Just to be sure - what type of solution are you looking for?
EHR / EMR
Medical Billing Services
Practice Management System
All the above
How many locations does your practice have?
1
2
3 - 4
4 +
Number of Providers
1 - 2
3 - 5
6 - 10
11 - 25
25+
How would you describe your practice?
Primary care
Dental
Hospital
Physical therapy/ chiropractic
Specialty’
Specify specialty
Do you have any file cabinets in your practice or stored in a different place?
Yes
No
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Do you currently work with a medical billing service provider?
Yes
No
On average practices suffer a 19 to 30% claim rejection/denial or non-payment rate. Would you say you are about average?
Percentage
How much on average is collected per month from Insurance companies? (Total Revenue)
Dollar amount
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What is your current process for confirming patient appointments (automated/ manual)?
Patient Eligibility
What is your current process for verifying insurance eligibility prior to NEW patient visits (automated/ manual)?
What is your current process for re-verifying insurance eligibility prior to established patient visits (automated/ manual)?
Are there any areas of your practice that you would like to enhance performance / efficiency?
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What is your zip code?
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Practice Name
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Email
Practice Website
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Let’s finish up! Who do we have the pleasure of working with on this quote request?
First Name
Last Name
Job Title
Phone Number
-
Area Code
Phone Number
Submit
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