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Galactic Cancer Care (GCC)

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:
96413 - Chemotherapy administration, intravenous infusion technique
96415 - Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)


Do oncology practices need to provide good faith estimates for their services?

Oncology practices are required to provide good faith estimates to patients who request them.

Are oncologists subject to GFE regulations?

Yes. All oncology practices, including oncologists and hematologists, must comply with good faith estimate regulations.

What type of oncology patients should be provided with accurate cost estimates in good faith?

Oncology practices must provide uninsured and self-paying patients with good faith estimates in accordance with 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 while avoiding additional staffing expenses and stress for your oncology practice.

Our specialized No Surprises Act compliance solutions are designed to meet the unique needs of oncology practices, streamlining Good Faith Estimate processes and eliminating the need for dedicated full-time GFE staff. Rest assured, our automated email and text estimates provide fully HIPAA-compliant encrypted communications with two-factor authentication for your patients – and for those who prefer traditional paper estimates, we've got that covered too.

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Streamline operations and reduce costs in your oncology practice by automating benefit verification checks.

Automated eligibility verification enhances efficiency within oncology practices by managing administrative costs as patient volumes grow, ensuring accurate billing to the correct payer, identifying the need for prior authorization, and preventing back-end denials that lead to bad debt.

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Boost revenue for your oncology practice and receive payments quicker, while enhancing patient experience

Offer your oncology patients peace of mind by providing transparent out-of-pocket projections before service, giving them the confidence to make upfront deposits that go beyond their co-pays. Our online estimates allow patients to easily make deposits, eliminating the need for your front-desk to handle this task during service.


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

Improve your financial performance while providing a more transparent patient experience