Thank you for taking the time to share information about your practice. The details below will help us better understand your revenue cycle management needs, prepare an accurate quote, and create a smooth go-live plan. Please upload any available reports where requested, and if certain information is not yet available, simply let us know in your response.
Required
For each provider, indicate whether credentialing is complete, in progress, or not started, including relevant payers and expected completion dates.
Select the current status of the practice's Group NPI.
Excel files only (.xlsx, .xls, .xlsm, .csv). Drag files onto a row or use Choose files.
A NextGen onboarding specialist reviews submissions within two business days.
A few items still need attention
Thanks, there. Your readiness assessment is with the RCM onboarding team. You'll get a confirmation at your email, and we'll follow up on anything marked unavailable.
This is a mockup, so nothing was actually sent.