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Insurance Patient Responsibility Labels

Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels Insurance Patient Responsibility Labels
Brightly colored labels keep your patients aware of what they owe after payment from their insurance company.
1 - 3 working days
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Usage

  • Insurance Patient Responsibility labels

Features

  • Bright colorful stock
  • Printed in durable, clearly visible inks
  • Ensures expedient insurance filing and payment
  • Alerts patients to payment responsibilities

Specifications

  • Labels come in self-dispensing boxes
  • All labels come on rolls

Configurations

  • OUR RECORDS SHOW THAT YOU DO NOT

    Insurance Patient Responsibility Labels
    MAP5640

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Light Blue stock
    • Main line: OUR RECORDS SHOW THAT YOU DO NOT HAVE INSURANCE. If there are any changes please contact the office
    1 1/2" x 7/8" Light Blue Light Blue 250
    Price per Roll
    $6.91

  • THIS BALANCE IS YOUR INSURANCE

    Insurance Patient Responsibility Labels
    MAP2140

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Pink stock
    • Main line: THIS BALANCE IS YOUR INSURANCE CO-PAY PLEASE PAY IN FULL
    1 1/2" x 7/8" Pink Pink 250
    Price per Roll
    $6.50

  • NO PAYMENT HAS BEEN RECEIVED

    Insurance Patient Responsibility Labels
    MAP2070

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Pink stock
    • Main line: NO PAYMENT HAS BEEN RECEIVED FROM THE INSURANCE CLAIM WE FILED FOR YOU. This amount is now due and payable by you
    1 1/2" x 7/8" Pink Pink 250
    Price per Roll
    $6.50

  • YOUR INSURANCE COMPANY

    Insurance Patient Responsibility Labels
    MAP4200

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 3 1/4" x 1 3/4"
    • 250 labels on a roll
    • Black ink on Fluorescent Pink stock
    • Main line: YOUR INSURANCE COMPANY has paid its share of your bill. This statement is for the amount payable directly by you
    3 1/4" x 1 3/4" Pink Pink 250
    Price per Roll
    $9.78

  • Primary EOB Attached

    Insurance Patient Responsibility Labels
    MAP7058

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Orange stock
    • Main line: Primary EOB Attached
    • Medicare EOB Attached
    1 1/2" x 7/8" Fluorescent Orange Fluorescent Orange 250
    Price per Roll
    $6.91

  • MEDICARE EOB ATTACHED

    Insurance Patient Responsibility Labels
    MAP2690

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Orange stock
    • Main line: MEDICARE EOB ATTACHED
    1 1/2" x 7/8" Fluorescent Orange Fluorescent Orange 250
    Price per Roll
    $6.91

  • INSURANCE:

    Insurance Patient Responsibility Labels
    MAP2700

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Green stock
    • Main line: INSURANCE
    1 1/2" x 7/8" Fluorescent Orange Fluorescent Orange 250
    Price per Roll
    $6.91

  • CO-PAY

    Insurance Patient Responsibility Labels
    MAP2890

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Orange stock
    • Main line: CO-PAY
    1 1/2" x 7/8" Fluorescent Orange Fluorescent Orange 250
    Price per Roll
    $6.91

  • Insurance payment OVERDUE

    Insurance Patient Responsibility Labels
    MAP4090

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Orange stock
    • Main line: Insurance payment OVERDUE Please check with your carrier
    1 1/2" x 7/8" Fluorescent Orange Fluorescent Orange 250
    Price per Roll
    $6.91

  • This amount is your co-pay

    Insurance Patient Responsibility Labels
    MAP2050

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Orange stock
    • Main line: This amount is your co-pay. Please pay at time of service in the future
    1 1/2" x 7/8" Fluorescent Orange Fluorescent Orange 250
    Price per Roll
    $6.50

  • Your Insurance Company

    Insurance Patient Responsibility Labels
    MAP4100

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Orange stock
    • Main line: Your Insurance Company has sent YOU payment of its share of this bill... YOUR ACCOUNT IS NOW DUE AND PAYABLE
    1 1/2" x 7/8" Fluorescent Orange Fluorescent Orange 250
    Price per Roll
    $6.91

  • INSURANCE PENDING

    Insurance Patient Responsibility Labels
    MAP3750

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Orange stock
    • Main line: INSURANCE PENDING AMOUNT DUE NOW
    1 1/2" x 7/8" Fluorescent Orange Fluorescent Orange 250
    Price per Roll
    $6.91

  • YOUR INSURANCE COMPANY

    Insurance Patient Responsibility Labels
    MAP2200

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Orange stock
    • Main line: YOUR INSURANCE COMPANY HAS ALREADY PAID IT'S SHARE OF YOUR BILL. This statement is for the amount you owe
    1 1/2" x 7/8" Fluorescent Orange Fluorescent Orange 250
    Price per Roll
    $6.50

  • CORRECTIVE CLAIM

    Insurance Patient Responsibility Labels
    MAP1460

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Pink stock
    • Main line: CORRECTIVE CLAIM
    1 1/2" x 7/8" Pink Pink 250
    Price per Roll
    $6.50

  • Unless this claim is paid or

    Insurance Patient Responsibility Labels
    MAP2770

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Red stock
    • Main line: Unless this claim is paid or denied within 45 days of this date, we will file a formal written COMPLAINT with the INSURANCE COMMISSIONER
    1 1/2" x 7/8" Fluorescent Red Fluorescent Red 250
    Price per Roll
    $6.91

  • ATTENTION OFFICE STAFF CO-PAY

    Insurance Patient Responsibility Labels
    MAP1310

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Red stock
    • Main line: ATTENTION OFFICE STAFF CO-PAY Collect at time of visit
    1 1/2" x 7/8" Fluorescent Red Fluorescent Red 250
    Price per Roll
    $6.50

  • ATTENTION OFFICE STAFF CO-PAY

    Insurance Patient Responsibility Labels
    MAPA1025

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 7/8" x 3/4"
    • 500 labels on a roll
    • Black ink on Fluorescent Red stock
    • Main line: ATTENTION OFFICE STAFF CO-PAY Collect at time of visit
    1 7/8" x 3/4" Fluorescent Red Fluorescent Red 500
    Price per Roll
    $11.62

  • Our original claim was never paid

    Insurance Patient Responsibility Labels
    MAP1150

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Red stock
    • Main line: Our original claim was never paid or denied. Please process this bill for payment within 15 days or we will file a complaint with the Insurance Commissioner
    1 1/2" x 7/8" Fluorescent Red Fluorescent Red 250
    Price per Roll
    $6.50

  • Statement reflects amount not covered

    Insurance Patient Responsibility Labels
    MAP3850

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Red stock
    • Main line: Statement reflects amount not covered by your insurance. Please pay in full
    1 1/2" x 7/8" Fluorescent Red Fluorescent Red 250
    Price per Roll
    $6.91

  • YOUR INSURANCE COMPANY

    Insurance Patient Responsibility Labels
    MAP3690

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Red stock
    • Main line: YOUR INSURANCE COMPANY HAS PAID ITS SHARE OF YOUR BILL. This statement is for the amount payable directly by you
    1 1/2" x 7/8" Fluorescent Red Fluorescent Red 250
    Price per Roll
    $6.91

  • PATIENT RESPONSIBILITY DUE TO:

    Insurance Patient Responsibility Labels
    MAP4180

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 3 1/4" x 1 3/4"
    • 250 labels on a roll
    • Black ink on Fluorescent Red stock
    • Main line: PATIENT RESPONSIBILITY DUE TO
    3 1/4" x 1 3/4" Fluorescent Red Fluorescent Red 250
    Price per Roll
    $9.78

  • YOUR INSURANCE COMPANY HAS PAID

    Insurance Patient Responsibility Labels
    MAP4470

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 3" x 1"
    • 250 labels on a roll
    • Black ink on Fluorescent Orange stock
    • Main line: YOUR INSURANCE COMPANY HAS PAID ITS SHARE OF YOUR BILL. This statement is for the amount payable directly by you
    3" x 1" Fluorescent Orange Fluorescent Orange 250
    Price per Roll
    $9.02

  • SECOND CLAIM SUBMISSION

    Insurance Patient Responsibility Labels
    MAP2710

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Pink stock
    • Main line: SECOND CLAIM SUBMISSION Please Process Promptly
    1 1/2" x 7/8" Fluorescent Pink Fluorescent Pink 250
    Price per Roll
    $6.91

  • This statement is for your information

    Insurance Patient Responsibility Labels
    SY-1756

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 2" x 1"
    • 252 labels on a roll
    • Black ink on Red stock
    • Main line: This statement is for your information. YOUR INSURANCE CLAIM HAS BEEN BILLED
    2" x 1" Red Red 252
    Price per Roll
    $6.91

  • Your Insurance covered all but the

    Insurance Patient Responsibility Labels
    SY-1771

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 2" x 1"
    • 252 labels on a roll
    • Green ink on White stock
    • Main line: Your Insurance covered all but the amount shown on the statement. May we please have your remittance by return mail
    2" x 1" Green Green 252
    Price per Roll
    $6.91

  • Your Insurance covered all but the

    Insurance Patient Responsibility Labels
    SY-1798

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 2" x 1"
    • 252 labels on a roll
    • Red and Blue ink on White stock
    • Main line: Your Insurance covered all but the amount shown on the statement. May we please have your remittance by return mail
    2" x 1" White White 252
    Price per Roll
    $6.91

  • SECOND SUBMISSION

    Insurance Patient Responsibility Labels
    MAP1450

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Lime stock
    • Main line: SECOND SUBMISSION ORIGINAL WAS SENT ON
    1 1/2" x 7/8" Fluorescent Lime Fluorescent Lime 250
    Price per Roll
    $6.50

  • Unless this claim is paid

    Insurance Patient Responsibility Labels
    SS41

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 7/8" x 3/4"
    • 500 labels on a roll
    • Black ink on Fluorescent Red stock
    • Main line: Unless this claim is paid or denied within 30 days we will file a formal written complaint with the Insurance Commissioner
    1 7/8" x 3/4" Fluorescent Red Fluorescent Red 500
    Price per Roll
    $11.62

  • Documentation to support medical

    Insurance Patient Responsibility Labels
    MAP2780

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Orange stock
    • Main line: Documentation to support medical necessity is attached
    1 1/2" x 7/8" Fluorescent Orange Fluorescent Orange 250
    Price per Roll
    $6.91

  • TRACER Previously Submitted Claim

    Insurance Patient Responsibility Labels
    MAP2760

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Red stock
    • Main line: TRACER Previously Submitted Claim
    1 1/2" x 7/8" Fluorescent Red Fluorescent Red 250
    Price per Roll
    $6.91

  • This is not a duplicate claim. Claim

    Insurance Patient Responsibility Labels
    MAP1440

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Green stock
    • Main line: This is not a duplicate claim. Claim is unpaid Please Process!
    1 1/2" x 7/8" Fluorescent Green Fluorescent Green 250
    Price per Roll
    $6.50

  • RESUBMITTED CLAIM

    Insurance Patient Responsibility Labels
    MAP1470

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Green stock
    • Main line: RESUBMITTED CLAIM
    1 1/2" x 7/8" Fluorescent Green Fluorescent Green 250
    Price per Roll
    $6.50

  • DOCUMENTATION ATTACHED DO NOT

    Insurance Patient Responsibility Labels
    MAP2650

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Green stock
    • Main line: DOCUMENTATION ATTACHED DO NOT SEPARATE FROM CLAIM
    1 1/2" x 7/8" Fluorescent Green Fluorescent Green 250
    Price per Roll
    $6.91

  • PRIMARY EOB ATTACHED

    Insurance Patient Responsibility Labels
    MAP1480

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Green stock
    • Main line: PRIMARY EOB ATTACHED
    1 1/2" x 7/8" Fluorescent Green Fluorescent Green 250
    Price per Roll
    $6.50

  • Attention: Office Staff

    Insurance Patient Responsibility Labels
    A1024

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Green stock
    • Main line: Attention
    1 1/2" x 7/8" Fluorescent Green Fluorescent Green 250
    Price per Roll
    $6.50

  • In order to process your claim

    Insurance Patient Responsibility Labels
    MAP2100

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Green stock
    • Main line: In order to process your claim YOUR INSURANCE COMPANY NEEDS INFORMATIONI Please contact them or send us payment in full immediately
    1 1/2" x 7/8" Fluorescent Green Fluorescent Green 250
    Price per Roll
    $6.50

  • Please... let us know if you have

    Insurance Patient Responsibility Labels
    MAP3710

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Green stock
    • Main line: Please... let us know if you have insurance coverage for these services. If not, the balance shown is now due
    1 1/2" x 7/8" Fluorescent Green Fluorescent Green 250
    Price per Roll
    $6.91

  • PLEASE HELP

    Insurance Patient Responsibility Labels
    MAP2060

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Green stock
    • Main line: PLEASE HELP Your insurance company has not paid. Please call and encourage them to pay today. It is your responsibility to see that they pay on time
    1 1/2" x 7/8" Fluorescent Green Fluorescent Green 250
    Price per Roll
    $6.50

  • This statement is for your information

    Insurance Patient Responsibility Labels
    MAP3730

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Light Blue stock
    • Main line: This statement is for your information. YOUR INSURANCE CLAIM HAS BEEN BILLED
    1 1/2" x 7/8" Light Blue Light Blue 250
    Price per Roll
    $6.91

  • DOCUMENTATION ATTACHED

    Insurance Patient Responsibility Labels
    MAP2720

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Pink stock
    • Main line: DOCUMENTATION ATTACHED
    1 1/2" x 7/8" Pink Pink 250
    Price per Roll
    $6.91

