Plan Builder - Multi-Physician Practice

Physician Name Practice Name
Address City
County State
Telephone Zip
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


Other (please describe below)


Non-Electronic Claims

Practice Management

Collections Only

Office Staff Training


Medical Coding

Patient Benefit and Auth Services





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