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ADA 2006 One-Part Continuous Insurance Claim Form

Item#: Size:
Quantity 1000 2000 3000 4000 5000
70157X  Not Imprinted $42.99 $87.99 $118.99 $156.99 $176.99
  We recommend this quantity.
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Product Benefits and Features

Speed third-party billing with these up-to-date claim forms for your continuous printer!

  • Convenient and easy to use! Accepts updated CDT-2007 billing codes. More room for provider and patient ID numbers. Convenient fold lines for easy placement of address in envelope window.