Your Almost There!

This form has been created to assess your needs when it come to your accounts receivables. Please answer to the best of your abilities as this will allow our team to make sure that we can meet your needs, and come up with solutions to help your office THRIVE, prior to our call!

We respect your privacy and we will not share any information with anyone else

After you are done you will be directed to our calendar to book an discovery call with one of our team members.

Getting to Know Your Practice Better

Company name*

Decision Makers First name, Last Name*

Email*

Phone number*

What software do you currently use? (Dentrix, Clear Dent, Jane, Healthquest etc)*

As our team work remotely, do you currently have a remote system in place with your office that we can access to post payments and review outstanding accounts?*

Yes, we currently have remote access set up and can provide Thrive receivables with access

No, we will nee to arrange remote access in order to do business

Do you currently Direct Bill to Insurance Companies?*

Yes

Do you have access to the online portals to retrieve payment statements for each insurance company?*

Yes

Which way do you primarily receive payments from insurance companies?*

EFT (electric funds transfers

Cheques

Both

Do you currently confirm insurance coverage prior to all of the next day appointments?*

What is your average monthly production?*

What is your current approximate outstanding AR 90+?*

Are you interested in other services?

Appointment Audits

Coaching

Other

No, just interested in in the accounts help

If you have any questions for us please let us know below.