e4e
menu

U.S.A.

Towson, MD (Corporate Office)

e4e Inc.
502 Washington Avenue
Suite 200
Towson, Maryland 21204

Tel: +1 (443) 275 1630


India

Bangalore

e4e Business Solutions India Private Limited
Unit No.1303-1304, 13th Floor
Prestige Meridian - II
#30, M.G. Road
Bangalore 560 001

Tel: +91 80 4170 5258

Chennai

e4e Healthcare Business Services Pvt Ltd
Unit 1-5-2, Fifth floor
Block A (the Eastern Front Wing),
TECCI Park no.285,
Old Mahabalipuram Road,
Sholinganallur,
Chennai - 600 119

Tel: +91 44 6689 1111
Fax: +91 44 2268 1244
Toll Free: +1 (877) 559 8176

Noida

e4e Healthcare Business Services Pvt Ltd
8th Floor, Tower A,
Logix Cyber Park,
C-28 & 29, Sector 62,
Noida, Uttar Pradesh-201309

Tel: +91 120 6746666
Fax: +91 120 6746688

Request for Proposal

Please complete this form to request a proposal from e4e. An e4e representative will get in touch with you within two business days to discuss options.

Contact Information
First Name:*

You must enter your first name.
Last Name:*

You must enter your last name.
Title:
Credential:
Direct Phone:*

You must enter your direct phone.
Email Address:*

You must enter your email address.
Hospital/Office Information
Name of Hospital:*

You must select Hospital name.
Street Address:
 
City:
State:
Zip Code:
Please tell us about your needs.
Medical Record Coding
Audit Services
You must enter your first name.
Request Proposal for Audit Services
On-Site Remote No Preference
Please type in the approximate number of each record type to be audited.  Inpatient
 Outpatient
 Emergency Room
 Same Day Surgery
 Ambulatory Surgery
 Ancillary (Lab, Radiology, etc.)
Help Us Better Help You
How did you hear about e4e?
Please provide additional detail (i.e. what website, magazine, etc.)
Comments / Questions?
 
Request Proposal for Coding Services
On-Site Remote No Preference
Check all that apply. Inpatient
Outpatient
Emergency Room
Same Day Surgery
Ambulatory Surgery
Ancillary (Lab, Radiology, etc.)
Number of Records Backlogged:
Number of Days Behind:
Type of Encoder or Grouper: 3M Quadramed Meditech Other
How many coders are you looking for?
How many hours per week?
When do you need them to start?
What hours would the coders have access to the department?
Would they have access on weekends?
Help Us Better Help You
How did you hear about e4e?
Please provide additional detail (i.e. what website, magazine, etc.)
Are you currently using a medical records outsourcing company? Yes
No
If no, have you in the past?
Which company/companies have you used?
Do you currently have an electronic record?
Are you planning on using one in the future?
Comments / Questions?