ADA 2012 Insurance Claim Form, Laser Sheet

Item#: 60156X Size: 8 1/2 x 11"
Quantity 500 1000 2000 5000 10000
60156X  Not Imprinted $69.99 $122.99 $210.99 $512.99 $1,023.99
We recommend this quantity.

Benefits and Features

Speed your third-party billing with updated claim/attending dentist forms. Authorized by the American Dental Association (ADA) and ready for your laser printer, these forms keep information neat for faster, more error-free processing.

  • Convenient and easy to use

    ADA compliant laser forms make third party billing a breeze
  • Expanded format

    accepts updated billing codes and has more room for provider and patient ID numbers
  • Fold lines on forms

    help ensure proper placement of address in envelope window
  • Use with envelope: