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Mentaya Interest Form
We are working on expanding our services to other types of providers, if you’re potentially interested in using Mentaya for out of network billing please fill out this interest form here.
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Email
*
Your email
Provider Type:
What type of healthcare professional are you?
*
Physical Therapist
Speech-Language Pathologist
Occupational Therapist
Nutritionist
Other:
Do you typically bill in units?
*
Yes
No
Not sure
Do you require billing modifiers?
*
Yes
No
Not sure
Please provide a comprehensive list of which CPT codes you normally bill for:
*
Your answer
Send me a copy of my responses.
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