No Surprises Act

Under the federal No Surprises Act, you have the right to receive a Good Faith Estimate explaining how much your health care services are expected to cost if you are uninsured or choose not to use insurance.

No Surprises Act / Good Faith Estimate Notice

Under the federal No Surprises Act, you have the right to receive a Good Faith Estimate explaining how much your health care services are expected to cost if you are uninsured or choose not to use insurance.

At Neural Effects, we are committed to transparency in billing. If you are uninsured or self-pay, you may request a Good Faith Estimate before scheduling services, and we will also provide one when required under federal law.

A Good Faith Estimate shows the expected charges for the health care items and services reasonably expected for your care. The estimate is not a bill or a contract, and you are not required to receive services from Neural Effects after receiving one. Actual charges may differ if your needs change or if additional services are requested or clinically necessary.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you may have the right to dispute the bill through the federal patient-provider dispute resolution process. CMS explains that Good Faith Estimates apply to uninsured and self-pay individuals and are intended to help patients understand expected charges before care is provided.

To request a Good Faith Estimate, please contact us.

Email: [email protected]
Phone: 801-616-3675


You can learn more about your rights under the No Surprises Act at the CMS No Surprises Act resource page.

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