Damages intelligence
Medical bill reconciliation
Bill reconciliation
Direct answer
Medical bill reconciliation matches each claimed charge to a billing document and to a documented date of service. The process produces four outcomes — matched, unmatched charge, billed treatment with no record, and documented treatment with no bill — and each outcome calls for a different action before the demand is sent.
NORBU Demand Editorial · Last reviewed 2026-08-31
The four reconciliation states
| State | Meaning | Action before sending |
|---|---|---|
| Matched | Charge, bill and note align | Include as claimed |
| Unmatched charge | Charge with no supporting note | Request the record or remove the charge |
| Billed, undocumented | Service billed, no treatment note | Request the note from the provider |
| Documented, unbilled | Treatment occurred, no charge attached | Request the statement so the claim is complete |
Why manual reconciliation fails at volume
Reconciliation is a cross-document comparison across hundreds of line items and hundreds of pages. Done by hand under deadline it is reliably error-prone, and the errors are exactly the ones a claims reviewer is trained to find.
Where judgment stays with counsel
Note
Reconciliation reports discrepancies. Whether to pursue a record, adjust a claim or proceed is an attorney decision.
NORBU Demand provides analytical support for counsel. It does not determine legal value, predict settlement outcomes, or provide legal advice. Every observation is presented for attorney review.
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