Medical or Dental Billing Services Agreement

Medical billing is basically an interactive process between registered medical institutions, medical practitioners or other health care providers, and legitimate insurance companies. It involves the submission and follow-up of medical claims made by the former to the latter in order to receive monetary compensation (payment). Such payment can be either toward the total or part of the costs of medical services provided by them to their patients. The vast majority of transactions involving medical billing in the U.S. are now conducted online, as opposed to on paper.

This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.