🧾 Patient Billing & Transparency

Surprise Billing & Good Faith Estimate Notice

Federal law protects patients from certain unexpected medical bills.

Childhood Autism Services provides scheduled outpatient services. Information about your rights under the No Surprises Act is available here:

👉 https://www.cms.gov/nosurprises

Uninsured or self-pay clients have the right to receive a Good Faith Estimate of expected charges and to dispute bills that significantly exceed that estimate.

To request a Good Faith Estimate, please visit the federal information page above or contact our billing office for assistance.

Billing Expectations

Insurance coverage varies by plan. Insurance assigns patient responsibility when claims are processed, and balances remain outstanding until paid.

Families are responsible for understanding their deductible, copay, coinsurance, and out-of-pocket limits.

Authorization does not guarantee payment.

Childhood Autism Services files claims for in-network plans. Out-of-network claims may be submitted as a courtesy, but families may be responsible for filing their own claims.

Questions about plan benefits should be directed to your insurance carrier.

Understanding Insurance for ABA Services

ABA services are often applied to insurance deductibles, especially early in the year.

Insurance may apply amounts to your deductible before payments are made to providers. When insurance assigns patient responsibility, that balance remains outstanding until paid.

Your deductible and out-of-pocket maximum apply across all healthcare providers, not just ABA.

An Explanation of Benefits (EOB) explains how a claim was processed and may list amounts you owe providers.

Additional federal information about patient billing protections and Good Faith Estimates is available here:

👉 https://www.cms.gov/nosurprises