Billing Transparency and Patient Financial Information

At 1 True Health Care Management, we are committed to providing transparent and straightforward information about medical costs to ensure our patients can make informed decisions about their healthcare. Below is an overview of our billing practices and patient financial policies.

Understanding Your Charges

1 True Health California PC, the medical practice with which we collaborate, determines the charges for medical services. As an administrative partner, 1 True Health Care Management facilitates billing and ensures compliance with all applicable regulations, including federal and state laws.

In compliance with California and Texas state laws and the federal No Surprises Act, we provide the following information to assist you:

Good Faith Estimate (GFE)

If you are uninsured or choose to self-pay, you are entitled to receive a Good Faith Estimate detailing the expected costs of your medical services.

• How to Request a GFE: You may request a Good Faith Estimate before scheduling a service by emailing us at billing@1thcm.com

• No Surprises Act: For insured patients, we aim to avoid unexpected bills by verifying your coverage and sharing cost estimates whenever possible.

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

Standard Charges for Services

To promote pricing transparency, we make available a list of standard charges for services provided by 1 True Health California PC.

• These include: Gross charges (before any discounts)

You can access our Charge Master here, which includes commonly used services like office visits, RPM, and CCM.

What You May Be Billed For

Depending on your treatment plan, you may receive separate bills for services rendered. These could include:

• Medical services provided by 1 True Health California PC.
• Ancillary services such as imaging, labs, or other diagnostics.
• Out-of-network charges, if applicable (although we strive to minimize these).

If you have questions about a specific charge, contact us at billing@1thcm.com

Your Financial Responsibilities

We encourage you to familiarize yourself with your insurance coverage. Before your appointment, we can assist in verifying:

• Copays: Fixed amounts required at the time of service.
• Deductibles: The portion of costs you are responsible for before insurance pays.
• Out-of-Pocket Costs: Any amount not covered by your insurance plan.

Payment plans and financing options may be available. Contact our billing team to discuss flexible solutions.

Dispute Resolution Process

If you believe you have received an incorrect or unexpected bill, please contact us immediately at billing@1thcm.com. Our team is here to resolve issues promptly.

• California Patients: You may also file a complaint with the California Department of Managed Health Care athttps://www.dmhc.ca.gov/FileaComplaint.aspx.
• Texas Patients: You may file a complaint with the Texas Department of Insurance at https://www.tdi.texas.gov/consumer/get-help-with-an-insurance-complaint.html.

Insurance and Coverage

We accept a range of insurance plans, including Medicare other Commercial Payors. If you are unsure whether your plan is accepted,please contact us at billing@1thcm.com.

Contact Us

If you have questions about your charges, insurance coverage, or financial options, please don’t hesitate to reach out:

• Email: billing@1thcm.com

We are committed to providing affordable and transparent healthcare services for all patients in California, Texas, and beyond.