No Surprise Billing

At Josi Health, we believe in transparency, trust, and fairness. We’re committed to ensuring that you always know what you’ll pay — and that you’re never surprised by unexpected bills.


What This Means for You

  • You’ll always know what you’ll pay before your appointment.
  • If there’s a change in cost, we’ll notify you at least 24 hours in advance, whenever feasible.
  • If you receive care at an in-network facility (or we’ve confirmed provider/site status in writing), you won’t be billed for unexpected out-of-network charges.
  • You’ll only be responsible for your in-network cost-sharing amounts (copay, coinsurance, deductible) — nothing more.
  • If an insurance denial or adjustment occurs for reasons outside your control, you will not receive a surprise bill.


How It Works

  1. Initial Estimate: Before you schedule your appointment, we’ll provide an estimate of your out-of-pocket cost.
  2. Final Confirmation: At least 24 hours before your appointment, we’ll confirm the amount you’re responsible for and provide you with changes, if any.
  3. Billing & Payment: After your visit, we’ll submit claims to your insurer and bill you only for your confirmed amount. If your insurer’s Explanation of Benefits (EOB) shows you owe less, we’ll automatically refund the difference.
  4. Insurance Denials: If your insurer denies a claim due to administrative issues or delays, we’ll work with you and your insurer directly — you won’t be left with a surprise bill.
  5. If Coverage Details Change: Occasionally, your deductible, coverage limits, or coordination of benefits may change. We’ll notify you if this affects your cost estimate.

     

Differences Between Estimated and Final Amounts Due to No Fault or Action of the Patient

If there is a difference between the estimated responsibility and the final responsibility due to no fault of action of you (for example, if you let coverage lapse, tell us incomplete insurance details,or incorrect coordination of benefits information), Josi Health will not collect the balance from you provided you actively assist in resolving the claim.

Your cooperation requirements include, but are not limited to:

  • Responding to requests for information (e.g., updated insurance cards, coordination-of-benefits forms, accident questionnaires).
  • Signing necessary forms and authorizations.
  • Communicating with your insurer when required (for example, confirming your primary insurance).
If a patient fails to cooperate in resolving an insurance issue, financial responsibility reverts to the patient. This policy promotes trust and transparency — and ensures you’re not penalized for administrative errors or delays that are outside your control.


Our Commitment

We’re here to help you understand your costs, avoid hidden charges, and feel confident in your care experience. If you ever receive a bill that doesn’t look right, please contact us immediately — our billing team will review and resolve it.


Questions? Contact Us

Email: contact@josihealth.com
Thank you for trusting Josi Health. We’re proud to provide care that’s both clinically excellent and financially transparent.

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