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Right to Receive a Good Faith Estimate

Effective Date: August 11, 2026
Last Updated: August 11, 2026

Under Section 2799B-6 of the Public Health Service Act, healthcare providers and healthcare facilities are legally required to provide individuals who do not have insurance, or who are not using insurance, an estimate of the bill for medical items and services.

As a patient or prospective patient of Terminus Physical Therapy, LLC, you have the right to receive a Good Faith Estimate explaining the total expected cost of your outpatient rehabilitation care.

Your Rights Under the No Surprises ActQuestions and Contact Information

Your Rights Under the No Surprises Act

  • Applicability: You have the right to receive a Good Faith Estimate if you are uninsured, underinsured, or choose to pay for your physical therapy services completely out-of-pocket (self-pay) rather than submitting claims to a commercial health insurance provider.
  • Scope of Estimate: The Good Faith Estimate outlines the total expected cost of any non-emergency medical items or services. This includes your initial physical therapy evaluation, scheduled treatment sessions, re-evaluations, and any equipment or supplies provided during your care plan.
  • Timeline Requirements: Terminus Physical Therapy, LLC will provide you with a written, itemized Good Faith Estimate at least one (1) business day before your medical service is scheduled. You may also request a Good Faith Estimate in writing or verbally before scheduling an initial appointment.
  • Right to Dispute: If you receive a final bill from our clinic network that is at least $400 more than the total amount listed on your formal Good Faith Estimate, you have the legal right to dispute the bill through the federal patient-provider dispute resolution process.
  • Record Keeping: It is highly recommended that you save, print, or take a picture of your written Good Faith Estimate for your personal financial records.

Questions and Contact Information

 Initiating a dispute or requesting a review of your estimate does not disrupt your care plan across our clinic network. For questions, more information about your right to a Good Faith Estimate, or instructions on how to dispute a billing discrepancy, visit the official federal portal at www.cms.gov/nosurprises.

If you need to request a paper or digital copy of an estimate for your upcoming physical therapy care, please reach out to our centralized administrative department:

  • Attn: Billing & Compliance Department
  • Email: billing
  • Mailing Address: 4012 LaVista Road, Tucker, GA 30084
  • Website Contact: terminuspt.com/contact-us