d Diamond Medical Services -Single Physician Plan Builder

Physician Name Practice Name
Address City
County State
Telephone Zip
Fax    
       
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.