Healthcare tools for patients
Tools sized for the conversation you actually have with your care team and your insurance company.
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Paste a bill, decode an EOB, check a denial against the No Surprises Act, or draft an appeal letter. Every input stays on your device.
144 tools in this hub, all free, all in your browser.
Insurance & Patient Literacy
- Appeal Letter Generator Generate a printable health-insurance appeal letter from the basics of a denied claim.
- HIPAA Right of Access Request Generator Generate a printable HIPAA Right of Access request letter that a patient can send to a covered entity to…
- Medicare Appeal-Level Deadline Calculator Medicare claim-appeal deadline.
- Part D Coverage Decision Clock Part D coverage-decision and exception deadline, in hours from receipt.
- Part D Appeal Ladder The next Part D appeal level and its filing deadline.
- Medicare Advantage Coverage Decision Clock Medicare Advantage coverage-decision deadline.
- Medicare Advantage Appeal Ladder The next Medicare Advantage appeal level and its filing deadline.
- Employer Plan Claim and Appeal Clock (ERISA) Employer health plan claim and appeal deadline under ERISA.
- External Review Clock (Marketplace and Employer Plans) External review filing deadline for group and individual health coverage.
- Medicaid Managed Care Appeal Clock Medicaid managed care appeal deadlines.
- Medicare Fast Appeal Clock (QIO) Medicare fast appeal to the QIO for a hospital discharge or ending services.
- Part B Late Enrollment Penalty Medicare Part B late enrollment penalty.
- Part D Late Enrollment Penalty Medicare Part D late enrollment penalty from the gaps in drug coverage.
- COBRA Deadlines and End Date COBRA notice, election, first-payment and coverage-end dates.
- Part A Premium and Late Increase Medicare Part A premium from quarters of covered work.
- Medicare Enrollment Window and Start Date Which Medicare Part B enrollment window is open on a date, and when coverage starts.
- Marketplace Special Enrollment Window Marketplace special enrollment window and coverage start date.
- Medicaid Work Requirement Check Whether a Medicaid expansion adult meets the monthly work requirement or is excepted.
- What Will I Pay for a Part B Drug? What a patient pays for a Part B drug.
- Federal Poverty Level Percent Income as a percent of the federal poverty guidelines.
- Premium Tax Credit Estimate Estimated Marketplace premium tax credit.
- Employer Coverage Affordability Test Whether an employer's health coverage offer is affordable.
- Amounts Generally Billed (AGB) Percentage A hospital's amounts generally billed percentage.
- Collection Action Timeline (501(r)) When a nonprofit hospital may start extraordinary collection actions.
- Financial Assistance Discount (Sliding Scale) A hospital financial assistance discount from its own sliding scale.
- Good Faith Estimate Deadline When a good faith estimate is due to an uninsured or self-pay patient.
- Patient-Provider Dispute Eligibility Whether a self-pay bill can go to patient-provider dispute resolution.
- Medicaid MAGI Household and Income Each person's Medicaid MAGI household, income and percent of poverty.
- Medicare Part B or Part D for This Drug? Whether Medicare Part B or Part D covers a drug, and why.
- Which Appeal Rules Apply? Which coverage-request and appeal rules apply to a plan and item.
- Check My Hospital Bill Against Its Posted Prices
- Read My Health Insurance Claims File
- Preventive Services Covered at $0 (USPSTF and HRSA Women's Lists) The preventive care a private plan must cover at no cost.
- Should I Have Paid for This Preventive Care? Whether a private plan may charge cost sharing for a preventive service, citing the federal rule or FAQ that decides it.
- HSA Safe Harbors: What Can Be Covered Before the Deductible? Whether an HSA-qualifying plan can cover an item before the deductible.
- Does My Direct Primary Care Plan Keep HSA Eligibility? Whether a direct primary care arrangement keeps HSA eligibility under IRC 223(c)(1)(E).
- Was This Medicare Advantage Denial Allowed to Use These Criteria? Whether a Medicare Advantage denial followed the process rules: whose criteria, public evidence, reviewer, 90-day transition.
- Part D Redetermination Request Letter Builds a Part D redetermination request with its deadline.
