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Galactic Ear, Nose, and Throat Center (GENTC)

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:
31231 - Nasal endoscopy, diagnostic
92511 - Nasopharyngoscopy, diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)


Do otolaryngology practices need to provide good faith estimates?

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

Are otolaryngologists subject to GFE regulations?

All otolaryngology practices, including audiologists and ENT physicians, must comply with good faith estimate regulations.

What type of patients in otolaryngology practices should be provided with good faith estimates?

Otolaryngology practices must provide uninsured and self-paying patients with good faith estimates 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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Attain compliance with the No Surprises Act, without incurring additional staffing expenses or headaches, specifically tailored for otolaryngology practices.

Our services ensure that your otolaryngology practice remains compliant with the legal requirements of the No Surprises Act regarding Good Faith Estimates. You can save costs by avoiding the need to hire additional staff exclusively for this repetitive task. We provide patients with HIPAA-compliant encrypted letters, complete with two-factor authentication, via automated email/text. If some patients prefer paper estimates, we accommodate those requests as well.

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Boost your otolaryngology practice's profitability by automating benefit checks and reducing bad debt and administrative costs.

Automated eligibility verification can benefit your otolaryngology practice by increasing staff efficiency and reducing administrative costs as patient volume increases. With this technology, you can ensure that you bill the correct payer, identify the need for prior authorization, and avoid back-end denials that result in bad debt.

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Boost revenue for your otolaryngology practice while enhancing patient experience and accelerating payment collections

Provide your otolaryngology patients with transparent out-of-pocket projections in advance of service to increase their confidence in receiving care and making upfront deposits. With our online estimates, patients can make deposits directly, saving your front-desk staff from inefficient and potentially uncomfortable situations during the appointment.


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

Get paid in full by bringing clarity to your revenue cycle