You have made the decision to outsource your billing needs to Peerless. You will need to complete the following information in order to get started: the Provider Enrollment Form and the Business Associates Addendum. In addition to those 2 forms, we will need the following documentation from your office:
- Signed Business Agreement
- Current W-9 (for all providers)
For your convenience, Peerless accepts Visa, MasterCard, Discover and American Express. If you are paying by credit card you will receive an invoice on the first of each month and your credit card will be billed on the 10th of the month. Please complete the Credit Card Authorization form and fax or email to Peerless.
Thank you for choosing Peerless Med Bill Solutions to take care of your billing needs. We look forward to a long and prosperous business relationship.