These nationally used forms are updated (as of 6/11) with the latest ICD-9 codes. They are available on an 8 1/2" x 11" 2-ply form so you can invoice your clients directly and can be ordered plain or personalized.
HOW TO ORDER
1. Select the correct amount of Superbills you wish to purchase and click "add to cart".
2. When ready to process your order click checkout. PADA uses Paypal to process your on-line payment. If you aren't a member of paypal- you will be walked you through steps to pay with your credit card.
3. Paypal will send an e-mail to both you and our management services office once your transaction is completed. Your Superbills will be shipped in approximately 7-10 business days. Personalized superbills will be shipped in approximately three weeks.
Sales tax is applied to shipping and handling in addition to the merchandise total. All sales are final.
On-line orders only accepted.
For questions about superbills and the ordering process contact management services at contact@eatrightpa.org or phone 614-436-6136.
Pricing effective June 16, 2011
Non-Personalized
Superbill Quantity |
Price |
Choose the quantity you wish to order |
50 |
$63.00
plus $7.00 S/H |
|
100 |
$81.25
Plus $8.00 S/H |
|
150 |
$100
Plus $8.00 S/H |
|
300 |
$115.00
Plus $10.00 S/H |
|
600 |
$162.50
Plus $10.00 S/H |
|
1,200 |
$237.50
Plus $15.50 S/H |
|
Want Personalized SuperBills?
You may personalize your Superbills with the following information:
#1) ADA Number
#2) Provider Number
#3) Name & Address as you would like it to appear on your superbill
Enter this information in the comment box below next to the quantity desired. If you are sending a check, please send a separate e-mail to contact@eatrightpa.org.
Please note- All sales are final.
Personalized
Super Bill Quantity |
Price |
Choose the quantity you wish to order |
100 |
$162.50
plus $8.00 S/H |
|
150 |
$187.50
plus $8.00 S/H |
|
300 |
$218.75
plus $10.00 S/H |
|
600 |
$325
plus $10.00 S/H |
|
1,200 |
$425
plus $115.5 S/H |
|
|
