billingsolutions.us

FREE Needs Analysis

We are happy to provide you with a FREE initial analysis of your medical practice billing needs.

Please fill out the form as completely as possible, click submit and a Billing Specialist will respond within 24 hours. Your information will be kept confidential and will not be shared with a third party.


First Name:
Last Name:
Title/Specialty:
Organization:

Street Address:
Address (cont.):
City:
State, Zip/Postal Code:
Country:

Work Phone:
Fax:
E-mail:
URL:

What type of services are you looking for?


How many providers are in your office?


What percentage of claims are Medicare?


What percentage of claims are Blue Cross/Blue Shield?


How would you like us to contact you?
Phone E-mail Fax Mail
Contact Name:

Best time to contact you?:


How are you filing claims now?


How many claims are you filing per month?


What is your average receivables per visit?


Additional Comments: