Your right to a Good Faith Estimate.
Federal law gives uninsured and self-pay patients the right to a written estimate of medical costs before service. Here's how to request one and what to do if your bill exceeds the estimate.
Your right to a Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, health care providers need to give patients who don't have insurance or who are not using insurance an estimate of the bill for medical items and services.
What's included
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your provider, or any provider you choose, for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate.
How to request a Good Faith Estimate from us
If you are uninsured or choose not to use insurance for your physical therapy care, contact us before your visit:
Phone: (918) 494-3000
Email: frontoffice@ptoftulsa.com
In person: 6767 S. Yale Avenue, Suite B, Tulsa, OK 74136
We will provide a written estimate within one business day.
Surprise billing protections
The No Surprises Act also protects you from “surprise” or “balance” billing in certain situations involving emergency services and out-of-network providers at in-network facilities. Physical Therapy of Tulsa is an outpatient practice and is not a hospital or emergency department, but we honor the spirit of the Act in all of our patient communications.
Disputing a bill
If you receive a bill that is at least $400 more than your Good Faith Estimate, you may be eligible to dispute the bill through the federal Patient-Provider Dispute Resolution process. For questions or to start a dispute:
Visit www.cms.gov/nosurprises
Call the No Surprises Help Desk at 1-800-985-3059
You can also ask us first — we'll do our best to resolve any billing question directly.
Questions
Billing & Compliance
Physical Therapy of Tulsa
6767 S. Yale Avenue, Suite B
Tulsa, OK 74136
Phone: (918) 494-3000
Email: frontoffice@ptoftulsa.com