60158X, ADA 2012 2 Part Continuous Insurance Claim Form

60158X, ADA 2012 2 Part Continuous Insurance Claim Form
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ADA 2012 Continuous Insurance Claim Form, Item # 60158X

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60158X, ADA 2012 2 Part Continuous Insurance Claim Form
first copy is white, second copy is canary

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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