Plan Builder - Multi-Physician Practice

Physician Name Practice Name
Address City
County State
Telephone Zip
Fax    
       
Please Select One:



   
Type of Practice    

Select Your Desired Services:

Electronic Claim Submission

Patient Accounting and Billing

Claims Resolution/Research

Scheduling Software Support

Technical Support

Credentialing

Other (please describe below)

 

Non-Electronic Claims

Practice Management

Collections Only

Office Staff Training

Transcriptions

Medical Coding

Patient Benefit and Auth Services

 

 

 

     

*Plan terms are not active until agreed upon by both parties in consultation.