Home > MEDICAL / CHIROPRACTIC > Medical Forms > Billing Statements >

Medical Billing Statement
Billing Statement
 
Alternative Views:


FREE SHIPPING!
Order 1 - 2 Boxes Shipping Cost is $19.95
Buy 3 packs of this Item and get FREE SHIPPING!
List Price: $110.00
Your Price: $68.95
You Save $41.05!
Unit Qty: 500
Unit: pack
Overall Dimensions: 8-1/2" x 11"


Product Code: WLCS101-BK

Choose a Color
Click to view another Color

Color*:

Shipping

Shipping Charge*:
Order 1 - 2 Boxes or Packs Shipping Cost is $19.95
Order 3 or More Boxes or Packs Shipping is FREE!

Qty:  
Description Freight, Returns & Sales Tax Policies
 

Laser 2-Sided Healthcare Medical Billing Statements to bill your patients for services. The statements are printed on 20-lb white MOCR bond paper and feature change of address/insurance fields on the back to ensure patients can update your practice on their information. Allows you to print your own billing statements and get paid by your patients.Colored design help the invoices stand out.Feature change of address and change of insurance fields printed on the back.

Front Copy Reads "Please Check Box if above address information is incorrect & indicate changes on reverse side."

  • Printed on 20-lb white MOCR bond paper.
  • Form does not have an image or credit card information.
  • Printed in Blue or Burgandy, these will make your customer's billing statements look more professional than plain white paper.
  • 8-˝ x 11" sheets.
  • Horizontal perforation 3-9/16" from top of form.
  • 500 per package.
  • Back copy printed in black screen.
  • Micro-perforation for ease of remittance.
  • Change of address/insurance form on back.



Products Frequently Bought Together
11 pt 2 Ply Color End Tab Folders 14 pt Manila 2 Ply End Tab Custom 8 Tab Poly Divider Set Alpha Label Barkley Match
Your Price: $240.00

Add Free Shipping
Your Price: $56.95

Add Free Shipping
Your Price: $4.69

Add Free Shipping
Your Price: $13.95

Add
11pt Reinforced Solid Color End Tab Folders Heavy Duty 14 pt Manila 2 Ply End Tab Folder <!010>Custom 8  Tab Poly Divider Set Barkley FABKM Match
11 pt Manila 2 Ply End Tab Double Ply Top Tab Pocket Numeric Label Heavy Duty Vinyl Stick-On Pockets
Your Price: $48.95

Add
Your Price: $79.95

Add Free Shipping
Your Price: $22.95

Add Free Shipping
Your Price: $55.95

Add Free Shipping
Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder Double Ply Top Tab Pocket Numeric Label Heavy Duty Vinyl Stick-On Pockets
Custom 6 Tab Fileback Set Month Label Poly Stick-On Pockets Medi-Clip/Docu-Clip
Your Price: $3.18

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Your Price: $45.95

Add Free Shipping
Your Price: $49.95

Add Free Shipping
<!004>Custom 6 Tab Fileback Set Month Label Poly Stick-On Pockets Docuclip  Fastener
QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet End Tab Expansion Pockets Bilingual Privacy Patient Sign-In Times 2 Speed Cabinet
Your Price: $185.00

Add Free Shipping
Your Price: $79.00

Add Free Shipping
Your Price: $85.95

Add Free Shipping
Your Price: $4,500.00

Add
QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet <!001>End Tab Expansion Pockets Bilingual Privacy Patient Sign-In Times 2 Speed Files
36" Wide File Shelving Radiology Jacket ALLERGY LABEL Outguides
Your Price: $725.00

Add Free Shipping
Your Price: $185.00

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Your Price: $79.50

Add Free Shipping
36 Single Entry Letter Size 4 Post Starter Unit Radiology Jacket Non-Color Coded ALLERGY LABEL Outguides
ACS Sliding Lateral Track TAB Match Year Label Custom 6 Tab Divider Set
Your Price: $6,500.00

Add Free Shipping
Your Price: $13.95

Add
Your Price: $2.43

Add Free Shipping
ACS Lateral Track Movable Shelving Systems Year Label <!004>Custom 6 Tab Divider Set

Share your knowledge of this product with other customers... Be the first to write a review

Browse for more products in the same category as this item:

MEDICAL / CHIROPRACTIC > Medical Forms > Billing Statements
MEDICAL / CHIROPRACTIC > Medical Forms


$16.95
$15.95
$215.00
$12.95