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
Radiology Jacket Poly Stick-On Pockets End Tab Expansion Pockets Custom 8 Tab Poly Divider Set
Your Price: $185.00

Add Free Shipping
Your Price: $45.95

Add Free Shipping
Your Price: $79.00

Add Free Shipping
Your Price: $4.69

Add Free Shipping
Radiology Jacket Non-Color Coded Poly Stick-On Pockets <!001>End Tab Expansion Pockets <!010>Custom 8  Tab Poly Divider Set
Times 2 Speed Cabinet 11 pt 2 Ply Color End Tab Folders Heavy Duty Vinyl Stick-On Pockets ACS Sliding Lateral Track
Your Price: $4,500.00

Add
Your Price: $240.00

Add Free Shipping
Your Price: $55.95

Add Free Shipping
Your Price: $6,500.00

Add Free Shipping
Times 2 Speed Files 11pt Reinforced Solid Color End Tab Folders Heavy Duty Vinyl Stick-On Pockets ACS Lateral Track Movable Shelving Systems
Bilingual Privacy Patient Sign-In Outguides QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet Custom 6 Tab Divider Set
Your Price: $85.95

Add Free Shipping
Your Price: $79.50

Add Free Shipping
Your Price: $185.00

Add Free Shipping
Your Price: $2.43

Add Free Shipping
Bilingual Privacy Patient Sign-In Outguides QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet <!004>Custom 6 Tab Divider Set
Month Label 36" Wide File Shelving Custom 6 Tab Fileback Set TAB Match Year Label
Your Price: $10.95

Add Free Shipping
Your Price: $725.00

Add Free Shipping
Your Price: $3.18

Add Free Shipping
Your Price: $13.95

Add
Month Label 36 Single Entry Letter Size 4 Post Starter Unit <!004>Custom 6 Tab Fileback Set Year Label
Double Ply Top Tab Pocket 11 pt Manila 2 Ply End Tab Numeric Label Alpha Label Barkley Match
Your Price: $79.95

Add Free Shipping
Your Price: $48.95

Add
Your Price: $22.95

Add Free Shipping
Your Price: $13.95

Add
Double Ply Top Tab Pocket Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder Numeric Label Barkley FABKM Match
ALLERGY LABEL 14 pt Manila 2 Ply End Tab Medi-Clip/Docu-Clip
Your Price: $10.95

Add Free Shipping
Your Price: $56.95

Add Free Shipping
Your Price: $49.95

Add Free Shipping
ALLERGY LABEL Heavy Duty 14 pt Manila 2 Ply End Tab Folder Docuclip  Fastener

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


$19.95
$22.95