Medisoft User Group Registration March 21st, 2012 AGENDA:ANSI 5010 - DEADLINE 04/01/2012, REVENUE MANAGER & SECONDARY ELECTRONIC CLAIMS SET-UP TRANSMISSION WITH REVENUE MANAGER. Question Title When : Wednesday, March 21st, 2012 Time : 9:00 AM - 11:30 AM Where: Microwize,1 Kalisa Way Suite 104, Paramus, NJ 07652 Fee: Free for up to 2 attendees per practice. To reserve your seat at our User Group session, please provide us with the following information: Question Title 1. Do you have a valid Medisoft Support Contract with Microwize? Yes No I don't know Question Title 2. Contact Information: Practice/Company: * Address: City: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Email Address: * Phone Number: Question Title 3. Who will attend? Attendee 1 Attendee 2 Question Title 4. In addition to the topics being covered at this event, please feel free to recommend additional topics or areas that you'd like for us to discuss here: If you have any questions regarding this seminar or this registration, please contact Veronika De Leon at 201-322-4115 or MedisoftUserGroup@Microwize.com Thank you for Registering