Medical billing

Invoice template for self-pay patients

Download Healthcode's free medical billing template that can be used directly to bill self-pay patients. The template form is from The Industry's Guide to Billing, a set of guidelines to encourage medical professionals to bill using a common standard.

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For self-pay patients, the below template can be used to directly bill the patient - please see download version below Should indicate when the treatment was carried out. Description of the service carried out and procedure information if the treatment was procedural. Whether the care is delivered as an inpatient, outpatient, day case, or consulting room.

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