J & C Billing Services
"Making your collections better for less!"


PHONE: (865) 604-2218    FAX: (800) 421-5451

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We strive to provide affordable,
cost-effective, and quality services for every client.


Completion of this profile form will enable us to give an accurate quote on medical billing services specifically for your needs.



**All information is confidential and will never be sold or given to a third party.**

Practice Name:
Specialty:
Number of Providers:
Contact Person:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Telephone:
Email:
Number of active patients:
Total number of claims per month:
What is the average dollar amount of a claim?
What percentage of all claims are rejected?
Are you currently submitting electronic claims?
Yes     
  No
  Only Medicare
What solution package are you interested in?
Briefly explain any concerns you may have about your current billing process.

Thank you for your inquiry. A representative will be in touch with you regarding your confidential medical billing services quote.

J & C Billing Services
3335 Bell Road
Sevierville, TN 37862

Email:  info@jcbilling.com

Phone:  (865) 604-2218 
Fax:  (800) 421-5451
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