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Claim Buddy Sign Up Form

We know it is stressful when you get hit with a surprise medical bill.

That’s why we built an AI-powered tool that helps you understand and fight your bill.

Sign up for exclusive early access, ClaimBuddy is free for the first 50 sign ups!

If you need help, we’re here for you.

Fill out the form below and we’ll reach out to support you.

Your information

*

What do you need help with? Briefly describe your situation

*

How urgent is your situation?

Untitled multiple choice field

A

Very urgent – bill is due soon

*

B

Important but not urgent

C

Just exploring for future situations

Would you be willing to pay a small success-based fee of $20 if we help you reduce or resolve your bill?

Untitled multiple choice field

A

Yes

*

B

No

C

Other