Live an Active Life With
Knoll Acupuncture

No Surprise Act (NSA)

You have the right to receive a “Good Faith Estimate”
explaining how much your healthcare will cost

Under federal law, health care providers need to give individuals who don’t have certain types of health care coverage or who are not using certain types of health care coverage a Good Faith Estimate (GFE) of their bill for health care items and services before those items or services are provided.

• You have the right to receive a Good Faith Estimate (GFE) for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

• There may be additional items or services the convening provider recommends as part of the course of care that must be scheduled or requested separately and are not included in the GFE.• The information provided in the GFE at the time it is provide is only an estimate regarding items or services reasonably expected to be furnished, and actual items, services, or charges may differ.

• The GFE is not a contract and does not require an individual to obtain the item or services from any of the providers listed in the GFE.

• If you schedule a health care item or service at least 3 business days in advance, the provider or facility is required to send you a Good Faith Estimate in writing within 1 business day after scheduling.

• If you schedule a health care item or service between 4 and 10 business days in advance, the provider or facility is required to send you Good Faith Estimate in writing within 3 business days after scheduling.

• If you schedule a same-day item or service, the provider or facility must furnish you with a Good Faith Estimate no less than three hours before you scheduled appointment or service time.

• You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, a provider or facility is required to provide you a Good Faith Estimate in writing within 3 business days.

• You have the right to initiate the patient-provider dispute resolution process if the actual billed charges are substantially in excess of the expected charges included in the GFE.

• The GFE disclaimer must include instructions for learning more about the billing dispute process along with a statement that initiation of the process will not adversely impact the quality of care you receive.
• Make sure to save a copy or picture of your Good Faith Estimate and the bill.

For questions or more information about your right to a Good Faith Estimate:
Call 1-800-985-3059

Knoll Acupuncture
Last updated: 01/01/2022
45 CFR §149.610 Required provisions of good faith estimates of expected charges for self-pay individuals

Privacy Policy


This privacy policy has been compiled to better serve those who are concerned with how their ‘Personally Identifiable Information’ (PII) is being used online. PII, as described in US privacy law and information security, is information that can be used on its own or with other information to identify, contact, or locate a single person, or to identify an individual in context. Please read our privacy policy carefully to get a clear understanding of how we collect, use, protect or otherwise handle your Personally Identifiable Information in accordance with our website.

When do we collect information?

We collect information from you when you register on our site, subscribe to a newsletter, respond to a survey, fill out a form, enter information on our site, book and appointment or provide us with feedback via a contact form or by direct message to us via an email published on this site.
How do we use your information?
We may use the information we collect from you in the following ways:
• To follow up with you after correspondence (live chat, email or phone inquiries)
• To administer a promotion, survey, or other site feature.
• To ask for ratings and reviews of services or products

How do we protect your information?

Your personal information is contained behind secured *HIPAA Compliant networks and is only accessible by a limited number of persons who have special access rights to such systems and are required to keep the information confidential. In addition, all sensitive information you supply is encrypted via Secure Socket Layer (SSL) technology.

We implement a variety of security measures when a user enters, submits, or accesses their information to maintain the safety of your personal information.
All financial transactions are processed through a gateway provider and are not stored or processed on our servers.

Do we use “cookies”?

Cookies are small files that a site or its service provider transfers to your computer’s hard drive through your Web browser (if you allow) that enables the site’s or service provider’s systems to recognize your browser and capture and remember certain information. For instance, a cookie may be used to help a website remember and process the items in your shopping cart.

We do not use cookies that would identify you or what websites you have visited. Nor do we provide tracking information about your visit to our site to any other website, ad platform, service or analytics platform whatsoever.

We do use cookies if you make a purchase on our website, and we need to remember and process the items in your shopping cart. Also if you register for a membership on our site, we will use cookies to help us understand your preferences, which enables us to provide you with improved services.

Third-party disclosure:

We do not sell, trade, or otherwise transfer to outside parties your Personally Identifiable Information. However, if you link from our site to a patient portal or appointment booking tool, then that company may accept and record the information you provide them for the purpose of fulfilling you request.

Third-party links:

Occasionally, at our discretion, we may include or offer third-party products or services on our website. These third-party sites have separate and independent privacy policies. We therefore have no responsibility or liability for the content and activities of these linked sites. Nonetheless, we seek to protect the integrity of our site and welcome any feedback about these sites.
If you have any questions, please click here to contact us.

*HIPAA = Health Insurance Portability and Accountability Act