No Surprises Act Compliance

No Surprises Act Compliance

Protecting patients from unexpected medical bills

Last Updated: 13/03/2026

No Surprises Act Overview

The No Surprises Act protects patients from unexpected medical bills for emergency services and certain non-emergency services received from out-of-network providers.

FISIOTOOL SOFTWARE LLC is committed to full compliance with the No Surprises Act and protecting our users from unexpected medical expenses.

Key Patient Protections

Emergency Services

Patients cannot be balance billed for emergency services, regardless of whether the emergency department or provider is in-network or out-of-network.

Air Ambulance Services

Balance billing is prohibited for air ambulance services, protecting patients from unexpected charges for emergency air transport.

Non-Emergency Services

For certain non-emergency services at in-network facilities, patients have the right to receive a good faith estimate and consent to be balance billed.

Good Faith Estimates

Healthcare providers and facilities must give patients who don't have insurance or who are self-paying a good faith estimate of the expected charges for medical services.

What's Included in Good Faith Estimates:

  • Expected charges for primary items or services
  • Expected charges for other items or services
  • Expected charges for the facility
  • Discounts or financial assistance available
  • Provider contact information

Timeline

Good faith estimates must be provided at least 1 business day before scheduled services or 3 business days for scheduled services more than 1 week in advance.

Patient Rights Under the No Surprises Act

Right to Receive Good Faith Estimates

Patients have the right to receive good faith estimates for scheduled services and can request estimates for unscheduled services.

Right to Dispute Charges

If patients receive bills that are higher than the good faith estimate, they have the right to dispute the charges through a formal dispute process.

Right to Choose Providers

Patients have the right to choose their healthcare providers and receive information about provider networks and potential out-of-network charges.

Dispute Resolution Process

When patients receive unexpected medical bills, they have access to a dispute resolution process:

Step 1: Open Negotiation

Patients can initiate open negotiation with providers to resolve billing disputes within 30 business days of receiving the bill.

Step 2: Independent Dispute Resolution

If open negotiation fails, patients can request independent dispute resolution within 30 business days of the negotiation deadline.

Step 3: Final Determination

An independent reviewer makes a final determination based on the qualifying payment amount and other relevant factors.

No surprise billing protections apply during the dispute process.

Provider Requirements

Healthcare providers and facilities using the Sentinel Health AI platform must comply with all No Surprises Act requirements:

  • Provide good faith estimates for scheduled services
  • Post standard charge information online
  • Include provider network information in estimates
  • Obtain patient consent for out-of-network services
  • Participate in dispute resolution processes
  • Maintain records for compliance purposes

Platform Integration: Sentinel Health AI includes tools to help providers generate good faith estimates and manage No Surprises Act compliance.

Sentinel Health AI Platform Compliance

Built-in Compliance Features

  • Automated good faith estimate generation
  • Provider network verification
  • Cost transparency tools
  • Patient consent management
  • Dispute resolution tracking
  • Compliance reporting and analytics

Patient Education

Our platform provides patients with clear information about their rights under the No Surprises Act and helps them understand potential costs before receiving services.

Provider Support

We offer comprehensive support to healthcare providers to ensure full compliance with No Surprises Act requirements, including training and compliance resources.

No Surprises Act Support

For questions about No Surprises Act compliance or to report concerns:

FISIOTOOL SOFTWARE LLC

1621 Central Ave

Cheyenne, WY 82001

United States

compliance@sentinelhealthai.com

Patient Advocate Support

Our team includes patient advocates who can help you understand your rights and navigate the dispute resolution process.

Federal Resources

For additional information about the No Surprises Act, visitcms.gov/no-surprises

Important Notices

State Laws

Some states have additional consumer protections beyond the federal No Surprises Act. Our platform complies with applicable state requirements.

Documentation

All good faith estimates, consents, and dispute resolution communications are documented and maintained in accordance with federal requirements.

Continuous Compliance

We regularly update our platform and processes to ensure ongoing compliance with No Surprises Act requirements and related regulations.

Commitment to Patient Protection

FISIOTOOL SOFTWARE LLC is committed to protecting patients from unexpected medical bills and ensuring full compliance with the No Surprises Act.

By using our platform, healthcare providers agree to comply with all No Surprises Act requirements and protect patients from surprise billing.

This commitment is part of our broader dedication to healthcare transparency, affordability, and patient-centered care.