Third Party Collection. I acknowledge that South Texas Cardiology Institute may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.
Third Party Collection. I acknowledge that Xxxxxxx Xxxxx, MD | Adult Cardiology may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.
Third Party Collection. I acknowledge that Memorial Neurospine may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.
Third Party Collection. I acknowledge that Alamo City Surgeons may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.
Third Party Collection. I acknowledge that SUNCOAST OB/GYN ALL WOMEN’S may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.
Third Party Collection. I acknowledge that Pediatric Specialists of Texas may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.
Third Party Collection. I acknowledge that Summerville Women’s Care may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.
Third Party Collection. We collect personal information from vendor partners that provide goods and services to the University the information includes: (Program Administrators, Please Check All That Apply) The Program Information will be used in the following manor: (Program Administrator, Please Check All That Apply) I hereby consent to the Program and its third party service providers to collect information from me and my child in connection with my child’s participation in the Program.
Third Party Collection. I acknowledge that iMED HEALTHCARE ASSOCIATES may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.
Third Party Collection. I acknowledge that Northeast Internal Medical Associates may utilize the services of a third party business associate or affiliated entity as an extended business office (“EBO Servicer”) for medical account billing and servicing.
