Invoice Radiologist in France Lyon –Free Word Template Download with AI
Dr. Jean-Pierre Moreau, MD, PhD
Board-Certified Radiologist
15 Rue de la République
69002 Lyon, France
Tel: +33 4 72 00 00 00
Email: [email protected]
SIRET: 123 456 789 00012 | TVA Intracommunautaire: FR 12 123456789
| Invoice Number: | INV-2023-10-045 |
| Date of Issue: | October 24, 2023 |
| Due Date: | November 24, 2023 |
| Service Period: | October 15, 2023 - October 20, 2023 |
Bill To:
Hôpital Privé de Lyon
Attn: Medical Billing Department
28 Avenue Garibaldi
69500 Bron, France
Reference: Patient ID #8842-LYON
Dear Billing Department,
Please find attached the formal invoice for professional radiological services rendered by our team of specialized radiologists at Lyon Advanced Imaging Center. This document outlines the diagnostic imaging procedures, interpretation fees, and associated technical costs incurred during the specified service period. As a leading medical facility in France Lyon, we are committed to providing state-of-the-art diagnostic services that adhere to the highest standards of French healthcare regulations and medical ethics.
The services detailed below were performed in accordance with the National Nomenclature of Medical Acts (Nomenclature Générale des Actes Professionnels - NGAP) applicable in France. Each procedure was conducted by a certified radiologist to ensure accurate diagnosis and optimal patient care within the Lyon metropolitan area.
| Ref | Description of Radiological Services | Qty | Unit Price (€) | Total (€) |
|---|---|---|---|---|
| 01 |
Magnetic Resonance Imaging (MRI) - Brain Comprehensive MRI scan of the brain without contrast. Performed by senior radiologist. Includes detailed interpretation report and digital image archiving. |
1 | 250.00 | 250.00 |
| 02 |
Computed Tomography (CT) Scan - Chest High-resolution CT scan of the thorax with contrast enhancement. Essential for pulmonary assessment. Includes radiologist's diagnostic analysis. |
1 | 180.00 | 180.00 |
| 03 |
Ultrasound Examination - Abdomen Complete abdominal ultrasound including liver, gallbladder, pancreas, and kidneys. Real-time imaging and immediate preliminary findings provided by the radiologist. |
1 | 95.00 | 95.00 |
| 04 |
Mammography Screening Bilateral digital mammography with tomosynthesis. Performed by specialized breast imaging radiologist. Includes BI-RADS classification report. |
1 | 120.00 | 120.00 |
| 05 |
Urgent Radiological Consultation Emergency interpretation of imaging studies for critical care unit. Priority service provided by on-call radiologist in Lyon. |
2 | 75.00 | 150.00 |
| 06 |
Image Post-Processing & 3D Reconstruction Advanced post-processing of CT angiography data for surgical planning. Includes 3D vascular reconstruction models. |
1 | 110.00 | 110.00 |
| Subtotal: | €905.00 |
| VAT (TVA) 20%: | €181.00 |
| Total Amount Due: | €1,086.00 |
Payment Terms
Payment is due within 30 days from the date of invoice. Please make payment via bank transfer to the following account:
Bank: Crédit Lyonnais
IBAN: FR76 1234 5678 9012 3456 7890 123
BIC: CRLYFRPP
Reference: INV-2023-10-045
For any questions regarding this invoice or the radiological services provided, please contact our billing department at [email protected] or call +33 4 72 00 00 00.
Important Notes
1. All radiological procedures were performed in compliance with French medical regulations and radiation safety standards.
2. Digital images and reports are available via our secure online portal for authorized healthcare providers in France Lyon.
3. This invoice is issued in accordance with the French General Tax Code (Code Général des Impôts).
4. Late payments may incur a penalty of 3 times the legal interest rate plus a fixed recovery fee of €40.
5. Our team of radiologists is dedicated to providing accurate and timely diagnostic services to support patient care in the Lyon region.
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