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No Surprises Act & Billing Transparency

Good Faith Estimate Notice

YOUR RIGHT TO BILLING TRANSPARENCY: UNDER FEDERAL LAW, HEALTHCARE PROVIDERS MUST GIVE PATIENTS WHO DON’T HAVE INSURANCE OR WHO ARE NOT USING INSURANCE AN ESTIMATE OF THE BILL FOR MEDICAL ITEMS AND SERVICES.

Last Updated: September 2026

1. Overview of the No Surprises Act

Under Section 2799B-6 of the Public Health Service Act (enacted as part of the federal No Surprises Act), healthcare providers and clinical facilities are required to provide a “Good Faith Estimate” (GFE) of expected charges to individuals who are uninsured or who elect not to submit claims to a health insurance plan (“self-pay” patients).

Clinical oversight, physician consultations, and medical therapies are provided by James E. Boyd, MD APMC, and non-clinical practice administration, facility management, and billing support are coordinated by Restore Health and Wellness, Inc.

2. Who Has the Right to a Good Faith Estimate?

You are entitled to receive a written Good Faith Estimate if:

  • You are uninsured (you do not have commercial health insurance, Medicare, Medi-Cal/Medicaid, or other coverage); or
  • You have health insurance coverage, but you voluntarily choose not to use your insurance benefits for the services you receive at our clinic or through our mobile/shipped programs (cash-pay / self-pay).

3. What the Good Faith Estimate Covers

A Good Faith Estimate outlines the total expected cost of any non-emergency medical items or services reasonably anticipated for your scheduled appointment or treatment series:

  • Included Items: Clinical intake screenings, clinician evaluations, nursing administration fees, intravenous infusion supplies, medical equipment utilization (including hyperbaric oxygen chambers), prescription compounds, and vitamins/nutrients.
  • Elective Therapy Transparency: For elective wellness infusions, injections, and at-home wellness kits, our published menu prices represent our transparent, per-visit all-inclusive cash cost. If additional add-ons, boosts, or specialized formulations are requested during your appointment, your clinician will review the incremental cost before administration.
  • Exclusions: A Good Faith Estimate does not include unforeseen complications or emergency care that could arise during medical treatment that could not have been reasonably anticipated in advance.

4. Delivery Timelines

We provide written Good Faith Estimates according to the following federally mandated schedule:

  • Appointments Scheduled 3 to 9 Business Days in Advance: You will receive your written estimate within 1 business day after scheduling.
  • Appointments Scheduled at Least 10 Business Days in Advance: You will receive your written estimate within 3 business days after scheduling.
  • Estimates Requested Prior to Scheduling: If you request an estimate without booking an appointment, our administrative team will provide it in writing within 3 business days of your request.

5. How to Retain Your Estimate

Your Good Faith Estimate will be delivered in writing, either electronically (via email, patient portal, or booking confirmation) or as a printed paper copy upon request at our front desk. Please save an electronic copy or take a photo of your Good Faith Estimate for your personal financial records.

6. Your Right to Dispute a Medical Bill

If you receive a bill for healthcare services from our practice that is at least $400 higher than the total expected charges specified on your Good Faith Estimate, you have the legal right to dispute the charges:

  • Federal PPDR Process: You may initiate the federal Patient-Provider Dispute Resolution (PPDR) process through the U.S. Department of Health and Human Services (HHS).
  • Filing Deadline: You must submit your dispute claim within 120 calendar days (approximately 4 months) from the date listed on the original bill.
  • Administrative Review: An independent dispute resolution entity will review the estimate, the bill, and clinical documentation to determine the final allowable fee.
  • Direct Resolution: Before initiating an external dispute, we encourage you to contact our billing office directly at (858) 351-3255. We will promptly review your statement against your original estimate to correct any clerical errors or unapproved fees.

7. Disclaimers & Non-Contractual Nature

A Good Faith Estimate is a projection of expected charges based on information known at the time of calculation. It is not an agreement or contract, does not obligate you to purchase or receive any item or therapy evaluated, and does not guarantee specific therapeutic outcomes.

8. Billing Inquiries & Federal Resources

If you have questions regarding your Good Faith Estimate, your billing statement, or fees, please contact our billing coordinators:

  • Entity: Restore Health and Wellness, Inc. / James E. Boyd, MD APMC
  • Department: Patient Accounts & Billing Transparency
  • Address: 12220 World Trade Dr, Suite 130, San Diego, CA 92128
  • Phone: (858) 351-3255
  • Email: Info@RestoreHealthIV.com

To learn more about your rights under the No Surprises Act or to initiate a dispute with the federal government, visit the Centers for Medicare & Medicaid Services (CMS):