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70158X ADA 2006 Two Part Continuous Insurance Claim Form 8 1/2 x 11"
70158X ADA 2006 Two Part Continuous Insurance Claim Form
Size: 8 1/2 x 11"
Speed third-party billing with updated claim forms for your continuous printer.
- 2-part carbonless forms on 20# self-duplicating white bond stock, printed in OCR red ink. 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
$53.76
70158X ADA 2006 Two Part Continuous Insurance Claim Form 8 1/2 x 11"
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