Under the law, healthcare providers need to give patients who don’t have certain types of healthcare coverage or who are not using certain types of healthcare coverage an estimate of their bill for healthcare 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 healthcare 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 healthcare item or service at least 3 business days in advance, make sure your healthcare provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a healthcare item or service at least 10 business days in advance, make sure your healthcare provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any healthcare provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the healthcare 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.

Make sure to save a copy or picture of your Good Faith Estimate and 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, or call 

1-800-985-3059.

PRIVACY ACT STATEMENT: CMS is authorized to collect the information on this form and

any supporting documentation under section 2799B-7 of the Public Health Service Act, as added

by section 112 of the No Surprises Act, title I of Division BB of the Consolidated Appropriations

Act, 2021 (Pub. L. 116-260). We need the information on the form to process your request to

initiate a payment dispute, verify the eligibility of your dispute for the PPDR process, and to

determine whether any conflict of interest exists with the independent dispute resolution entity

selected to decide your dispute. The information may also be used to: (1) support a decision on

your dispute; (2) support the ongoing operation and oversight of the PPDR program; (3) evaluate

selected IDR entity’s compliance with program rules. Providing the requested information is

voluntary. But failing to provide it may delay or prevent processing of your dispute, or it could

cause your dispute to be decided in favor of the provider or facility.