Billing Good Faith Estimate and Surprise Billing

Status This document has been reviewed for clarity, internal consistency, website readability, and overbroad claims. It remains subject to confirmation of the bracketed facts and review by qualified counsel before publication.

Purpose This page summarizes patient protections and does not replace insurance documents, provider agreements, or official federal and state notices.

Good Faith Estimates Individuals who are uninsured or not using insurance may have a right to receive a good faith estimate of expected charges before scheduled care or upon request. The estimate is not a guarantee; actual services may differ based on medical needs.

Patient-Provider Dispute Resolution If a billed amount is substantially higher than the good faith estimate, a federal patient-provider dispute-resolution process may be available. Current eligibility thresholds, deadlines, forms, and contact information should be taken from the Centers for Medicare & Medicaid Services at the time of use.

Surprise Billing Protections Federal and state laws may protect patients from certain unexpected out-of-network bills, including some emergency services and specified non-emergency services at in-network facilities. Rights depend on the service, facility, plan, and jurisdiction. A patient should not be asked to waive protections except where lawful and properly noticed.

Financial Assistance and Questions Billing contact: [CONFIRM] Telephone: [CONFIRM] Email: support@apteumspine.com Insurance participation and patient responsibility must be confirmed before care. Emergency care should never be delayed because of billing questions.

Publication Checklist Attach or link the current official CMS model disclosure, identify each applicable provider/facility, and confirm New York and New Jersey requirements with counsel before publication.