Pricing Information

J & C Billing Services
"Making your collections better for less!"
CALL TOLL FREE: (877) 294-0720

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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
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	Only Medicare
What solution package are you interested in?
Briefly explain any concerns you may have about your current billing process.	Enter comments here!

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

J & C Billing Services
Sevierville, TN 37862

Email: info@jcbilling.com

Phone: (865) 978.6496
Fax: (800) 421-5451