Code Compliance

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01

My Info

My name is and my email is .

The name of my practice is .

02

Specialties

What specialties does Your Practice provide?

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03

Insurance

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What insurance does Your Practice accept?

Medicare
Medicaid
Blue Cross Blue Shield
Other:

04

EHR

What EHR does Your Practice use?

05

Address

What is Your Practice's address?

Address

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Your Practice sees around patients per month.

06

Account

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