Good Faith Estimate

As of January 1, 2022, a new federal law called the No Surprises Act was enacted to protect those who:

  • do not have insurance (uninsured) 

  • are enrolled in a plan, but chose to engage in services and pay out-of-pocket without filing a claim (self-pay and out-of-network)

The No Surprises Act, was designed to provide transparency and clarity around fees in order to prevent being surprised by large medical bills. This happens through a Good Faith Estimate, which is an upfront estimate given by your health care provider that lists services and associated expected/estimated charges you may incur as a part of your care. 

If you are uninsured (self-pay) OR if Atlas will not be submitting claims to your insurance (out-of-network), please let our staff know during your initial outreach so we can calculate, prepare, and send you a Good Faith Estimate. This estimate is for your information only, it does not involve any obligation or commitment. 

To learn more about your rights under this act, please visit: https://www.cms.gov/nosurprises/consumers ; https://www.cms.gov/files/document/nosurpriseactfactsheet-final508.pdf 

If after reviewing this estimate and engaging in treatment you believe you have been wrongly billed, you have the following options:

  • Contact your health provider directly to let them know your billed charges are higher than the Good Faith Estimate; ask them to update the bill, negotiate the bill, or if financial assistance is available

  • Contact the Center for Medicare & Medicaid Services (CMS) to ask questions, dispute the payment/process, or submit a complaint: