Chances are, you don't stop to study sales receipts or read bills thoroughly before paying them. Hey, you're busy! But the people who prepare your bills are busy, too, and they can make mistakes. Case in point: Up to 40 percent of medical bills may contain errors, according to Stephen Parente, a professor of health finance at the University of Minnesota, in Minneapolis. That's why it's worth taking a few valuable seconds to scan your bills. Here's the scoop.
The error: Excessive fees for visits or procedures; incorrect billing codes.
How to spot it: Once you receive the Explanation of Benefits (EoB) from your health insurer, call the billing department of your doctor or hospital to request a detailed, itemized receipt. This receipt should match your EoB; make sure that it lists the correct procedure, with no double billing. If a fee seems surprisingly high, go to FairHealthConsumer.org, a database that provides cost estimates for medical services. A big discrepancy between your bill and the estimate could mean that you are being overcharged.
How to fight it: First address questionable charges with the billing department and your insurer. Tell them, "This bill is not what I expected to pay for this service, and I hope you can help me look more closely at the details," suggests Erin Moaratty, a spokesperson for the nonprofit Patient Advocate Foundation, in Hampton, Virginia. If the representative can't address your concerns, ask to speak with a supervisor. For a very steep bill, consider hiring a medical advocate, who will contest the charges (find one at billadvocates.com). Just bear in mind that you'll probably have to pay the advocate $50 to $150 an hour or a percentage of your savings; the cost can quickly add up.
The error: Overcharging for products.
How to spot it: Pay attention as the cashier scans your items, in case she inadvertently charges twice for the same thing. Also, check the printed receipt for electronic mistakes. Advertised discounts, for instance, aren't always programmed into the scanner.
How to fight it: "Say to the cashier, 'I hope you can help me with a small mistake,' " says Patricia Rossi, the author of Everyday Etiquette ($15, amazon.com). If she doesn't look eager to assist you, "blame the technology," says Rossi. "Suggesting that the computer made an error sounds less confrontational." Just don't wait until you get home to check the receipt, since the problem will be harder to resolve over the phone.