Pre-Order RevAssurance Online

Thank you for pre-ordering RevAssurance Online. By joining the RevAssurance platform, you will gain access to a robust training program for new and existing employees to access administrative laws that enforce timely reimbursement and combats improper denials.

Click HERE to learn about each RevAssurance Online Subscription offered at this time.

As a pre-order customer, you will receive 40% OFF when your order is processed.

Are you a BETA tester? Enter the email address used to sign up to receive 50% OFF.

    NOTE: Please note that the submission forms on this site are not protected by security mechanisms. Therefore, please refrain from including sensitive information and the unsecured transfer of PHI which could constitute a HIPAA violation.

    * = required

    *Email Address

    *Full Name

    *Phone

    Company Name

    Your Position

    Full Address (Street, City, State, Postal Code)

    Which RevAssurance Online subscription would you like to pre-order?

    Click HERE to learn more about each subscription.

    If you selected "RevAssurance Online Enterprise" above, please list the state jurisdictions you would like, comma-separated.

    Are you interested in adding RevAssurance Support? (Recommended.)

    Click HERE to learn more about each tier of support.

    Which jurisdictions are most relevant to you and your revenue cycle needs?

    If you selected "other" above, please list other jurisdictions here, comma-separated.

    *How did you learn about RevAssurance Online?

    If you selected "other" above, please list other products here, comma-separated.

    *If you are an existing customer, please let us know which RevAssurance product you have purchased in the past:

    If you selected "other" above, please list other products here, comma-separated.

    Before you click "Send", please check each box below to agree to each of the following: