Sign up for O.R. Billing

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Your Info

Your Practice

Payment Info

Thank you for your interest in O.R. Billing! Let's get you setup with a new account.

Please tell us your name? *
What is your email address? *
Please select your degree.
Next

Great, now let's get some information about your practice.

The following information can be updated anytime from your profile page

What is your specialty?
Enter the names of the facilities where you do procedures.
Add Another Facility
Back Next

Choose a password for your account.

Password *
Confirm your password *
Back Next

Great, now let's get some information about your practice.

The following information can be updated anytime from your profile page

Enter your assistant's name.
Add Another Assistant
Enter the email addresses to which you want your billing information sent.
Add Another Email
Back Next

We're almost done!

Coupon
Bill my credit card
Please enter your card details to start your subscription.

Total due now is $.

Payment will be processed annually or at the end of your trial period unless you cancel your membership.

You can cancel within 30 days of paying and receive a refund of $.

Pay by card
OR
Bill my practice

We will email an invoice with instructions on paying by credit card later or paying by check. This email will go to you; it can also go to another person you designate, such as the accounts payable person at your practice. Please provide contact information for them below. Your account will function for 30 days while the payment is being processed.

Payer Name *
Payer Phone *
Payer Email *
Address 1
Address 2
City
State
ZIP
Bill my practice

Thanks for joining!