ADA Laser Insurance Claim Form - 500 forms
ADA Laser Insurance Claim Form - 500 forms

ADA Laser Insurance Claim Form - 500 forms

Your Price: $26.35
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Part Number:60156X
Quantity Pricing
Quantity
Price
  • 2 - 4
  • $25.56
  • 5 - 9
  • $25.03
  • 10+
  • $23.72

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.

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