|
Ancillary Billing Services
Compliance Program
Fee For Service
Full Assignment
Information Center
Literature
Part B Program Analysis
Sales Team
|
ProClaim
Literature
-
ProClaim
Presentation
View Attachment:
ProClaim Presentation
Data Collection Form
This is the first of two forms
required for receiving a
Program Analysis. The
Program Analysis
is a unique
tool, which provides our qualified, prospective
clients an evaluation of anticipated revenue, cost of
goods, and pre-tax income over a 12 month period.
The
Program Analysis
is provided at no cost or under
any obligation
and is based on information you provide to
ProClaim.
Please download this file, complete,
and return to us via fax: (615) 771-7599. We will
provide you with your
Program Analysis
within 72
business hours of receipt of this form and the Facility
Implementation form.
Facility Information Form
This is the second of two forms
required for receiving a Program Analysis.
Please download this file, complete,
and return to us via fax: (615) 771-7599. Upon receipt
of both the Facility Information Form and the Data Collection Form, we
will provide you with your analysis within 72 business
hours.
|