No Surprises Act — §149.620

Good Faith Estimate Dispute Tool

If you're uninsured or self-pay and your bill exceeds your Good Faith Estimate by $400+, this tool builds a complete Patient-Provider Dispute Resolution (PPDR) packet: open-negotiation letter, CMS cover sheet, and portal walkthrough.

$400
Statutory threshold
120 days
From bill receipt to file
$25
Admin fee (refundable)

What is a Good Faith Estimate? Plain-English answer with sources

No Surprises Act §149.610 + CMS-10780 dispute steps, sourced inline.

CMS SDR Portal 1-800-985-3059 NSA Complaint Tool

Unlock GFE Dispute Tool with FairPass

Compare prices, negotiate bills, and save up to 40–60%* on eligible care

*Savings vary by procedure, location, and provider. Based on price spreads in public CMS data; individual results not guaranteed.

Search 9M+ providers with 20.5M+ real price data points
Full contact info: phone, address, and website
97 negotiation templates and AI-powered bill audit
Price alerts, provider quality scores, and cost comparisons

Plans from

$29/month

Save 20%+ on 6-month and annual plans

Auto-renews at the selected price. Cancel anytime from your dashboard — access continues through the end of the billing period.

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Legal Disclaimer

This tool provides general information about the No Surprises Act PPDR process and generates template dispute documents. It does not constitute legal advice. Statutory basis: 42 U.S.C. §300gg-136; 45 C.F.R. §149.620. FairVisitHealth is not a law firm, healthcare provider, or insurance company. For case-specific advice, consult a healthcare billing advocate or consumer-rights attorney.