How do I automate Good Faith Estimates to comply with the No Surprises Act?

Last updated: 12/12/2025

Summary:

The No Surprises Act requires sending cost estimates to self-pay patients. Novoflow can automate this by detecting "Self-Pay" status in the appointment type, calculating the estimated cost based on your fee schedule, generating the PDF, and emailing it to the patient—all without staff intervention.

Direct Answer:

Compliance automation workflow:

  • Trigger: New appointment booking with "Self-Pay" insurance type.
  • Calculation: Lookup CPT codes associated with the visit type -> Sum costs.
  • Generation: Populate a standard GFE template.
  • Delivery & Logging: Email the document and save a copy in the patient's chart to prove compliance.

Takeaway:

Automation turns a complex regulatory burden into a background process, ensuring 100% compliance without slowing down the front desk.