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
Month Label 11 pt 2 Ply Color End Tab Folders 36" Wide File Shelving Times 2 Speed Cabinet
Your Price: $10.95

Add Free Shipping
Your Price: $240.00

Add Free Shipping
Your Price: $725.00

Add Free Shipping
Your Price: $4,500.00

Add
Month Label 11pt Reinforced Solid Color End Tab Folders 36 Single Entry Letter Size 4 Post Starter Unit Times 2 Speed Files
Alpha Label Barkley Match Numeric Label Outguides End Tab Expansion Pockets
Your Price: $13.95

Add
Your Price: $22.95

Add Free Shipping
Your Price: $79.50

Add Free Shipping
Your Price: $79.00

Add Free Shipping
Barkley FABKM Match Numeric Label Outguides <!001>End Tab Expansion Pockets
Bilingual Privacy Patient Sign-In Poly Stick-On Pockets 14 pt Manila 2 Ply End Tab Radiology Jacket
Your Price: $85.95

Add Free Shipping
Your Price: $45.95

Add Free Shipping
Your Price: $56.95

Add Free Shipping
Your Price: $185.00

Add Free Shipping
Bilingual Privacy Patient Sign-In Poly Stick-On Pockets Heavy Duty 14 pt Manila 2 Ply End Tab Folder Radiology Jacket Non-Color Coded
ALLERGY LABEL Custom 6 Tab Divider Set Custom 8 Tab Poly Divider Set 11 pt Manila 2 Ply End Tab
Your Price: $10.95

Add Free Shipping
Your Price: $2.43

Add Free Shipping
Your Price: $4.69

Add Free Shipping
Your Price: $48.95

Add
ALLERGY LABEL <!004>Custom 6 Tab Divider Set <!010>Custom 8  Tab Poly Divider Set Sturdy Rigid 11 pt Manila 2 Ply End Tab Folder
Custom 6 Tab Fileback Set QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet Heavy Duty Vinyl Stick-On Pockets TAB Match Year Label
Your Price: $3.18

Add Free Shipping
Your Price: $185.00

Add Free Shipping
Your Price: $55.95

Add Free Shipping
Your Price: $13.95

Add
<!004>Custom 6 Tab Fileback Set QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheet Heavy Duty Vinyl Stick-On Pockets Year Label
Double Ply Top Tab Pocket Medi-Clip/Docu-Clip ACS Sliding Lateral Track
Your Price: $79.95

Add Free Shipping
Your Price: $49.95

Add Free Shipping
Your Price: $6,500.00

Add Free Shipping
Double Ply Top Tab Pocket Docuclip  Fastener ACS Lateral Track Movable Shelving Systems

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


$36.00