- ERISA Appeal Letter (Employer Coverage) Builds an employer-plan appeal that asserts the claimant's ERISA review rights.
- Medicare Advantage Reconsideration Request Letter Builds a Medicare Advantage reconsideration request with its deadline.
- External Review Request Letter Builds an external review request with its four-month deadline.
- Medicaid Appeal or Fair Hearing Request Letter Builds a Medicaid managed care appeal or fair hearing request with its deadline.
- Part D Exception Request Letter Builds a Part D exception request with the prescriber statement the rule requires.
- Letter of Medical Necessity (Drug) Builds a letter of medical necessity for a drug.
- Extra Help and Medicare Savings Program Screen Screens for Extra Help and the Medicare Savings Programs.
- Medicare Patient Cost-Share (Part A / B / SNF) Medicare patient cost-share.
- Coordination of Benefits & Medicare Secondary Payer Coordination of benefits.
- Contractual Write-Off vs Patient Balance Allowed-amount split: contractual write-off, patient responsibility (deductible + coinsurance + copay), and…
- No Surprises Act Cost-Share (QPA-Based) No Surprises Act cost-share.
- Lab Result Interpreter Paste or type CBC, CMP, lipid-panel, hemoglobin A1c, or TSH values and Sophie Well returns plain-language…
Clinical Math & Conversions
- BMI Calculator Compute body mass index from weight (kg) and height (m).
- Pack-Years Compute cigarette pack-years from the standard tobacco-history measure: packs per day multiplied by years smoked.
- Naegele Pregnancy Due Date Compute the estimated date of delivery from the first day of the last menstrual period using Naegele's rule.
- Pregnancy Dating (LMP / CRL / EDD) Two pregnancy-dating calculations in one tool.
- Non-HDL & Remnant Cholesterol Non-HDL and remnant cholesterol.
- Calculated LDL (Friedewald + NIH) LDL cholesterol by Friedewald and NIH (Sampson 2020) equations plus non-HDL; Friedewald invalid at TG >=400.
- Estimated Average Glucose from A1c (eAG) Estimated average glucose from HbA1c (ADAG: eAG = 28.7*A1c - 46.7), reported in mg/dL and mmol/L.
- Glucose Management Indicator (GMI) from CGM Estimates the Glucose Management Indicator, the A1C-like value computed from a CGM mean glucose, in percent and mmol/mol.
- CGM Time in Range Targets (International Consensus) Checks the five CGM report percentages against the International Consensus time-in-range targets.
- Glycemia Risk Index (GRI) from CGM Scores the Glycemia Risk Index (0 to 100) and its zone A to E from the time a CGM spent in four glucose bands.
Clinical Scoring & Risk
- PHQ-9 Depression Screener Score the PHQ-9 depression screener.
- GAD-7 Anxiety Screener Administer the seven-item Generalized Anxiety Disorder scale (Spitzer 2006).
- AUDIT-C Alcohol Screener Administer the three-item AUDIT-C alcohol-use screen (Bush 1998).
- CAGE Alcohol Screener Score the four-question CAGE alcohol-use disorder screen.
- Edinburgh Postnatal Depression Scale Score the Edinburgh Postnatal Depression Scale (EPDS), a ten-item validated screen for perinatal and postpartum depression.
- Air Quality Index From PM2.5 (EPA, 2024 Breakpoints) Converts a 24-hour PM2.5 concentration to the Air Quality Index, or an AQI back to PM2.5, with EPA's 2024 breakpoints.
- STOP-BANG OSA Screen STOP-BANG OSA screen (Chung 2012).
- Epworth Sleepiness Scale Epworth Sleepiness Scale (Johns 1991).
- Berlin Questionnaire (OSA) Berlin Questionnaire for OSA (Netzer 1999).
- Asthma Control Test (ACT) The Asthma Control Test, five patient-rated items about the past four weeks.
- Childhood Asthma Control Test (c-ACT) The Childhood Asthma Control Test, for children roughly 4 to 11 years old.
- PC-PTSD-5 (Primary Care PTSD Screen for DSM-5) The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5): a five-item yes-or-no screen, total 0 to 5.
