Solace
Mental Health
and
Wellness LLC

Solace Mental Health and Wellness LLC Solace Mental Health and Wellness LLC Solace Mental Health and Wellness LLC

Solace
Mental Health
and
Wellness LLC

Solace Mental Health and Wellness LLC Solace Mental Health and Wellness LLC Solace Mental Health and Wellness LLC
  • Home
  • Main Menu
    • Services Provided
    • Our Office
    • Accepted Insurance / Fees
    • Solace Policies / Consent
    • Privacy Policy
    • No Surprises Act Policy
    • Emergency Resources
    • FAQs
    • Contact Us
  • Meet Our Team
    • Kelly Bartz, CRNP-PMH
    • Nneka Ezunagu, CRNP-PMH
    • Kara Iacovella, CRNP-PMH
    • Marquetta Randall
    • Abigail Ritinski, AUD
  • Audiology
  • New Patient Request
  • More
    • Home
    • Main Menu
      • Services Provided
      • Our Office
      • Accepted Insurance / Fees
      • Solace Policies / Consent
      • Privacy Policy
      • No Surprises Act Policy
      • Emergency Resources
      • FAQs
      • Contact Us
    • Meet Our Team
      • Kelly Bartz, CRNP-PMH
      • Nneka Ezunagu, CRNP-PMH
      • Kara Iacovella, CRNP-PMH
      • Marquetta Randall
      • Abigail Ritinski, AUD
    • Audiology
    • New Patient Request

  • Home
  • Main Menu
  • Meet Our Team
  • Audiology
  • New Patient Request

No Surprises act information and policy

Please access the links below to see information related to the No Surprises Act, and the Solace Mental Health and Wellness LLC Surprise Billing Protection Form and Good Faith Estimate for Self-Pay and Out-of-Network Insurances (pdf). Updated/active as of 01/01/2022. 

Model Disclosure Notice Regarding Patient Protections Against Surprise Billing Instructions for Providers and Facilities (pdf)Download
Standard Notice and Consent Documents Under the No Surprises Act (pdf)Download
Surprise Billing Protection Form and Good Faith Estimate for Self-Pay and Out-of-Network Insurances (pdf)Download

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