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
36" Wide File Shelving TAB Match Year Label Medi-Clip/Docu-Clip 14 pt Manila 2 Ply End Tab
Your Price: $725.00

Add Free Shipping
Your Price: $13.95

Add
Your Price: $49.95

Add Free Shipping
Your Price: $56.95

Add Free Shipping
36 Single Entry Letter Size 4 Post Starter Unit Year Label Docuclip  Fastener Heavy Duty 14 pt Manila 2 Ply End Tab Folder
Outguides Numeric Label Custom 6 Tab Fileback Set Month Label
Your Price: $79.50

Add Free Shipping
Your Price: $22.95

Add Free Shipping
Your Price: $3.18

Add Free Shipping
Your Price: $10.95

Add Free Shipping
Outguides Numeric Label <!004>Custom 6 Tab Fileback Set Month Label
ALLERGY LABEL Custom 6 Tab Divider Set End Tab Expansion Pockets 11 pt Manila 2 Ply End Tab
Your Price: $10.95

Add Free Shipping
Your Price: $2.43

Add Free Shipping
Your Price: $79.00

Add Free Shipping
Your Price: $48.95

Add
ALLERGY LABEL <!004>Custom 6 Tab Divider Set <!001>End Tab Expansion Pockets Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder
Double Ply Top Tab Pocket Radiology Jacket ACS Sliding Lateral Track 11 pt 2 Ply Color End Tab Folders
Your Price: $79.95

Add Free Shipping
Your Price: $185.00

Add Free Shipping
Your Price: $6,500.00

Add Free Shipping
Your Price: $240.00

Add Free Shipping
Double Ply Top Tab Pocket Radiology Jacket Non-Color Coded ACS Lateral Track Movable Shelving Systems 11pt Reinforced Solid Color End Tab Folders
Times 2 Speed Cabinet Alpha Label Barkley Match QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet Custom 8 Tab Poly Divider Set
Your Price: $4,500.00

Add
Your Price: $13.95

Add
Your Price: $185.00

Add Free Shipping
Your Price: $4.69

Add Free Shipping
Times 2 Speed Files Barkley FABKM Match QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet <!010>Custom 8  Tab Poly Divider Set
Poly Stick-On Pockets Heavy Duty Vinyl Stick-On Pockets Bilingual Privacy Patient Sign-In
Your Price: $45.95

Add Free Shipping
Your Price: $55.95

Add Free Shipping
Your Price: $85.95

Add Free Shipping
Poly Stick-On Pockets Heavy Duty Vinyl Stick-On Pockets Bilingual Privacy Patient Sign-In

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


$222.00
$52.00
$201.00
$9.24