Legal

No Surprises Act — Your Right to a Good Faith Estimate

Under the federal No Surprises Act, you have the right to receive a Good Faith Estimate of the expected cost of non-emergency care before services begin.

What this means for you

You have the right to receive a Good Faith Estimate of how much your care will cost.

  • If you are uninsured or you do not plan to use your insurance, health care providers must give you an estimate of the bill for medical items and services before you receive them.
  • Make sure your provider gives you a written Good Faith Estimate at least 1 business day before your medical service. You may also ask for one before you schedule a service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Keep a copy of your Good Faith Estimate and any final bill you receive.

How we provide your Good Faith Estimate

When you schedule services with Manifest Behavioral Health, our intake team will:

  • Ask whether you intend to use insurance.
  • If you are uninsured or self-paying, prepare a written Good Faith Estimate listing the expected services, diagnostic codes, expected charges, and the provider's name and tax identification.
  • Deliver the estimate to you at least 1 business day before your first scheduled session (or sooner if requested).

If you have a question about an estimate or believe you have been billed more than your estimate by $400 or more, contact our billing office at admissions@manifestbehavioralhealth.com or (949) 735-5705.

Patient–provider dispute resolution

If your bill is at least $400 more than the Good Faith Estimate, you may initiate the federal patient–provider dispute resolution process. Visit https://www.cms.gov/nosurprises or call 1-800-985-3059 for details.

For more information about your rights under the No Surprises Act, visit cms.gov/nosurprises.

Disclosure last reviewed: May 25, 2026.