Free Estimate Please fix the following errors: First Name Last Name Address 1 Address 2 City State Zipcode Phone Fax Email Practice Specialty Contact Person/Title How many providers are in your office? 1 2 3 4 5+ How many insurance patients are seen per month? 0 - 150 150 - 300 300 - 500 500 - 1000 1000+ How many patient statements do you presently mail per month? 0 - 50 50 - 100 100 - 200 200 - 350 350 - 500 500+ What are the average gross charges per month for the entire practice? $15,000 or less $15,000 - $25,000 $25,000 - $50,000 $50,000 - $100,000 $100,000 - $150,000 $150,000 - $200,000 $200,000 - $250,000 $250,000 - $350,000 $350,000 - $500,000 $500,000+ What is your current accounts receivable? Notes Url Hpt Comment Hpt hpt Submit