• 1-800-492-1218
  • Sales & Service Team:

    8AM - 8PM ET

Search Icon

Item#: 60158X 

  • Size: 8 1/2" x 11"
  • Min/QTY: 1000
  • Price: $154.84
1

SELECT PRINT OPTIONS

 
Cost:
$154.84
Product Cost:
$154.84

Card Icon100% satisfaction guaranteed

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

Size: 8 1/2 x 11"

0.0

0 Reviews
REVIEWS