  • Corrective Claim

    Insurance Patient Responsibility Labels
    MAP7060

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Lime stock
    • Main line: Corrective Claim Resubmitted Claim
    1 1/2" x 7/8" Fluorescent Lime Fluorescent Lime 250
    Price per Roll
    $6.91

  • RESUBMISSION:

    Insurance Patient Responsibility Labels
    MAP2680

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Lime stock
    • Main line: RESUBMISSION
    • This is not a duplicate billing. This claim has either been denied or never received. Please consider for benefits or instruct if patient owes
    1 1/2" x 7/8" Fluorescent Lime Fluorescent Lime 250
    Price per Roll
    $6.91

  • BE ADVISED

    Insurance Patient Responsibility Labels
    MAP2750

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Lime stock
    • Main line: BE ADVISED... We report untimely payments to the Insurance Commissioner
    1 1/2" x 7/8" Fluorescent Lime Fluorescent Lime 250
    Price per Roll
    $6.91

  • Your Insurance Co. has not paid

    Insurance Patient Responsibility Labels
    MAP2120

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Lime stock
    • Main line: Your Insurance Co. has not paid this claim because
    • Deductible Taken
    • Noncovered Service
    • Insurance Cancelled
    • Requested Information Not Received
    • Please remit payment in full
    1 1/2" x 7/8" Fluorescent Lime Fluorescent Lime 250
    Price per Roll
    $6.50

  • Your Insurance company states this

    Insurance Patient Responsibility Labels
    MAP2080

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Lime stock
    • Main line: Your Insurance company states this balance is your responsibility. Please remit today!
    1 1/2" x 7/8" Fluorescent Lime Fluorescent Lime 250
    Price per Roll
    $6.50

  • YOUR INSURANCE CARRIER

    Insurance Patient Responsibility Labels
    MAP5520

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Lime stock
    • Main line: YOUR INSURANCE CARRIER HAS RECEIVED A COPY OF THIS BILL. You will be notified of any balance due, upon receipt of payment from them
    1 1/2" x 7/8" Fluorescent Lime Fluorescent Lime 250
    Price per Roll
    $6.91

  • BALANCE DUE IS NOT COVERED

    Insurance Patient Responsibility Labels
    MAP4060

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Lime stock
    • Main line: BALANCE DUE IS NOT COVERED BY INSURANCE Please remit payment
    1 1/2" x 7/8" Fluorescent Lime Fluorescent Lime 250
    Price per Roll
    $6.91

  • YOUR BALANCE DUE TO:

    Insurance Patient Responsibility Labels
    MAP3720

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Lime stock
    • Main line: YOUR BALANCE DUE TO
    • Your Deductible
    • Non-Covered Services
    • Co-Pay
    • $
    1 1/2" x 7/8" Fluorescent Lime Fluorescent Lime 250
    Price per Roll
    $6.91

  • Your balance after Medicare paid is due

    Insurance Patient Responsibility Labels
    MAP4190

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 3 1/4" x 1 3/4"
    • 250 labels on a roll
    • Black ink on Fluorescent Lime stock
    • Main line: Your balance after Medicare paid is due to
    • Your deductible($100 yearly)
    • Non-covered services
    • 20% co-payment
    • You owe $
    • Thank You!
    3 1/4" x 1 3/4" Fluorescent Lime Fluorescent Lime 250
    Price per Roll
    $9.78

  • We Have Not Been Paid On This Claim

    Insurance Patient Responsibility Labels
    MAP1560

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 3 1/4" x 1 3/4"
    • 250 labels on a roll
    • Black ink on Fluorescent Lime stock
    • Main line: We Have Not Been Paid On This Claim Because Your Insurance Company
    3 1/4" x 1 3/4" Fluorescent Lime Fluorescent Lime 250
    Price per Roll
    $7.53

  • Submitting for secondary coverage.

    Insurance Patient Responsibility Labels
    MAP2660

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Pink stock
    • Main line: Submitting for secondary coverage. SEE ATTACHED PLEASE
    1 1/2" x 7/8" Pink Pink 250
    Price per Roll
    $6.91

  • RESUBMISSION:

    Insurance Patient Responsibility Labels
    MAP2670

    Specifications

    • Labels come in self-dispensing boxes
    • All labels come on rolls
    • Label size: 1 1/2" x 7/8"
    • 250 labels on a roll
    • Black ink on Fluorescent Pink stock
    • Main line: RESUBMISSION
    1 1/2" x 7/8" Pink Pink 250
    Price per Roll
    $6.91
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