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ClearCarePulse — US Medical Bill Rights Checker
x402
ClearCarePulse — US Medical Bill Rights Checker is a paid API for AI agents from clear-care-pulse.vercel.app, paid per call via x402, $0.05/call, status unknown (last checked 2026-09-13).
Answers US patient rights questions about medical billing protections, returning applicable laws, deadline math, and citation-backed guidance — no document upload required
Price / call$0.05
Success—
StatusUnknown
How this service works
US medical-bill rights check, quiz-first (no documents): No Surprises Act protection (45 CFR 149 incl. the never-waivable §149.420(b) list), good-faith-estimate disputes ($400/120-day rules), nonprofit-hospital financial assistance + collection shields (26 CFR 1.501(r), 2026 FPL math), ACA appeal deadlines (180-day/4-month windows computed), Medicare MSN redetermination. Citations + deadline math, honest no's. No LLM.
Output
Returns which federal protections apply to the described billing scenario (No Surprises Act 45 CFR 149, GFE dispute $400/120-day rules, nonprofit hospital financial assistance under 26 CFR 1.501(r), ACA appeal windows, Medicare MSN redetermination), computed deadlines, relevant FPL-based financial assistance thresholds using 2026 FPL math, and specific regulatory citations; includes honest negative answers when a protection does not apply
Example use cases
Nonprofit hospital charity care eligibility
“I got a $12,000 bill from a nonprofit hospital after my appendix surgery and I'm a single parent making about $38,000 a year — does the hospital have to offer me financial assistance under federal law, and what are my rights if they try to send this to collections before telling me about charity care options?”
Calculate ACA appeal deadline fast
“My insurance denied a claim for my MRI from March 15th saying it was not medically necessary — I want to appeal but I'm not sure how much time I have left and whether I can also request an external review. Can you calculate my exact appeal deadlines and tell me what windows I'm working with?”
Medicare MSN redetermination rights check
“I'm on Medicare and just got my Medicare Summary Notice showing a charge for a home health visit I think should have been covered — how long do I have to request a redetermination, is there a dollar threshold I need to meet, and what protections apply to my situation?”
Technical details
Endpoint
GEThttps://clear-care-pulse.vercel.app/api/care/rightsWhen to prefer
Use this endpoint when a patient or advocate needs authoritative, citation-backed federal US medical billing rights guidance — especially No Surprises Act protections, GFE dispute eligibility, nonprofit hospital charity care, or ACA/Medicare appeal deadlines — without needing to upload any documents. Prefer over generic LLM responses because this service applies specific regulatory math (dollar thresholds, FPL percentages, day-count windows) from named CFR sections.
Side effects
- Query too vague to map to a specific protection — returns clarifying questions or a no-match result
- State-law-only issues not covered — endpoint explicitly covers federal law only
- Non-US billing scenarios return unsupported scope response
- Ambiguous procedure or payer type may result in conditional multi-branch answer
Input
Schema · Request body
| Field | Type | Description |
|---|---|---|
| checkrequired | string | surprise | gfe | assistance | appeal | msn |
| scenario | string | surprise: emergency | oon_at_in_network | air_ambulance | ground_ambulance |
| plan_type | string | employer_self_funded | employer_insured | marketplace | medicare | medicaid | uninsured |
| gfe_amount | string | gfe: the good-faith estimate total |
| denial_date | string | appeal: denial notice date YYYY-MM-DD |
| billed_amount | string | gfe: what they actually billed |
| first_statement_date | string | assistance: first post-discharge billing statement date |
Output
Schema · Response
{
"type": "json",
"example": {}
}Tags
x402
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