Contact

Request your free A/R review

Tell us about the practice and what is not working. We will come back within one business day with next steps — and if we are not the right fit, we will say so.

Do not include patient information. This form is for business inquiries only. Please leave out patient names, dates of birth, member or account numbers, and diagnoses. Once a BAA is in place we will give you a secure channel for anything containing PHI.

Your namePlease enter your name.

Practice or organizationPlease enter your practice name.

Work emailPlease enter a valid email address.

PhonePlease enter a phone number.

Specialty Please choose a specialty.

Providers in the practice Please choose a size.

What do you need help with? Please choose an option.

Anything else we should know

Business inquiries only. See our compliance page for how we handle information.

Inquiry received

Thanks, there — we will reply within one business day. If it is urgent, call (555) 555-0123.

Next step is usually a 20-minute call and a de-identified aging summary.

Medical billing & revenue cycle management for independent practices.

Email: info@medcostbilling.com
Phone: (555) 555-0123
Office: Kearny, New Jersey
Serving practices nationwide
Hours: Mon–Fri, 9:00–18:00 ET