eSolutions Interest Form

Clinic Name: *
Address: *
City/State/Zip: *
Contact Name: *
Phone: *
Email: *
Please send me information on: *
 XLPortal - Patient and Doctor Portals
 Appointment Reminder Service
 Credit Card Processing
 eClaims and Claims Status
 Real-time Eligibility Verification
 Electronic Remittance Advice (ERA)
 Digital Image Attachments (NEA)
 Build Your Own Website
 XLHold - On Hold Marketing
 XLBackup - Offsite Backup Storage
 SecureMail - HIPAA Compliant Email
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