Call (617) 299-1125

New client intake

Let's get your billing set up

Focus on Your Patients. We'll Handle Your Billing.

Helping practices get paid since 2013. This takes about 10 minutes. If a question doesn't apply, leave it blank.

Your privacy: your answers are encrypted on this device before they are sent and stay encrypted in storage. Only authorized BEVISolutions staff can open them, and we handle them under HIPAA safeguards. Please don't include patient information. Never type passwords here: we collect insurance website logins separately, by phone or a secure share. This form sends no emails or texts.

Your progress is saved in this browser tab until you close it. Masked numbers (SSN, Tax ID, NPI and other IDs) are never saved.

Step 1 of 6: About your practice

A few basics so we can set up your account.

Is your practice a solo or group practice? (required)

Exactly as it appears on your IRS documents (EIN letter, CP-575 or 147C).
How many doctors and other clinicians work in your practice?

Step 2 of 6: Tax and provider IDs

These are masked as you type. Use Show to check what you entered. If you don't have a number handy, leave it blank and we'll ask later.

9 digits, e.g. 12-3456789.

Only if you bill under your own name and have no EIN.

10 digits, if you have one.

Provider Transaction Access Number.

Usually 8 digits.

Providers

Add each provider's individual (rendering) NPI and state license.

Coverage must be current.

Step 3 of 6: Contact and payment details

Where we send updates and where your insurance payments go.

Office contact person

Best way to reach you (optional)Choose all that work.

For example: weekdays 9 to 11 AM.

Step 4 of 6: Insurance companies

Tell us who you work with today.

Which insurance companies are you in network with? (optional)Choose all that apply.

Note: if more than 50% of your claims are Medicare and Medicaid, a $44.95 government processing fee applies.

Do you accept MassHealth patients? (optional)

List the website names only. Please do not enter usernames or passwords. We collect logins separately, by phone or a secure share.

Step 5 of 6: Your current billing

Rough numbers are fine. This helps us give you an accurate quote.

0 to 100.

Do you appeal denied claims? (optional)

Step 6 of 6: Services you need

Choose everything you'd like BEVISolutions to handle.

Which services would you like? (required)

Please don't include patient information.