Medical Order Form - Association of Billers

4 Easy Ways to Order
from the Medical Association

	Transmit your order electronically: Please include your credit card information.
	Fax Orders: Print out this form from your browser and fax it with your credit card information to: 1-702-243-0359
	Telephone Orders: Have your credit card ready and call 1-702-240-8519 for fastest service.
	Mail in Orders: Print out this from from your browser and mail to:

Medical Association of Billers
2441 Tech Center Court, Suite 111
Las Vegas, NV 89128

To order Standard Operating Procedures Manuals, press here.

Order Form

You may print out this form from your browser and mail it with your remittance, fax it, or transmit your order electronically.

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QTY	Product	Note	Merchandise
	Survival Guide for Anatomy & Physiology FUN AND EASY way to learn A&P	Mosby	$15.95
	Medical Acronyms, Eponyms & Abbreviations	PMIC	$19.95
	Dorland's Illustrated Medical Dictionary with data disk desk top size FANTASTIC RESOURCE- everything you ever wanted to know about medical words!	Dorland's	$49.95
	Dorland's Illustrated Medical Dictionary with data disk pocket size FANTASTIC RESOURCE- The same as above but in a smaller size!	Dorland's	$29.95
	ICD-9-CM 1&2 - 2008	PMIC	$79.95
	ICD-9-CM 1,2&3 - 2008	PMIC	$89.95
	ICD-9-CM 1&2 - 2007 Professional	MMI	Special $50.00
	ICD-9-CM 1&2 - 2006	PMIC	Special $50.00
	ICD-9-CM 1,2&3 - 2006	PMIC	Special $50.00
	ICD-9-CM Volume 1&2 - 2005	PMIC	Special $50.00
	ICD-9-CM Volume 1,2&3 - 2005	PMIC	Special $50.00
	CPT-4 2008	AMA	$71.95
	CPT-4 2007 Complete with color drawings	AMA	Special $50.00
	HCPCS 2007 Includes all HCPCS Level II codes, drug table and index.	PMIC	$67.95
	HCPCS 2006 Includes all HCPCS Level II codes, drug table and index.	PMIC	Special $50.00
	Medical Insurance Made Easy	Saunders	$55.95
	Medical Coding Specialist's Exam Review - Physician	Thompson	$70.95
	Uniform Billing - A Guide to Claims Processing	Delmar	$49.95
	Good Coder's Almanac ICD - 2006 An invaluable reference when writing letters of appeal. All ICD definitions are in plane English.	MMI	Special $50.00
	2004 Health Insurance Directory Stop Chasing Carriers Around! Includes over 2000 carriers names, addresses, phone numbers and fax numbers!	PMIC	Special $25.00
	Billing and Collection Competency Exam Check qualifications BEFORE HIRING	MAB	$149.95
	FlashCode	Please fill out form below	Please check prices
	Custom Physician Fee Report- Single Specialty - choose from list Zip Code Shipping and Handling: $10 3-4 week delivery	Specialty and Zip Code required	Single Specialty: $189.95
	Custom Physician Fee Report- All Specialty Zip Code Shipping and Handling: $10 3-4 week delivery	Zip Code required	All Specialty: $389.95
___	Medical Association of Billers Membership	Please fill out form	$115.00
	2004 AAPC CPC Study Guide	AAPC	Special $25.00
	2004 Health Insurance Carrier Guide	PMIC	Special $25.00
	2004 Coder's Handbook	PMIC	Special $40.00

FlashCode Coding Software

Product: (Payer/Provider)

Operating System: (Macintosh, WINDOWS)

Number of Users:

There are two ways to order

Payer Edition - ICD/CPT/HCPCS $179.95 ($20 s/h)

Provider Edition - Payer Edition plus CCI Edits, Medicare Mandates, and Physician Reimbursement $279.95 ($25 s/h)

Standard Shipping and Handling:

$50.00 and under	$8.00
$50.01-$100.00	$12.00
$101.01-$150.00	$16.00
$151.01-$200.00	$23.00
$200.01-$300.00	$30.00
over $3001	CALL

S/H for Alaska, Hawaii and International
destinations additional. Please Call.

Second day shipping add $10.00
Next day shipping add $15.00

Merchandise Total	$
MA Discount	$
Shipping	$
Sub-Total	$
NV Residents please add 7.75% sales tax	$
Grand Total	$

Payment Method

Check Money Order

Please mail payments to
Medical Association of Billers
2441 Tech Center Court, Suite 111
Las Vegas, NV 89128
(702) 240-8519

MasterCard Visa American Express Discover

Card Number: Exp Date:

Exact Zip Code on your credit card Billing Statement:

(Please note: No orders will be shipped COD.)

Questions or problems regarding this web site should be directed to medassocb@aol.com
(702) 240-8519
Copyright � 1997 - 2008 Medical Association of Billers. All rights reserved.
Last modified: Friday June 27, 2008.

4 Easy Ways to Order from the Medical Association

Medical Association of Billers 2441 Tech Center Court, Suite 111 Las Vegas, NV 89128