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Dental Claim Form - Ada Insurance Claim Form, Continuous - Two-part

Size: 8 1/2" x 11"
Min/QTY: 1000
Price: $110.60

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Item#: 60158X 
Size: 8 1/2 x 11"

Benefits And Features

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

  • Use with envelope: CE2003
  • Fold lines on forms help ensure proper placement of address in envelope window
  • Accepts updated billing codes and has more room for provider and patient ID numbers
  • Two-part continuous format for fast yet thorough processing of multiple claims; first copy is white, second copy is canary.
  • Convenient and easy to use ADA compliant forms make third party billing a breeze

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