Eligibility Verification & Patient PaymentsFree Demo Increase Revenue Your message was sent, thank you! Contact Information In order to better service your account in the event there are issues or problems that need to be discussed, please supply contact information. Ensure your email address is correct so that we can contact you. This email address will be our primary contact source for your account. Facility / Practice Name* First Name* Last Name* Email* Phone* (10 digits) Extension How did you hear about us?* Google Bing Yahoo Referred by DataLink Client Google Ad Organic Search Home Health Hospital Medical Practice Safari Broswer Facebook Other Preferred Date* (cannot guarantee date) Preferred Time* 6:00 am 6:30 am 7:00 am 7:30 am 8:00 am 8:30 am 9:00 am 9:30 am 10:00 am 10:30 am 11:00 am 11:30 am 12:00 pm 12:30 pm 1:00 pm 1:30 pm 2:00 pm 2:30 pm 3:00 pm 3:30 pm 4:00 pm 4:30 pm 5:00 pm 5:30 pm 6:00 pm 6:30 pm 7:00 pm 7:30 pm 8:00 pm Your Timezone* Eastern Central Mountain Pacific Which service(s) are you interested in? * Eligibility Verification Automated Batch Eligibility Processing Claim Processing/Claim Status Patient Payment Solutions Automated Payment Plans Patient Payment Estimation Branded Patient Payment Portal Same Or Similar Insurance Detection Please Submit Your Free Demo Contact us Address: San Antonio, Texas Sales: 1-800-845-0367 Email: firstname.lastname@example.org Website: datalinkms.com Thank you for choosing DataLink Solutions.