For more information about our services, please provide the following us with the following details. If you are interested in viewing our Service Bridge demo, a username and password will be emailed to you.
Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
Which description best fits your practice?
If you answered other, how would you describe your service?
Which of the following billing services are you interested in?
Complete practice management
Electronic filing of healthcare claims
Paper filing of healthcare claims
Posting of payments
Clean up of aging claims
Ambulance providers only: Access to electronic
medical records
Are you interested in temporary or permanent services?
Temporary
Permanent
Ambulance services only: What is the size of your service in number of units?
Ambulance services only: What is the size of your service in number of actual transported yearly runs?
How many claims does your organization process each month?
If you are willing and able, please provide us with your approximate annual generated reimbursement.
Are you interested in DeLisa's Billing Services along with the billing services from ImageTrend?