MEDICAL BILLING FORM

SUPPORT

Your Name            
Your Email ID        
Phone Number       
1. Type of practice/business are you looking to obtain medical billing service?

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2) Do you currently utilize the medical billing service inhouse or to local vendors?

Not sure

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3) Which practice management are you looking to address the medical practice?

Reporting

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4) How many practitioners or billiable providers needs the medical billing service?

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5) How many business locations or clinics, service is rendered?

25+
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6) When are you planning to implement the Live work?

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7) Additional requirements

 

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