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
Free Shipping

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 original claim was never paid

    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
    $5.67
  • Statement reflects amount not covered

    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
    $6.02
  • YOUR INSURANCE COMPANY

    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
    $6.02
  • PATIENT RESPONSIBILITY DUE TO:

    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
    $8.53
  • YOUR INSURANCE COMPANY HAS PAID

    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
    $7.86
  • SECOND CLAIM SUBMISSION

    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
    $6.02
  • This statement is for your information

    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
    $6.02
  • Your Insurance covered all but the

    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
    $6.02
  • Your Insurance covered all but the

    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
    $6.02
  • DOCUMENTATION ATTACHED

    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
    $6.02
  • Unless this claim is paid

    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
    $10.13
  • Documentation to support medical

    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
    $6.02
  • TRACER Previously Submitted Claim

    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
    $6.02
  • This is not a duplicate claim. Claim

    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
    $5.67
  • RESUBMITTED CLAIM

    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
    $5.67
  • DOCUMENTATION ATTACHED DO NOT

    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
    $6.02
  • PRIMARY EOB ATTACHED

    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
    $5.67
  • Attention: Office Staff

    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
    $5.67
  • In order to process your claim

    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
    $5.67
  • Please... let us know if you have

    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
    $6.02
  • PLEASE HELP

    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
    $5.67
  • This statement is for your information

    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
    $6.02
  • SECOND SUBMISSION

    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
    $5.67
  • Corrective Claim

    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
    $6.02
  • RESUBMISSION:

    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
    $6.02
  • BE ADVISED

    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
    $6.02
  • Your Insurance Co. has not paid

    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
    $5.67
  • Your Insurance company states this

    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
    $5.67
  • YOUR INSURANCE CARRIER

    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
    $6.02
  • BALANCE DUE IS NOT COVERED

    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
    $6.02
  • YOUR BALANCE DUE TO:

    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
    $6.02
  • Your balance after Medicare paid is due

    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
    $8.53
  • We Have Not Been Paid On This Claim

    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
    $6.57
  • Submitting for secondary coverage.

    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
    $6.02
  • RESUBMISSION:

    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
    $6.02
  • CORRECTIVE CLAIM

    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
    $5.67
  • THIS BALANCE IS YOUR INSURANCE

    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
    $5.67
  • NO PAYMENT HAS BEEN RECEIVED

    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
    $5.67
  • YOUR INSURANCE COMPANY

    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
    $8.53
  • Primary EOB Attached

    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
    $6.02
  • MEDICARE EOB ATTACHED

    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
    $6.02
  • INSURANCE:

    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
    $6.02
  • CO-PAY

    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
    $6.02
  • Insurance payment OVERDUE

    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
    $6.02
  • This amount is your co-pay

    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
    $5.67
  • Your Insurance Company

    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
    $6.02
  • INSURANCE PENDING

    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
    $6.02
  • YOUR INSURANCE COMPANY

    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
    $5.67
  • OUR RECORDS SHOW THAT YOU DO NOT

    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
    $6.02
  • Unless this claim is paid or

    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
    $6.02
  • ATTENTION OFFICE STAFF CO-PAY

    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
    $5.67
  • ATTENTION OFFICE STAFF CO-PAY

    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
    $10.13
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