top of page

HEALTH CARE PROVIDER INTAKE FORM

Let us help you to improve your revenue cycle collection from payer to patients.

Please fill out the following health care provider form to help us understand your billing needs.

Do you submit out-of-network claims?
On average, how many claims are submitted each week?
Which area(s) would you like assistance (choose all that apply)

Thanks for submitting!

ARM
TELEHEALTH
BILLING & CODING
bottom of page