No Surprises Act


The No Surprises Act

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.

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

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 health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or

If you receive a bill that is at least $25000 more than your Good Faith Estimate, you can dispute the Bill

Make sure to save a copy or picture of your Good Faith

For questions or more information about your right to a Good Faith Estimate, visit


www.cms.gov/nosurprises

Subsidiary Company:

Blindspot Medical, LLC

Subsidiary Website:

www.alphaoneprotocol.com

How to Contact Us


If you have any questions or concerns regarding this Privacy Policy as it relates to our website, please feel free to contact us at the following email, telephone number or mailing address:


Email: [email protected]

Telephone Number: 1-866-343-0913


Mailing Address:

Alpha One Protocol, LLC

18935 W. Pasadena Ave

Litchfield Park, Arizona

85340


The data controller responsible for your personal information for the purposes of GDPR compliance is:


David Boyd, MD

[email protected]

1-866-343-0913

18935 W Pasadena Ave Litchfield Park, AZ 85304

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