Sandra Kelly, LICSW
21 Paulding Dr. South Chatham, MA 02659
skellylicsw@gmail.com
NPI: 1073537877; Tax ID#: 11786
Public Health Service Act section 2799B-6, as added by section 112
of division BB of the CAA, requires providers, upon an individual’s
scheduling of services, or upon request, to inquire if the individual
is enrolled in a health plan or health insurance coverage, and to
provide a notification of the good faith estimate (GFE) of the
expected charges for furnishing the scheduled service with the
expected billing and diagnostic codes for these items and services.
If the individual is enrolled in a health plan or coverage (and is
seeking to have a claim for the item or service submitted to the
plan or coverage), the provider must provide this notification to
the individual’s plan or coverage. In the case that the individual
is not enrolled in a health plan or coverage or does not seek to
have a claim for the item or service submitted to the plan or
coverage, the provider must provide this notification to the
individual. These provisions apply with respect to plan years
(in the individual market, policy years) beginning on or after
January 1, 2022.
DISCLAIMER:
These estimates may change as the treatment progresses and are
not a guarantee of treatment frequency, length or cost. Your
signature does not require you to receive psychotherapy services
from me.