Headquarters
- 460 Polaris Parkway, Westerville, OH 43082
877-207-9215
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Let us share with you the superior results now being obtained for health care creditors with patient-debtors like yours, and we’ll show you how to
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* Referring
Organization
*
Contact Name
*
Company
Address
City/State
*
Phone
E-mail
(Type)
Commercial
Retail
Medical
Government
Checks
Other
(Amount)
Under $100
$100 - $500
$500 - $1,000
Over $1,000
(Amount)
Under $10,000
$10,000 - $25,000
$25,000 - $50,000
$50,000 - $100,000
$100,000 - $249,000
$250,000 - $500,000
$500,000 - $1 Million
Over $1 Million
(Amount)
Under 10
10 - 25
26 - 50
51 - 100
101 - 500
501 - 1,000
Over 1,000
(Amount)
Under $10,000
$10,000 - $25,000
$25,000 - $50,000
$50,000 - $100,000
$100,000 - $249,000
$250,000 - $500,000
$500,000 - $1 Million
Over $1 Million
Type of Accts.
Avg. acct Size
Total debt past due
No. of accts. past due
Est. written off last yr.
Comments
Complete the following information and we will have a representative who is qualified to work with your organization contact you.
Banks and Credit Unions
Retail
Wholesale Distributors
Professional Services
Debt Buyers
Government & Utilities