For VGF Reps Followup Calls to Prospect (inbound or outbound)

Please provide prospective client's info here. You only need to include info that wasn't previously collected..

Name
Name
Phone
Phone
May we leave a detailed voicemail?
If you are planning to use Out Of Network benefits, what is your insurance company?
DISPOSITION
IF SCHEDULED--Provider
IF SCHEDULED--Payer
IF NOT SCHEDULED--Reason for loss
Inbound contact method