ADA Laser Insurance Claim Form - 500 forms

Item Number 60156X

Speed your third-party billing with updated claim/attending dentist forms. Authorized by the American Dental Association (ADA) and ready for your laser printer, these forms keep information neat for faster, more error-free processing

• Size: 8 1/2 x 11
• Expanded format accepts updated billing codes
• Form has more room for provider and patient ID numbers
• Fold lines on forms help ensure proper placement of address in envelope window
• Use with envelope: CE2003

Quantity Discount built into pricing
Call office at 1.800.379.7969 for large quantity orders.