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70156X ADA 2006 Laser Sheet Insurance Claim Form 8 1/2 x 11"
70156X ADA 2006 Laser Sheet Insurance Claim Form
Size: 8 1/2 x 11"
Speed third-party billing with this AMA and CMS approved claim form.
- 2007 version. Single sheet in laser format, accepts updated billing codes. More room for provider and patient ID numbers. Convenient fold lines for easy placement of address in envelope window.
- 100% Satisfaction Guarantee
- Higher quantities are available at discounted prices.
- Speak to a customer service specialist at (888) 287-3970.
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Your Price: Starting at $27.83
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Product Reviews
$21.00
70156X ADA 2006 Laser Sheet Insurance Claim Form 8 1/2 x 11"
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