60157X, ADA 2012 One Part Continuous Insurance Claim Form - Size: 8 1/2 x 11"

60157X, ADA 2012 One Part Continuous Insurance Claim Form - Size: 8 1/2 x 11"
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60157X ADA 2012 1 Part Continuous Insurance Claim Form

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60157X, ADA 2012 1 Part white bond Continuous Insurance Claim Form
Convenient and easy to use ADA compliant forms make third party billing a breeze. Authorized by the American Dental Association (ADA), these forms keep information neat for faster, more error-free processing. Accepts updated billing codes and has more room for provider and patient ID numbers.
 
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