Free Surprise Medical Bill Dispute Letter Template (No Surprises Act)

Assert your No Surprises Act protections and request a corrected bill.

The federal No Surprises Act protects most patients from out-of-network balance billing for emergency care and for out-of-network care received at an in-network facility — in those situations, you generally owe only your in-network cost-sharing amount. This free template asserts that protection directly to the billing provider and requests a corrected bill.

What's in the Template

A full letter you can copy: patient and account identifiers, a section describing the emergency or out-of-network-at-in-network-facility circumstances, a request for a corrected itemized statement, and a note that a complaint can be filed with the federal No Surprises Help Desk at cms.gov/nosurprises or 1-800-985-3059.

What the Law Covers

Ground ambulances are generally NOT covered by the federal No Surprises Act (though some states protect them separately); uninsured/self-pay patients have a related Good Faith Estimate dispute process for bills $400 or more over the estimate, generally within 120 days.

Want It Done for You?

Medigami's $149 Bill Rescue service reviews your bill and drafts the dispute for you — done in 48 hours. You review, sign, and submit it yourself.

Educational free template only. Not legal advice. Consult a licensed attorney or your state insurance department about your specific situation.


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