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SelfPayCostEstimate NameofPatient:___ MR#___ DateofService:___ Welcome ThankyouforchoosingOgdenClinicforyourhealthcareneeds. Wearecommittedtotransparencyfor thecostofhealthcareservices. Aspartofthiscommitment,
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The No Surprises Act aims to protect patients from unexpected medical bills.
Healthcare providers and facilities are required to file the No Surprises Act.
The No Surprises Act can be filled out online or submitted in paper form.
The purpose of the No Surprises Act is to prevent surprise medical bills and ensure transparency in healthcare costs.
Information such as provider charges, insurance coverage, and patient responsibility must be reported on the No Surprises Act.
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