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MediClaims Billing LLC
Business Associate Agreement and Service Agreement
Acknowledgement of Understanding
Please electronically sign and confirm that you have read and understood the agreements.
I understand and agree to the foregoing Service Agreement.
*
I agree.
I understand and agree to the foregoing Business Associate Agreement.
*
I agree.
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Indicates required field
Client Name
*
First
Last
Client Email
*
Client Company Name
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Client Contact Phone Number
*
Client full name typed here for electronic signature.
*
SIGN AGREEMENTS TO COMPLETE STEP 2 & Go To STEP 3
Home
Services
Revenue Cycle Management
Working with Providers
Working with Billers
One-Rate Pricing
3-Step Sign Up
About
FAQ
About MediClaims
Contact
>
One-Rate Pricing Inquiry
