7 AAC 86.030 - Good faith estimate
(a) A health care provider or health care
facility that receives a request under (b) or (c) of this section must provide
a good faith estimate under
AS
18.23.400(g) and (h),
regardless of whether the health care provider or health care facility uses CPT
codes.
(b) To get a good faith
estimate, a patient must provide the following information in writing to the
health care provider or health care facility:
(1) the patient's full name;
(2) the medical condition or service for
which the patient is seeking medical treatment;
(3) the method by which the patient prefers
to receive the estimate, including in a written letter mailed to the patient,
by electronic means, or orally; and
(4) the patient's contact information,
including the patient's mailing address, electronic mail address, or telephone
number.
(c) To get a
good faith estimate, a parent or guardian of a minor patient must provide the
following information in writing to the health care provider or health care
facility:
(1) the patient's full
name;
(2) the medical condition or
service for which the patient is seeking medical treatment;
(3) the method by which the parent or
guardian prefers to receive the estimate, including in a written letter mailed
to the parent or guardian, by electronic means, or orally; and
(4) the parent or guardian's contact
information, including the parent or guardian's mailing address, electronic
mail address, or telephone number.
Notes
Authority:AS 18.05.040
AS 18.23.400
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