- ALSFRS-R (ALS Functional Rating Scale, Revised) The ALS Functional Rating Scale - Revised (Cedarbaum and colleagues 1999): twelve functions rated 0 to 4 for a total of 0 to 48.
- SNOT-22 (Sino-Nasal Outcome Test) The 22-item Sino-Nasal Outcome Test (SNOT-22), a PATIENT-REPORTED measure of the symptom burden of rhinosinusitis.
- PUQE-24 (Nausea and Vomiting of Pregnancy) The PUQE-24…
- THI (Tinnitus Handicap Inventory) The Tinnitus Handicap Inventory (THI; Newman and colleagues 1996), a 25-item self-report measure of how much…
- OSDI (Ocular Surface Disease Index) The Ocular Surface Disease Index (OSDI; Schiffman and colleagues 2000), a 12-item PATIENT-REPORTED measure of…
- SPADI (Shoulder Pain and Disability Index) The Shoulder Pain and Disability Index (SPADI; Roach and colleagues 1991), a PATIENT-REPORTED measure of…
- NIH-CPSI (Chronic Prostatitis Symptom Index) The NIH Chronic Prostatitis Symptom Index (NIH-CPSI; Litwin and colleagues, J Urol 1999).
- Oswestry Disability Index (ODI) Oswestry Disability Index (ODI) for low-back-pain disability.
- Altman Self-Rating Mania Scale (ASRM) Altman Self-Rating Mania Scale (Altman 1997).
- GerdQ (Reflux Disease Questionnaire) GerdQ (Jones 2009): six-item screen for gastroesophageal reflux disease over the past week.
- POSAS Patient Scale (Scar Assessment) POSAS Patient Scale (Draaijers 2004; v2.0 van de Kar 2005).
- PHQ-15 Somatic Symptom Severity PHQ-15 (Patient Health Questionnaire-15; Kroenke 2002).
- Kessler K6 Psychological Distress Kessler K6 psychological distress scale (Kessler 2003).
- Short Michigan Alcoholism Screening Test (SMAST) Short Michigan Alcoholism Screening Test (SMAST) (Selzer 1975): 13-item self-administered yes/no screen for alcohol problems.
- CAGE-AID (Alcohol & Drug Screen) CAGE-AID (CAGE Adapted to Include Drugs) (Brown & Rounds 1995): 4-item yes/no screen for alcohol and other drug problems.
- ADA / Bang Diabetes Risk Test ADA diabetes risk test.
- Waist-to-Height Ratio (WHtR) Waist-to-height ratio (Ashwell) = waist circumference / height, any consistent unit.
- POEM (Patient-Oriented Eczema Measure) POEM (Charman 2004): seven symptom items each scored 0–4 by days affected in the past week give a 0–28…
- PEST (Psoriatic Arthritis Screening Tool) PEST (Ibrahim 2009): five yes/no items (swollen joint, arthritis diagnosis, nail pits, heel pain, dactylitis).
- ID Migraine Screener ID Migraine (Lipton 2003): nausea, photophobia, and disability screen for migraine; ≥ 2 of 3 is a positive screen.
- Dizziness Handicap Inventory (DHI) Dizziness Handicap Inventory (Jacobson & Newman 1990).
- PBAC (Pictorial Blood Loss Assessment Chart) Pictorial Blood Assessment Chart (Higham 1990).
- Menopause Rating Scale (MRS) Menopause Rating Scale (Heinemann 2004).
- Simple Shoulder Test (SST) Simple Shoulder Test (Lippitt, Harryman and Matsen 1993).
Workflow & Documentation
- DME Capped Rental and Oxygen Clock When a Medicare DME rental ends.
- Inpatient-to-Observation Appeal Rights (MCSN) Whether a patient changed from inpatient to observation can appeal.
- Important Message from Medicare Timing When the Important Message from Medicare is due.
- Appointment Prep Question Generator A templated patient question-generator for an upcoming healthcare appointment.
