Good Faith Estimate Template
This Spreadsheet Template makes create a Good Faith Estimate for your out-of-pocket and out-of-network clients as easy as a few clicks! Perfect for group practices that have multiple clinicians and need a swift way to comply with the current regulations. It is an Excel spreadsheet can be easily copy and pasted into Google Sheets, but I am also able to send a link for a Google Sheets Template upon purchase, if requested.
The Yellow cells indicate where changes need to be made for customizing it to your company. Once changing the first date of service, the others will automatically update to weekly sessions.
Please consult with your Practice's attorney for guidance on the best legal disclaimers for your Practice.