Healthcare Process Outsourcing Quote
Medical Billing, Coding, Claims and other Healthcare Services
(We generally work from 9 AM to 7 PM EST. Special requests out of our Office Hours may be addressed depending upon availability of a Solution Consultant)
Email address
Provider Name
Your answer
Practice Name
Your answer
Address of the Practice
Your answer
State of the Practice
Your answer
Provider Contact Number
Your answer
Specialty
Choose the Package
Individual Services (If You have selected Individualized Package, please select the service You look for)
How Many Providers are there in Your Practice?
How many Patients does each Provider in Your Practice serve daily on an average?
Your answer
What is the average income per appointment? (Not billed, but the amount received) OR What was the Practice's annual turnover during the last 12 months?
Your answer
Do you want to enter some of Your own data (for a lower percentage)?
Choose the Kareo Platforms Needed
Best Time To Reach Me
Any Special Request?
Your answer
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This form was created inside of ASP SOLU-TECH LLC. Report Abuse - Terms of Service - Additional Terms