- HIPAA Authorization Form Generator Build a HIPAA Authorization for Use or Disclosure of Protected Health Information form that includes every…
- ROI Request Generator Generate a patient-authored Release of Information (ROI) request asking a covered entity to send a specified…
- Discharge Instruction Template Build a printable discharge-instruction template that covers the structural sections every hospital discharge…
- Specialty-Visit Question Generator Pick a specialty…
- Medication Wallet Card Generator Generate a print-ready, wallet-sized medication and health summary.
- Observation Notice (MOON) Deadline When the Medicare observation notice is due.
- NOMNC Delivery Deadline Notice of Medicare Non-Coverage deadline, 2 days before services end.
- SNF Qualifying Stay and Benefit Days Skilled nursing qualifying stay.
- Hospice Benefit Period Clock Hospice benefit periods of 90, 90, then 60 days, with certification and face-to-face windows (42 CFR 418.21, 418.22).
EMS & Field Medicine
Immunization & Infectious Disease
Pediatrics & Neonatal
- Universal Unit Converter (lab + vitals + basics) Convert between the units that show up in medicine.
- Time-to-Dose Helper Take the time of a patient's last dose plus a frequency abbreviation…
- Pediatric Weight Converter (lb/oz <-> kg) Convert a pediatric weight between pounds (decimal), pounds-and-ounces, and kilograms.
Revenue Cycle & Utilization
Medication Access & Pharmacy
- Does Original Medicare Require Prior Authorization? Whether Original Medicare requires prior authorization for a code.
- Medicare IRMAA Medicare IRMAA: the monthly Part B and Part D amounts added for income above the published brackets, by filing status.
- Part D Drug Cost Through the Year What a Part D drug costs through the year.
- Medicare Prescription Payment Plan Bill The Medicare Prescription Payment Plan bills month by month.
- Copay Card Run-Out and Accumulator Impact When a copay card runs out and the first bill arrives.
- Medicare Negotiated Drug Price Check Whether a drug has a Medicare negotiated price on a date.
- Loading and Maintenance Dose Calendar A dated loading and maintenance dose calendar.
- Payer Prior Authorization Report Check Checks a payer's posted CMS-0057-F prior authorization report.
- iPLEDGE Dispense Window (Isotretinoin) The last day isotretinoin may be dispensed under iPLEDGE.
- Benefits Investigation Cost Summary What a patient will pay for a therapy under the plan found in a benefits check.
- Cost by Site of Care What a therapy costs the plan and the patient at each site of care.
- Days Supply Calculator Days supply for tablets, liquids, insulin pens, inhalers and eye drops.
- Apothecary, Avoirdupois and Household Measures Converts grains, scruples, drams, apothecaries ounces, minims, fluid drams, fluid ounces, spoons and cups to metric.
- Earliest Refill Date Earliest refill date from the last fill, its days supply and the plan threshold.
- Quantity to Dispense for a Days Supply Quantity to dispense for a days supply, rounded up to whole units and packages.
- Topical Quantity by Fingertip Units (Adults) Grams of a cream or ointment for a course, from fingertip units by body area in adults.
- Oral Suspension: Bottles for a Course and Discard Date Volume and bottles of an oral suspension for a course, with the discard date.
- Late or Missed Birth Control Pill (CDC 2024) What CDC's 2024 recommendations say about a late or missed birth control pill.
- Starting a Contraceptive: Days of Back-Up (CDC 2024) Days of back-up contraception when starting a method, by CDC's 2024 recommendations.
- Depot Injection: Next Due Date and Window Next due date and window for a depot injection, from each label.
- Emergency Contraception: Hours Left on the Label Hours since unprotected intercourse against each source, side by side.
- Nicotine Replacement: Label Strength and Step-Down Calendar Nicotine patch, gum or lozenge: the label's starting strength and a dated step-down calendar from the quit date.
- Out of the Refrigerator or In Use: Discard Date Discard date for a refrigerated product at home, from the label's limit.
- Children's OTC Dose From the Drug Facts Chart A child's row on the Drug Facts dosing chart, by weight or age.
- OTC 24-Hour Total Against the Label Maximum An OTC 24-hour total against the maximum the label or FDA monograph states.
- Missed Dose: What the Label Says What the FDA label says about a missed dose, evaluated on the times entered.