Find Out if You Qualify Please answer a few short questions to find out if you qualify for Boost Processing Blank Form (#3)1. How many visits per month, on average, do you have of workers’ compensation and/or MVA? Please check your EMR reports for an accurate number. *SelectUnder 2020 - 100100 - 250250 - 500500 - 10001000 - 2000Over 2000Are you receiving 100% billed charges or 100% of fee schedule for your workers’ compensation and auto patients? Yes No Sometimes Don't KnowWhat state do you practice in?- Select -OhioNew YorkAll Other US StatesWhat EMR do you use?Do you have in-house billing or third-party billing? In-house Billing Third-party BillingSubmit Form