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  • 53990 Carmichael Dr. Suite 100
    South Bend, IN 46635
    Questions? Call us Toll Free 1-877-251-2105

Good Faith Estimate for Non-emergency Services

In accordance with Indiana’s House Enrolled Act (HEA 1004-2020), effective July 1, 2020, patients may request an estimate of their charges for non-emergency medical services provided at this facility.

Per requirements, we will supply the requested information within five business days of obtaining all necessary information from you to complete the estimate.

This estimate is not binding and is not a guarantee of final billed charges. The actual charges for services may vary based on the patient’s medical needs, and is only valid for 30 days.

If you have health insurance, your individual plan benefits will determine the final amount you owe. We encourage you to contact your insurance company to address questions regarding your benefits.

Please call (574) 243-9700 to request a Good Faith Estimate.

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