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Take the first step towards optimized revenue and streamlined operations by requesting a personalized quote today.

Let us empower your practice's financial health while you focus on what you do best – providing exceptional care to your clients.

Practice Name *

Contact Name

First Name

Last Name

Email *

Phone *

(###)

###

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Number of Therapists in your Practice? *

Please tell us the number of Therapists in your Practice

Number of Government Payer Claims Filed Monthly *

Please give an approximate number of Medicaid, Medicare or other Gov't Ins. Claims filed per month, put 0 if zero claims

Number of Private Insurance Claims Filed Monthly *

Please give an approximate number of Private Insurance Claims filed per month, put 0 if zero claims

Do you collect co-payments? *

Which Government and Private Insurance Programs do you work with? *

What Therapies does your practice offer? *

ABA/Autism

Speech/Language

Hearing

Physical

Occupational

Mental Health Counseling

Substance Abuse/Rehab Counseling

Chiropractic

Do you need Additional Services?

Credentialing and Network Enrollment

Credentialing and Network Enrollment

Licensing & NPI management

Insurance Benefit and Eligibility Verification

Prior Authorization Management

Do you use an EMR system like WebPT or ClinicSource? if so, which one? *

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Your Therapy Billing

5335 Robinhood Village Drive, Ste 117

Winston-Salem, NC 27106