Good Faith Estimates, without the paperwork dread
Enter your practice once, add each self-pay client with their itemized services, and generate a print-ready Good Faith Estimate — patient and provider details, itemized expected charges with codes, and the required No Surprises Act notices with their sources cited.
100% client-side — client names, dates of birth, and fee data never leave this browser. No uploads, no accounts, no servers. Nothing here is transmitted anywhere.
Not legal advice. This is a documentation aid. Disclaimer wording is adapted from CMS Form CMS-10791 and CMS FAQs; verify current requirements at cms.gov and with your own counsel before relying on any document it produces.
1 Provider profile
Entered once — printed on every GFE. Name and NPI are required.
2 Clients
Add each self-pay client, then select one to itemize their services in Step 3.
Add a client
3 Itemized services
One line per service you reasonably expect to furnish in this period of care. CPT/HCPCS codes are optional (5 digits when used).
Add a service line
Quick-pick common codes: verify
4 Generate & print the GFE PRO
Assembles patient + provider details, the itemized charges, and the required No Surprises Act notices (each with its CMS source cited) into a print-ready document.
5 Backup
Everything autosaves in this browser. Download a backup file before switching computers — client data is sensitive, so keep backup files somewhere safe.
FAQ
Does any client data leave my browser?
No. Provider profile, client names, dates of birth, and fee data are processed and stored only in this browser's local storage. Nothing is uploaded to any server. Because no third party ever sees the data, there is no third-party disclosure to manage — but always follow your own practice's privacy policies too.
What is free and what is Pro?
Free: generate up to 3 GFE documents, with print for each. Pro ($14 one-time) unlocks unlimited GFE documents plus batch printing of every client's GFE in one go.
Is this legal advice? Will the document satisfy CMS?
No — this is a documentation aid, not legal advice, and we make no promise that any generated document satisfies legal requirements. The required notices are adapted from CMS Form CMS-10791 and CMS FAQs, and each notice cites its source on the printed page. Verify current requirements at cms.gov and with your own counsel. Items marked verify need your own confirmation.
Do I need diagnosis codes on the GFE?
CMS guidance says diagnosis codes are not required unless necessary to calculate the estimate. Many therapy practices issue GFEs without them. verify — confirm with your own counsel whether your situation needs them.
When must the GFE be given to the client?
Timing rules depend on how far in advance the service is scheduled or requested. The rules are summarized from secondary sources and may change — verify current timing requirements at cms.gov before relying on them.
Will my work be saved if I close the tab?
Yes — every change autosaves to this browser's local storage. Use Step 5 to download a backup file if you work on more than one computer.