I am interested in learning more about your services!
Please fill out this form as accurately as possible so that we can thoroughly assess the needs of your business.
Name *
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Practice Name *
Your answer
Address *
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Phone *
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Fax *
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Email *
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Additional Locations *
If Yes, or if additional locations are a possibility, where are they located? *
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Specialties *
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Are you a Group or Solo Practice? *
How many billable providers? *
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Please provide name (and NPI, if known) for each billable provider: *
Your answer
How many clients do you currently serve? *
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Are you In-Network with insurance carriers? *
If yes, which companies are you currently contracted with?
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What services are you interested in? *
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Is your billing currently done in-house or outsourced? *
If your billing is done in-house, how many billing employees do you have?
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What is your billers' average hourly salary?
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How many hours per week are spent processing claims?
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How many claims on average per month do you currently process?
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