approved credit card

Approved Credit Card Processing Program for ASCRS & ASOA Members DETAILS • • • • • • VISA, MasterCard, Discover, American Express PIN-Based Debit Use existing equipment or utilize web-based product for transaction processing Variety of Check Processing Services PCI and HIPAA Compliant Products Detailed Payment Reports, Virtual Terminal, Website Access, ACH Services and Recurring Payment Processing Also Available BENEFITS Save Money – Payment processing costs have been pre-negotiated on your behalf, and EVERY ASCRS & ASOA Member is offered a complimentary cost analysis. Increase Cash Flow – Collect your money promptly by offering patients various methods of payment including: credit cards, debit cards, and checks. Use the recurring payment feature and pre-authorization forms to automatically charge patients when a balance is due. No more waiting for your money! Save Time – Use our recurring payment product to automatically process monthly charges eliminating the need to manually enter the transaction each month. Saves valuable time for your staff. Other Services – Check verification, guarantee, and conversion, gift and loyalty card programs as well as electronic insurance eligibility. QUESTIONS? Contact a dedicated ASCRS/ASOA Provider Consultant at 800-577-8573 for additional information on this exciting Member benefit! A service that offers MORE options for ALL of your processing needs! To receive more information about Payment Processing Services: Call Rene’ Buzicky at TransFirst Health Services (800) 577-8573 OR Complete the form below and return to Rene’ Buzicky Fax: (877) 850-8502 Email: rbuzicky@TransFirst.com Please contact me via telephone to discuss the details of these exciting services. Please e-mail additional information to the address below. Please conduct a merchant statement analysis for me (I have attached my last month’s merchant statement for your review. I am sending you ___________ number of additional pages with this fax.) Office Name: _______________________________________________________________________________ Contact Name: ______________________________________________________________________________ Telephone Number: Email Address: _________________________________________________________________________ _____________________________________________________________________________ Activate YOUR Payment Processing Services Today And Take Advantage of this Exclusive Member Benefit!

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