Survey target audience: Providers
INTRODUCTIONThe Workgroup for Electronic Data Interchange (WEDI) is conducting this survey to better understand how health care providers are implementing the Good Faith Estimate (GFE)
uninsured and self-pay requirements under the federal No Surprises Act (NSA). These regulations, which went into effect on January 1, 2022, by the Centers for Medicare & Medicaid Services (CMS), require providers to issue GFEs to all patients who are paying for services out-of-pocket either upon request or upon scheduling of the service. GFEs must be delivered via email or hard copy and include specific data elements, though CMS has not mandated a specific format. An example format is available at
Good Faith Estimate Instructions. Note that any state-level legislation regarding cost estimates must still be met while also complying with the federal NSA.
WEDI is a multistakeholder, non-profit organization named in the Health Insurance Portability and Accountability Act as an advisor to the Department of Health and Human Services. This survey was developed by our NSA Task Group (NSA TG) with input from the WEDI Board of Directors. Go to www.wedi.org for more information about our organization.
The deadline for responses is
March 31, 2026. No individual identifiable information is collected in the survey, so responses are completely anonymous. The data being collected is for informational purposes only. We appreciate your feedback. If you have any questions about the survey, please submit them to apoole@wedi.org.
DEFINITIONS:The following are definitions of terms used in this survey.
An
estimate is a calculation of cost expected for items or services that have not yet been provided.
Good Faith Estimate (GFE) is an estimate that complies or intends to comply with the legislative format and content requirements as defined in the No Surprises Act. The Good Faith Estimate requirements in the NSA differ from the Hospital Price Transparency rules that apply to hospital websites.
