1. (a) A health care provider or health care facility that receives a request under (b) or (c) of this section must provide a good faith estimate under AS 18.23.400(g) and (h), regardless of whether the health care provider or health care facility uses CPT codes.

2. (b) To get a good faith estimate, a patient must provide the following information in writing to the health care provider or health care facility:

   1. (1) the patient's full name;
   2. (2) the medical condition or service for which the patient is seeking medical treatment;
   3. (3) the method by which the patient prefers to receive the estimate, including in a written letter mailed to the patient, by electronic means, or orally; and
   4. (4) the patient's contact information, including the patient's mailing address, electronic mail address, or telephone number.

3. (c) To get a good faith estimate, a parent or guardian of a minor patient must provide the following information in writing to the health care provider or health care facility:

   1. (1) the patient's full name;
   2. (2) the medical condition or service for which the patient is seeking medical treatment;
   3. (3) the method by which the parent or guardian prefers to receive the estimate, including in a written letter mailed to the parent or guardian, by electronic means, or orally; and
   4. (4) the parent or guardian's contact information, including the parent or guardian's mailing address, electronic mail address, or telephone number.

(Eff. 12/20/2020, Register 236)

Authority: AS 18.05.040, AS 18.23.400