Interested in a proposal for our Billing / Revenue Cycle Management Services? Please tell us a little about your practice.

First Name *

Last Name *

Email *

Cell Phone *

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

Name of Practice *

City *

State *

Country *

Practice Specialty *

How many providers are in your practice? *

Average # of monthly Encounters *

Avg. # of Monthly Claims *

% of Medicare / Medicaid Claims *

% of Commercial Insurance *

Average monthly claim volume *

Who's doing your billing currently? *

When are you looking to make a change? *

Thank you for sharing a little more about your business. Once you submit the form, one of our consultants will prepare a proposal and reach out to discuss it with you.