Home
About
Easy Billing Blog
Affiliates & Resources
Products & Services
Pricing
Services
Get a Quote
Training
Training Calendar
Weekly Training Archives
Training Check Lists
Claims Tutorials
Patients Tutorials
Setup Tutorials
Client Billing Tutorials
Payments Tutorials
Interface Partners Tutorials
Reports Tutorials
Scheduling Tutorials
Reports
Claim Query Reports
Quick Claim Reports
Patient Query Reports
Patient Query Reports
Quick Patient Reports
Quick Commission Reports
Transaction Query Reports
Quick Transaction Reports
Patient Statements
Demo
Schedule a Demo
Testimonials
Contact
Get a Quote
Please fill out all the required fields.
*
Indicates required field
Person Completing Form:
*
First
Last
Referred By:
*
Email:
*
Specialty:
*
Acupuncture
Billing Service
Chiropractic
Medical Office
Mental Health
Pathology Lab
Physical Therapy
Other
Please select all that apply.
Company Name:
*
Program and Set Up
When would you like to start using the program?
*
Easy Billing Product of Interest
*
PLEASE SELECT
Easy Billing Pro I, II, or III
Easy Billing Pro Lite
Number of Workstations
*
PLEASE SELECT
1 to 2
3 to 8
9 to 15
Over 15
Number of Providers
*
Electronic Submission:
*
Yes
No
I don't know
Will you be using a server?
*
PLEASE SELECT
No
Yes
I don't know
Network
Do you require networking?
*
PLEASE SELECT
No
Yes
I don't know
Do you require Peer-to-Peer Networking?
*
PLEASE SELECT
No
Yes
I don't know
Will you require Remote Access?
*
PLEASE SELECT
No
Yes
I don't know
Do you require HL7 Interface?
*
PLEASE SELECT
No
Yes
I don't know
Comments and Questions:
*
Submit
Home
About
Easy Billing Blog
Affiliates & Resources
Products & Services
Pricing
Services
Get a Quote
Training
Training Calendar
Weekly Training Archives
Training Check Lists
Claims Tutorials
Patients Tutorials
Setup Tutorials
Client Billing Tutorials
Payments Tutorials
Interface Partners Tutorials
Reports Tutorials
Scheduling Tutorials
Reports
Claim Query Reports
Quick Claim Reports
Patient Query Reports
Patient Query Reports
Quick Patient Reports
Quick Commission Reports
Transaction Query Reports
Quick Transaction Reports
Patient Statements
Demo
Schedule a Demo
Testimonials
Contact
