaska(AK)

1 market
Anchorage Metro

Anchorage, AK

Alaska's care costs are among the highest in the country, which makes line-item bill review especially valuable in Anchorage.

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Arizona(AZ)

1 market
Phoenix Metro

Phoenix, AZ

Valley hospital billing disputes and Arizona hospital financial-assistance applications.

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Arkansas(AR)

1 market
Little Rock–North Little Rock

Little Rock, AR

Most Arkansas hospitals are nonprofits, which means most Arkansas patients qualify for more help than the billing office mentions.

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California(CA)

1 market
Greater Los Angeles

Los Angeles, CA

California's charity-care law and surprise-billing caps applied across LA's sprawling provider market.

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Colorado(CO)

1 market
Denver–Aurora

Denver, CO

Colorado's hospital discount-care screening and Front Range billing disputes.

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Connecticut(CT)

1 market
Hartford–East Hartford

Hartford, CT

Connecticut gives hospital patients unusually strong billing protections — we make sure Hartford patients actually get them.

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Delaware(DE)

1 market
Wilmington–Delaware Valley

Wilmington, DE

In a small state with a handful of health systems, Wilmington patients still face big-system billing — and the same room to negotiate.

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Florida(FL)

2 markets
Miami–Fort Lauderdale

Miami, FL

Snowbird and Medicare coordination errors, plus South Florida hospital billing disputes.

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Greater Orlando

Orlando, FL

Central Florida hospital and urgent-care billing, including the pitfalls that catch seasonal residents.

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Georgia(GA)

1 market
Metro Atlanta

Atlanta, GA

Metro Atlanta hospital billing reviewed against Georgia's assistance and charity-care programs.

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Hawaii(HI)

1 market
Urban Honolulu

Honolulu, HI

Hawaii's Prepaid Health Care Act helps many workers — but Honolulu patients still face balances the system never explains.

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Idaho(ID)

1 market
Boise City–Nampa

Boise, ID

Idaho patients see collection referrals faster than almost anywhere — acting early makes the difference in Boise.

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Illinois(IL)

1 market
Chicagoland

Chicago, IL

Dense Chicagoland provider networks — academic centers through independent groups — billed as one reconciled case.

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Indiana(IN)

1 market
Indianapolis–Carmel

Indianapolis, IN

Indianapolis patients can ask for a good-faith estimate and an itemized bill — most never do, and we do it for them.

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Iowa(IA)

1 market
Des Moines–West Des Moines

Des Moines, IA

Iowa's nonprofit hospitals must offer financial assistance before collections — we make sure Des Moines patients get screened first.

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Kansas(KS)

1 market
Wichita Metro

Wichita, KS

Wichita's hospitals serve as the referral center for much of Kansas — and their bills carry referral-center complexity.

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Kentucky(KY)

1 market
Louisville–Jefferson County

Louisville, KY

Kentucky expanded Medicaid years ago, but Louisville patients still fall through coverage gaps — and the bills that follow are negotiable.

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Louisiana(LA)

1 market
New Orleans–Metairie

New Orleans, LA

New Orleans rebuilt its hospital landscape after Katrina — and the billing complexity that came with it falls on patients.

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Maine(ME)

1 market
Portland–South Portland

Portland, ME

Maine hospitals are required to offer free or discounted care to eligible patients — Portland patients rarely hear about it first.

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Maryland(MD)

1 market
Baltimore–Columbia–Towson

Baltimore, MD

Maryland regulates what hospitals can charge — but Baltimore patients still face bills that fall outside those protections.

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Massachusetts(MA)

1 market
Boston–Cambridge–Newton

Boston, MA

Massachusetts has the country's oldest coverage mandate — and Boston patients still get caught between insurers and hospital systems.

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Michigan(MI)

1 market
Detroit–Warren–Dearborn

Detroit, MI

Detroit patients carry some of Michigan's heaviest medical-debt loads — and most of those balances have room to move.

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Minnesota(MN)

1 market
Minneapolis–St. Paul

Minneapolis, MN

Minnesota requires hospitals to check your eligibility for help before billing aggressively — we hold Twin Cities hospitals to it.

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Mississippi(MS)

1 market
Jackson Metro

Jackson, MS

Mississippi didn't expand Medicaid — which means Jackson patients face more uncovered care, and more bills worth fighting.

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Missouri(MO)

1 market
Greater St. Louis

St. Louis, MO

St. Louis's hospital systems are among the most aggressive medical-debt collectors in the Midwest — and their bills respond to pressure.

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Montana(MT)

1 market
Billings Metro

Billings, MT

Billings is the medical hub for a huge rural region — and long-distance care creates bills with room to negotiate.

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Nebraska(NE)

1 market
Omaha–Council Bluffs

Omaha, NE

Omaha's hospitals draw patients from across Nebraska and Iowa — and their multi-entity bills reward careful review.

