Buy 2 Trainings, Get the 3rd FREE (*$277 value) with code SUMMER3

SHOP NOW

Customizable Good Faith Estimate Template [FREE]

The No Surprises Act has thrown a wrench into how you bill your self-pay patients. You are now required to provide Good Faith Estimates to all self-pay patients, and any patient who requests one. Not giving an accurate estimate could lead to lost payments, frustrating dispute resolutions, and costly fines.

There are some very specific elements that must be included in your Good Faith Estimate. The good news is that you don’t have to take hours figuring out how to draft this complicated form.

Available immediately, you can download this Good Faith Estimate Template at no cost. This free tool provides you with everything that you’re required by law to include in your Good Faith Estimates – without any of the excesses. It’s easily customizable and printable, so you can add your practice information to the template and be ready to comply with the law in minutes.

To access your free Good Faith Estimate Template, just complete this online form. Your template will be immediately available for you to download and use, at no cost to you.

Access Your
Free Tool Now!
  • Hidden
  • Hidden
  • Hidden
  • Hidden
There is no cost or obligation, and your tool will be available to download immediately.
[class^="wpforms-"]
[class^="wpforms-"]