Please take the time to explain the challenges your organization is facing and how Medbill may be of service. What is Your Name?* What is Your Email Address?* What is Your Phone Number?* What is the Name of Your Company? Company's Address Company's City Company's State* ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming--District of ColumbiaPuerto RicoGuamAmerican SamoaU.S. Virgin IslandsNorthern Mariana Islands Company's Zip What is Your Current Billing Software? (ie: BrightTree, TeamDME, None etc.) ---ADVANCEDMDBFLOWBONAFIDEBRIGHTREECPR+DME WORKSFASTRACKMESTAMEDNIKONONEQS1TEAMDMEUNIVERSAL( OTHER ) What is Your Company's Annual Revenue? What are the Main Concerns and Pain Points in Your Current Processes? How can we be of Service?
