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
Bilingual Privacy Patient Sign-In 11 pt 2 Ply Color End Tab Folders 36" Wide File Shelving Alpha Label Barkley Match
Your Price: $85.95

Add Free Shipping
Your Price: $240.00

Add Free Shipping
Your Price: $725.00

Add Free Shipping
Your Price: $13.95

Add
Bilingual Privacy Patient Sign-In 11pt Reinforced Solid Color End Tab Folders 36 Single Entry Letter Size 4 Post Starter Unit Barkley FABKM Match
Medi-Clip/Docu-Clip 14 pt Manila 2 Ply End Tab Outguides TAB Match Year Label
Your Price: $49.95

Add Free Shipping
Your Price: $56.95

Add Free Shipping
Your Price: $79.50

Add Free Shipping
Your Price: $13.95

Add
Docuclip  Fastener Heavy Duty 14 pt Manila 2 Ply End Tab Folder Outguides Year Label
Times 2 Speed Cabinet ACS Sliding Lateral Track Month Label Custom 6 Tab Fileback Set
Your Price: $4,500.00

Add
Your Price: $6,500.00

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Your Price: $3.18

Add Free Shipping
Times 2 Speed Files ACS Lateral Track Movable Shelving Systems Month Label <!004>Custom 6 Tab Fileback Set
QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet Poly Stick-On Pockets 11 pt Manila 2 Ply End Tab Radiology Jacket
Your Price: $185.00

Add Free Shipping
Your Price: $45.95

Add Free Shipping
Your Price: $48.95

Add
Your Price: $185.00

Add Free Shipping
QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet Poly Stick-On Pockets Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder Radiology Jacket Non-Color Coded
ALLERGY LABEL Double Ply Top Tab Pocket Custom 6 Tab Divider Set Heavy Duty Vinyl Stick-On Pockets
Your Price: $10.95

Add Free Shipping
Your Price: $79.95

Add Free Shipping
Your Price: $2.43

Add Free Shipping
Your Price: $55.95

Add Free Shipping
ALLERGY LABEL Double Ply Top Tab Pocket <!004>Custom 6 Tab Divider Set Heavy Duty Vinyl Stick-On Pockets
Numeric Label Custom 8 Tab Poly Divider Set End Tab Expansion Pockets
Your Price: $22.95

Add Free Shipping
Your Price: $4.69

Add Free Shipping
Your Price: $79.00

Add Free Shipping
Numeric Label <!010>Custom 8  Tab Poly Divider Set <!001>End Tab Expansion Pockets

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


$140.00
$459.00
$12.95
$14.95