topbackground
 
MT image bar
   
 
 

Every quarter we will have a drawing to give away a $250 gift certificate that you enter for, simply by filling out this questionnaire. After filling it out, please feel free to visit our website to learn more about our services and capabilities.

We will contact the winner by email. Please remember to fill out your email correctly.

 


   
 

Please fill out the questionnaire below to enter into a drawing for a $250 American Express Gift certificate and begin reaping the rewards of InterPro.


(* required fields)

Facility Name: *
Contact Name/Title: *
Phone : *
Email : *
Address:
Type of Facility :
Invitation Code: * IMS
Do you currently have any open Business Services RFP's?
Business Office Management
Transcription
Coding or Credentialing
Patient Pay or Aged AR
Are you interested in a business office assessment? Yes No
Are you interested in physician management services? Yes No
Do you want more dollars from self-pay? Yes No
Could you use out reach lab revenue? Yes No
Would you like an assessment? Yes No
   

 

  
 
bottom background MT Footer MT bottom bar
MT bottombar bcg