Managed Health Care Billing

A centralized billing system receives medical bill information associated with a patient from one or more medical service providers and/or from a mobile device associated with the patient. The centralized billing system communicates with one or more insurance systems associated with the patient to submit insurance claims and/or reconcile insurance claim resolution information provided by each respective insurance company with the medical bill information. The centralized billing system communicates with the mobile device to provide organized medical bills comprising an itemization of reconciled medical bill information for each medical bill associated with a single medical event for convenience of the patient, notifying the patient how much is owed or overpaid for each itemized medical bill based on the reconciliation of the medical bill information with the insurance claim resolution information. The centralized billing system also communicates reconciled medical bill information to each medical service provider system based on the reconciliation of the medical bill information with the insurance claim resolution information. The centralized billing system facilitates payment transactions and/or refunds between the patient associated with the mobile device and the medical service provider system based on the reconciled medical bill information.