Introduction Form
Thank you for your interest in Care First Medical Billing Services! Please fill out the form below so we can get to know you better.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Name of your practice and state
What is your position at this practice?
What service(s) are you interest in learning more about?
Full Revenue Cycle Management
Claims & Coding
Payment Posting
Denials & Appeals
A/R Management
Reporting & Revenue Analysis
Training & Consulting
Other
How many providers are in your practice?
If you chose billing related services, how many visits does your office do per month?
If you chose credentialing, how many providers? How many payors are you interested in participating with, or how many do you need maintenance done for?
If you chose training & consulting, please give more details below
What else can you tell us about your practice?
Please verify that you are human
*
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