Chronicles Billing

Phone : 770-954-1358 / 1-800-467-0141

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How did you find us? (google, yahoo, msn, hotmail, etc.)
First Name
Last Name
Practice/Clinic Name
Your Role? (Owner/Partner, Ofc. Mgr, Consultant)
Address Line 1
City
State
Zip Code
Daytime Phone
Fax
E-mail Address
Medical specialty
New Practice or Existing?
Avg. daily # patients
Avg. Gross Monthly Charges $
Avg. $ Payments/Month?
Currently doing billing inhouse? (Y/N)
How many days/week do you process claims? (daily, 3-4, 1-2, once, etc.)
If doing inhouse, how many full-time dedicated billers?
Primary reason for making a change?
What is your timeframe to make a change?
Are you interested in a billing cost analysis? (no charge - additional internal information will need to be provided)
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