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Galactic Gynecology & Obstetrics (GGO)

Good Faith Estimate for Health Care Items and Services

Patient Identification Number: 156749125
Evergreen Ave
Mountain City, CO 34510
The following is a detailed list of expected chargers for the appointment scheduled for 11/2/2023. The estimated costs are valid for 12 months from the date of the Good Faith Estimate.
Details for Services and Items for appointment located at Mountain City:
59400 - Routine obstetric care
81025 - Urine pregnancy test, by visual color comparison methods.


Do OB/GYN practices need to provide good faith estimates for their services?

OB/GYN practices are required to provide good faith estimates to patients who request them.

Are OB/GYN practices subject to GFE regulations for all their doctors?

Obstetricians and gynecologists, along with other healthcare providers in their field, are required to follow the good faith estimate rules.

What type of patients in OB/GYN practices should be provided with good faith estimates?

OB/GYN practices must provide good faith estimates to uninsured and self-paying patients as required by the No Surprises Act.

Achieve compliance and boost collections at the same time

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Automatically send Good Faith Estimates via email, text, or letters

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Project out-of-pocket costs

Generate accurate estimates for patients that include deductibles, copays, and coinsurance.

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Unlock upfront payments

Enable patients to make upfront deposits and payment plan elections online, directly from their estimates.

3 wins for your 



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Ensure No Surprises Act compliance for your OB/GYN practice without the burden of additional staffing expenses or complications

Our solution ensures your OB/GYN practice is compliant with the No Surprises Act's legal requirements on Good Faith Estimates, eliminating the need for costly full-time staff dedicated to this repetitive task. Patients will receive HIPAA-compliant encrypted letters with two-factor authentication via automated email or text, while paper estimates are also available upon request.

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Eliminate bad debt and reduce administrative expenses by automating benefit verifications for your OB/GYN practice

Automated eligibility verification helps your OB/GYN practice become more efficient, minimizing administrative costs and ensuring accurate billing for the right payer. With prior authorization alerts and real-time denial prevention, you can manage increasing patient volumes effectively and avoid bad debt.

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Enhance your OB/GYN practice's revenue by accelerating patient collections and elevating patient satisfaction

Provide your OB/GYN patients with transparent out-of-pocket cost estimates before their visit to give them the assurance they need to receive care, even with upfront deposits that exceed the co-pay. Let your patients make deposits directly through our online tools, saving your front-desk staff from uncomfortable and ineffective interactions during service.


MD Clarity works with the tools you use to run your practice.

Get paid in full by bringing clarity to your revenue cycle