A convening provider or convening facility (the one that receives the initial request or schedules the primary item or service) must determine whether an individual is uninsured or self-pay by asking whether they are enrolled in a group health plan, individual or group coverage, a Federal health care program or an FEHB plan, and whether an enrolled individual is seeking to have a claim submitted for the primary item or service; must inform all uninsured or self-pay individuals that a good faith estimate is available on scheduling or on request, with that information written clearly, prominently displayed and searchable on the website, in the office and on site where scheduling or cost questions occur, given orally when scheduling or when cost questions arise, and available in accessible formats and in the languages spoken by the individuals; and must treat any discussion or enquiry about potential costs as a request for a good faith estimate.
The graph holds this control, the 0 it maps to, and the evidence behind each claim, over MCP and REST.