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Nevada(NV)

1 market
Las Vegas Valley

Las Vegas, NV

Nevada hospital billing disputes and financial-assistance screening for Clark County patients.

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New Hampshire(NH)

1 market
Manchester–Nashua

Manchester, NH

New Hampshire has no broad-based assistance mandate beyond federal rules — but Manchester's nonprofit hospitals still must offer more than they advertise.

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New Jersey(NJ)

1 market
Newark–New York Metro

Newark, NJ

New Jersey pioneered surprise-billing protection — and Newark patients still need someone to make it work for them.

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New Mexico(NM)

1 market
Albuquerque Metro

Albuquerque, NM

Albuquerque is the medical hub for most of New Mexico — and its hospital bills often travel farther than the patients did.

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New York(NY)

1 market
New York Metro

New York, NY

New York has some of the nation's strongest hospital-billing laws — and some of its most complicated bills. We handle both.

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North Carolina(NC)

1 market
Charlotte Metro

Charlotte, NC

Uninsured balances, collections defense, and North Carolina assistance screening.

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North Dakota(ND)

1 market
Fargo–Moorhead

Fargo, ND

Fargo's hospitals serve two states and a vast rural region — and their bills reward the same careful review as any big-city system.

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Ohio(OH)

1 market
Central Ohio

Columbus, OH

Ohio hospital-system bills reconciled as one case, with coverage across the state.

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Oklahoma(OK)

1 market
Oklahoma City Metro

Oklahoma City, OK

Oklahoma patients face fast-moving collections — and Oklahoma City's hospital bills respond to early, documented negotiation.

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Oregon(OR)

1 market
Portland–Vancouver–Hillsboro

Portland, OR

Oregon has some of the strongest charity-care requirements in the country — Portland patients just need someone to apply them.

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Pennsylvania(PA)

1 market
Greater Philadelphia

Philadelphia, PA

Academic and specialty billing untangled, with Pennsylvania charity-care policies verified in writing.

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Rhode Island(RI)

1 market
Providence–Warwick

Providence, RI

Rhode Island is small enough that a few systems set the billing tone — and Providence patients still have more leverage than they're told.

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South Carolina(SC)

1 market
Charleston–North Charleston

Charleston, SC

Charleston's hospitals handle the Lowcountry's most complex care — and their bills carry Lowcountry-sized negotiating room.

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South Dakota(SD)

1 market
Sioux Falls Metro

Sioux Falls, SD

Sioux Falls is the medical hub for the Dakotas' eastern plains — and regional referral care produces very reviewable bills.

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Tennessee(TN)

1 market
Greater Nashville

Nashville, TN

Middle Tennessee hospital-system billing with financial-assistance applications filed for you.

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Texas(TX)

4 markets
Austin–Round Rock

Austin, TX

Our home market — split ER and surgical bills across Central Texas provider groups, plus charity-care screening for area hospitals.

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Dallas–Fort Worth

Dallas, TX

North Texas hospital and specialty-group bills untangled, with state surprise-billing rules checked.

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Greater Houston

Houston, TX

Large multi-system billing reconciled as one case, with Texas balance-billing protections applied.

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Greater San Antonio

San Antonio, TX

Bexar County charity care, freestanding ER charges, and overlapping bills handled end to end.

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Utah(UT)

1 market
Salt Lake City Metro

Salt Lake City, UT

Salt Lake City's hospitals serve the entire Intermountain region — and their complex referral bills are exactly what we audit.

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Vermont(VT)

1 market
Burlington–South Burlington

Burlington, VT

Vermont regulates hospital budgets closely — but Burlington patients still face bills the regulators never see.

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Virginia(VA)

1 market
Hampton Roads

Virginia Beach, VA

Virginia's nonprofit hospitals must now offer assistance before suing patients — Hampton Roads patients should invoke that protection early.

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Washington(WA)

1 market
Seattle–Tacoma–Bellevue

Seattle, WA

Washington law guarantees charity care at every hospital — Seattle patients just need it applied, not merely offered on paper.

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West Virginia(WV)

1 market
Charleston Metro

Charleston, WV

West Virginia patients carry heavy medical-debt burdens — and Charleston's hospital bills have more room to move than patients are told.

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Wisconsin(WI)

1 market
Milwaukee–Waukesha

Milwaukee, WI

Wisconsin hospitals must tell you about financial assistance before collecting — Milwaukee patients rarely hear it, so we ask in writing.

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Wyoming(WY)

1 market
Cheyenne Metro

Cheyenne, WY

Wyoming has some of the highest hospital charges in the country — which makes Cheyenne bills some of the most worth reviewing.

View Cheyenne page →

Don't see your city? Every state has its own billing and assistance rules — we review bills nationwide.

Talk to an advocate in your area

Same team, same process, wherever your bill came from. Call for a no-obligation review.

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