Sirius Medi
cal Billing
DEDICATED TO GETTING  
YOUR CLAIMS PAID
   
Quote Request
Electronic Medical Insurance Claims Processing & Billing
 
 
Specializing in Alternative Medical Practices including Chiropractic, Occupational, Massage, Speech, Physical and Infusion Therapy
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Quote Request
Electronic Medical Insurance Claims Processing & Billing

Online Form: Items with an asterisk (*) need to be filled in for the form to work. We do not sell any information we receive, our purpose for this form is only to assist you to discover how we may work with you to make your medical insurance billing easier.

Medical Office Billing

PDF Form: To get your FREE service quote, please take a minute to download our short PDF form, fill it out and fax it back to us at 1-408-519-6746.

We customize our services to suit your specific needs, so add any additional comments or detailed requirements you feel are important.

Adobe Acrobat Free Download

(You will need Adobe Acrobat to read this document once you have downloaded it. If you don't have Adobe Acrobat, please click on the Acrobat logo to download the free software. You will be taken to Adobe.com in a new browser window...)

* Business Name
* Contact Person
* Street Address
* City
* State
* Postal/Zip Code
* Telephone with Area Code
* Fax with Area Code
* Email
* Number of Providers in Your Office
* Average Number of Patients per Month
Services Needed:
Medical Insturance Claims Processing Patient Statement Production Other
Other

Additional Comments / Requirements?


Questions:


Call us today at 1-360-398-0878 and learn more about what we can do for you. cathy.campbell@siriusbilling.com


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