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No Surprises Act – Good Faith Estimate Notice
Your Right to a Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost.
Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.
- You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.
- If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers,
Email: FederalPPDRQuestions@cms.hhs.gov,
Call: 1-800-985-3059
Additional Information
At Kramer Davis Health, we are committed to transparency, fairness, and clarity when it comes to the cost of care. Our team is here to support you in understanding your potential healthcare costs— especially if you’re uninsured or choosing to self-pay.
If you would like to request a Good Faith Estimate or have questions about your potential charges, please contact us directly:
Clinic Phone: 615-933-7300
Billing Questions: hello@kd.health
We encourage all patients to take advantage of their rights under the No Surprises Act, and we’re here to help make the process smooth and respectful.
As part of our intake process, Kramer Davis Health collects your insurance information — including, but not limited to, medical, hospital, and dental coverage — to ensure we can properly coordinate your care and process billing accurately.
Because we are a transdisciplinary care clinic with multiple specialties and services under one roof, it’s essential that we gather a full picture of your coverage across all relevant plans. This helps us streamline communication, avoid billing confusion, and ensure each aspect of your care is appropriately supported.
If you have any questions about insurance, billing, or what to expect, please don’t hesitate to reach out. We’re here to help.