




MediSoft products require an IBM or compatible personal computer,
Pentium 3 or 4 with 512MB RAM and Windows XP Professional or above.
(Not Vista Compatible at this time)



Name as it appears on the Credit Card:_________________________________________________________
Address That Credit Card Statement Goes to: ___________________________________________________
City, ST, ZIP that Statement is mailed to: ______________________________________________________
CARD NUMBER: ___________ ___________ ___________ ___________ EXP: ________/________
Phone: _____________________________________ Email: ______________________________________
Billing Service Order Form
Phone: 941-743-6666 Fax: 941-743-5868 Toll Free: 888-691-8058
www.medicalbillingsoftware.com
|
Item |
Price |
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Billing Service Budget
Bundle |
Call for Current Specials |
|
Billing Service Basic
Bundle |
Call for Current Specials |
|
Billing Service
Intermediate Bundle |
Call for Current Specials |
|
Billing Service Advanced
Bundle |
Call for Current Specials |
|
Billing Service Gold Bundle |
Call for Current Specials |
|
Billing Service Platinum
Bundle |
Call for Current Specials |
|
Medisoft Software only |
Call for Current Specials |
|
Direct Electronic Claims |
Call for Current Specials |
|
Billing Codes- Per Specialty All Codes |
Call for
Current Specials |
|
Practisoft Software only |
Call for Current Specials |
|
MedisoftTraining Video |
Call for Current Specials |
|
Multi-User Network Upgrade |
Call for Current Specials |
|
Shipping & Handling- (Free on orders of $500 or more) – 2nd Day Air |
Call for Current Specials |
|
Shipping & Handling- FEDEX NEXT DAY |
Call for Current Specials |
|
TOTAL |
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FL residents add 7% Tax: |
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Terms: We accept MasterCard & Visa, American Express, Discover, or Cashiers Checks\Money Order.
No refunds available since this material can be easily copied. Prices subject to change without notice.
Bundle LIST Descriptions
Medisoft Budget Billing Service Bundle: ……. Call for Current Specials
Medisoft Original Software Single User
Medical Claims Billing Service Business Manual;
How To Learn Insurance Biling Handbook & Student Workbook
Medisoft Basic Billing Service Bundle: ……. Call for Current Specials
Medisoft Advanced Software Single User
Medical Claims Billing Service Manual;
Insurance Handbook & Student Workbook
Medisoft Software Training Seminar Video;
Medisoft Intermediate Billing Service Bundle: Call for Current Specials
Medisoft Advanced Software Single User
Medical Claims Billing Service Manual;
Insurance Handbook & Student Workbook;
Medisoft Software Training Seminar Video;
Codes On Disk All;
Medisoft Advanced Billing Service Bundle: List Call for Current Specials
Medisoft Advanced Software Single User
Medical Claims Billing Service Manual;
Insurance Handbook & Student Workbook;
Medisoft Software Training Seminar Video;
Codes On Disk All;
Electronic Claims Powered by MedUnite (Monthly charges will apply per provider)
Medisoft Gold Billing Service Bundle: List Call for Current Specials
Medisoft Advanced Software Single User
Medical Claims Billing Service Manual;
Insurance Handbook & Student Workbook;
Medisoft Software Training Seminar Video;
Codes On Disk All;
Electronic Claims Powered by MedUnite (Monthly charges will apply per provider)
Electronic Remittance Advice Module- posts payments automatically from Medicare
Technical support for 6 Months - for single user
Medisoft Platinum Billing Service Bundle: List Call for Current Specials
Medisoft Advanced Software Single User
Medical Claims Billing Service Manual;
Insurance Handbook & Student Workbook;
Medisoft Software Training Seminar Video;
Electronic Remittance Advice Module - posts payments automatically from Medicare
Direct Electronic Claims Powered by MedUnite (Monthly charges will apply per provider)
Technical support for a year- for single user.
AccuAnalyzer Software; (scrubs claims for accuracy before you send or print them);
500 names of Potential Physician Marketing List
(A list of Doctors not currently submitting claims electronically.)
Terms: We accept MasterCard & Visa, American Express, Discover, or Cashiers Checks\Money Order.
No refunds available since this material can be easily copied. Prices subject to change without notice.
Bundle LIST Descriptions
Medisoft Budget Billing Service Bundle: ……. Call for Current Specials
Medisoft Original Software Single User
Medical Claims Billing Service Business Manual;
How To Learn Insurance Biling Handbook & Student Workbook
Medisoft Basic Billing Service Bundle: …….Call for Current Specials
Medisoft Advanced Software Single User
Medical Claims Billing Service Manual;
Insurance Handbook & Student Workbook
Medisoft Software Training Seminar Video;
Medisoft Intermediate Billing Service Bundle: Call for Current Specials
Medisoft Advanced Software Single User
Medical Claims Billing Service Manual;
Insurance Handbook & Student Workbook;
Medisoft Software Training Seminar Video;
Codes On Disk All;
Medisoft Advanced Billing Service Bundle: Call for Current Specials
Medisoft Advanced Software Single User
Medical Claims Billing Service Manual;
Insurance Handbook & Student Workbook;
Medisoft Software Training Seminar Video;
Codes On Disk All;
Electronic Claims Powered by MedUnite (Monthly charges will apply per provider)
Medisoft Gold Billing Service Bundle: List Call for Current Specials
Medisoft Advanced Software Single User
Medical Claims Billing Service Manual;
Insurance Handbook & Student Workbook;
Medisoft Software Training Seminar Video;
Codes On Disk All;
Electronic Claims Powered by MedUnite (Monthly charges will apply per provider)
Electronic Remittance Advice Module- posts payments automatically from Medicare
Technical support for 6 Months - for single user
Medisoft Platinum Billing Service Bundle: List Call for Current Specials
Medisoft Advanced Software Single User
Medical Claims Billing Service Manual;
Insurance Handbook & Student Workbook;
Medisoft Software Training Seminar Video;
Electronic Remittance Advice Module - posts payments automatically from Medicare
Direct Electronic Claims Powered by MedUnite (Monthly charges will apply per provider)
Technical support for a year- for single user.
500 names of Potential Physician Marketing List
(A list of Doctors not currently submitting claims electronically.)

To Order MediSoft products please contact:
Rachael
Harry
Darrell
Computerized Business
Systems;
Phone 1-941-743-6666
Toll Free: 1-888-691-8058
Fax: 1-941-743-5868
Email
to:
medisoftinq@medicalbillingsoftware.com