Get A Quote

First Name *

Last Name *

Company *

Address

Street Address *

City

State

Postal code

Are you working with a medical billing company? *

Yes

Please Enter Name of Medical Billing Co. *

Industry *

Please Enter Other Industry: *

No collection efforts will be made on accounts under $100 dollars.

Number of Accounts for Collections

Average Balance of Accounts

Average Age of Debt

How often will you send us accounts?

How many accounts will you send us per month?

Email *

Phone *

Website

Message (Optional)

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.

Captcha