| nTransactions Desired:
 n
 
 Current Clearinghouse/Billing Service:
              
          n 
              
                  * Current Practice Management System Being Used :
              
          n   Approximate Claim Volume by Payor (Monthly):           n n n n n n n n* Commercial:
              
            n
 * 
            BCBS:
              
            n
 * 
            Medicaid:
              
            n
 * 
            Medicare:
               
           n
 BC
   nComments/Questions: n
 |