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
Times 2 Speed Cabinet QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet End Tab Expansion Pockets Month Label
Your Price: $4,500.00

Add
Your Price: $185.00

Add Free Shipping
Your Price: $79.00

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Times 2 Speed Files QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet <!001>End Tab Expansion Pockets Month Label
Bilingual Privacy Patient Sign-In Custom 6 Tab Fileback Set Heavy Duty Vinyl Stick-On Pockets Numeric Label
Your Price: $85.95

Add Free Shipping
Your Price: $3.18

Add Free Shipping
Your Price: $55.95

Add Free Shipping
Your Price: $22.95

Add Free Shipping
Bilingual Privacy Patient Sign-In <!004>Custom 6 Tab Fileback Set Heavy Duty Vinyl Stick-On Pockets Numeric Label
11 pt 2 Ply Color End Tab Folders Outguides Radiology Jacket Double Ply Top Tab Pocket
Your Price: $240.00

Add Free Shipping
Your Price: $79.50

Add Free Shipping
Your Price: $185.00

Add Free Shipping
Your Price: $79.95

Add Free Shipping
11pt Reinforced Solid Color End Tab Folders Outguides Radiology Jacket Non-Color Coded Double Ply Top Tab Pocket
TAB Match Year Label Poly Stick-On Pockets Custom 8 Tab Poly Divider Set ACS Sliding Lateral Track
Your Price: $13.95

Add
Your Price: $45.95

Add Free Shipping
Your Price: $4.69

Add Free Shipping
Your Price: $6,500.00

Add Free Shipping
Year Label Poly Stick-On Pockets <!010>Custom 8  Tab Poly Divider Set ACS Lateral Track Movable Shelving Systems
Medi-Clip/Docu-Clip ALLERGY LABEL Alpha Label Barkley Match 36" Wide File Shelving
Your Price: $49.95

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Your Price: $13.95

Add
Your Price: $725.00

Add Free Shipping
Docuclip  Fastener ALLERGY LABEL Barkley FABKM Match 36 Single Entry Letter Size 4 Post Starter Unit
Custom 6 Tab Divider Set 14 pt Manila 2 Ply End Tab 11 pt Manila 2 Ply End Tab
Your Price: $2.43

Add Free Shipping
Your Price: $56.95

Add Free Shipping
Your Price: $48.95

Add
<!004>Custom 6 Tab Divider Set Heavy Duty 14 pt Manila 2 Ply End Tab Folder Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder

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


$51.00
$13.95
$16.95
$24.95