UNNO Healthcare Business Development

Take Your Practice to the Next Level

Please complete the questionnaire below and the Director of Operations will contact you within a couple of business days. If you would like to speak to someone sooner, contact the office from 9am-5pm, Monday-Friday at 786-749-4420.

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* 1. What is the Practice Name?

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* 2. Who is the Practicing Provider(s)?

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* 3. Where is the practice located? (address)

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* 4. What Insurance Company(s) do your currently work with?

Doctors Health Care Plan

Careplus

HealthSun

United Healthcare

Preferred Care Network

Simply Healthcare

Oscar

Other (please specify)

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* 5. What service(s) is your practice interested in?

Medicare Risk Adjustment (MRA) Team

Member Services

Provider Relations

Transportation Services

Utilization/ MLR Management

HEDIS Measures

Marketing Services

Operational Management

Medical Center

Other (please specify)

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* 6. Contact Information

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 7. What is your preferred way of contact?

By email

By phone

No preference

UNNO Healthcare Business Development

Take Your Practice to the Next Level

Question Title

* 1. What is the Practice Name?

Question Title

* 2. Who is the Practicing Provider(s)?

Question Title

* 3. Where is the practice located? (address)

Question Title

* 4. What Insurance Company(s) do your currently work with?

Question Title

* 5. What service(s) is your practice interested in?

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* 6. Contact Information

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* 7. What is your preferred way of contact?

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* 8. How did you hear about us?