Free Medicare Billing Error Log PDF
Help seniors and caregivers track Medicare billing errors, disputed charges, and appeals in one printable PDF log.
Published December 3, 2025
Explain common Medicare billing mistakes like duplicate charges or non-covered codes, the appeal levels, and why a written log keeps everything organized.
When to use this
- You see a Medicare EOB with unexpected charges or codes.
- You need to track calls and letters with providers or Medicare.
- You want proof of appeals and disputed amounts in case of a reconsideration or hearing.
How to do it (fast)
- List the beneficiary details and coverage type.
- Add each bill or EOB date, provider, claim number, issue type, and amount in dispute.
- Note whether you contacted the provider, filed an appeal, and current status.
- Generate and download the PDF to share with caregivers, representatives, or appeal reviewers.
Why this helps
- Keeps Medicare billing issues organized for appeals or complaints.
- Shows disputed totals and statuses at a glance for caregivers.
- Provides documentation to support requests for reconsideration or hearings.
Related tools
Not legal advice. Courts set their own rules. Keep your original records.