RCM Services for Emergency Medicine Providers

First Name *

Last Name *

Business Email: *

Claims Volume

Company *

Company Type * -- Please Select -- Billing Service Dental Emergency Medical Service Government Agency Healthcare Information Exchange Home Health Agency Hospital Employed Practice Hospital/Health System Imaging Center Independent Practice Affiliated with Hospital Independent Practice Not Affiliated with Hospital Laboratory Partner/Reseller Payer Software Vendor Trust Other

Practice Specialty -- Please Select -- Anesthesia Cardiology Emergency Medicine Pathology Radiology Other

Business Phone

State/Location * -- Please Select -- Alaska Alabama Arkansas Arizona California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming -- Other Locations -- Canada Guam Puerto Rico U.S. Virgin Islands Other