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Good Faith Estimate Template
No Surprise Billing Patient Notice
Your Right to Receive a Good Faith Estimate of Expected Charges
Starting January 1, 2022, The No Surprises Act requires all health care providers and facilities to provide uninsured and self-pay patients with a “good faith estimate” of expected charges before a patient receives services. This webinar reviews the regulatory requirements under the No Surprises Act and best practices for implementing the good faith estimate into your health center’s workflow.
Speakers:
- Gervean Williams, Director of Health Center Financial TTA, NACHC
- Vacheria Keys, Director of Regulatory Affairs, NACHC
Questions? Contact us at trainings@nachc.org.
This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,625,000 with 0 percent financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.