Outsourcing Medical Billing, Medical Coding Outsourcing

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1.	What type of practice do you need a billing service? [required]
		Primary
		Speciality

2.	Approximately how many patients do you see per day? [required]


3.	How many medical billing service providers currently you need? [required]
		0 - 5
		5 - 10
		More than 10

4.	Estimated budget for this project? [required]
		Less than $200
		$200 - $500
		$500 - $1000
		$1000 - $2000
		More then $2000

5.	Mode of Payment ? [required]
		Paypal Or Others
		E - Transfer
		Wire Transfer
		Cheque
		Others

6.	Payment Cycle ? [required]
		Weekly
		Monthly
		After Completion Of Work
		Others

7.	Is there any advance payment made by you to service providers? If yes please specify how much? [required]
		YES
		NO
		If YES Then,

8.	Brief Description Of Your Requirement (Within 1000 Character)


9.	If you have any Attachment file for any further help, feel free to attach same for our better understanding.
	File Upload... (Select a file type .txt, .xls, .doc, .pdf or .zip only)