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Health Insurance Claim Forms

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ADA 2012 Insurance Claim Form, Laser Sheet

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Now: $34.81

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CMS-1500 Laser Pad Insurance Claim Form, Version 0212

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Now: $50.16

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CMS-1500 One-Part Continuous Insurance Claim Form 0212

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Now: $99.30

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CMS-1500 Two-Part Carbonless Insurance Claim Form 0212

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Now: $57.33

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CMS-1500 Two-Part Continuous Insurance Claim Form 0212

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Now: $153.56

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Dental Claim Form Signature Labels

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Now: $21.50

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Patient Insurance Account Information Labels

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Now: $28.67

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Simplified Claim Form Signature Release Labels

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Now: $29.69

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ADA 2012 Insurance Claim Form, Laser Sheet

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...

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Now: $34.81

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CMS-1500 Laser Pad Insurance Claim Form, Version 0212

Speed third-party billing and manage your cash flow with this AMA and CMS approved claim formin a convenient laser pad format. Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Convenient and easy to...

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Now: $50.16

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CMS-1500 One-Part Continuous Insurance Claim Form 0212

Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your continuous printer. Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Convenient and easy to use!...

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Was:

Now: $99.30

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CMS-1500 Two-Part Carbonless Insurance Claim Form 0212

Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form. Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Convenient and easy to use! 2-part carbonless forms on...

MSRP:

Was:

Now: $57.33

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CMS-1500 Two-Part Continuous Insurance Claim Form 0212

Speed third-party billing and manage your cash flow with this AMA and CMS approved claim form for your continuous printer. Includes all updates to the 02/12 version approved by the NUCC (National Uniform Claim Committee) Convenient and easy to use!...

MSRP:

Was:

Now: $153.56

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Dental Claim Form Signature Labels

Our detailed signature release labels match ADA claim forms for faster, delay-free claims processing! Handy labels! Signed self-adhesive labels can be affixed to insurance forms as needed. Please note: For use with 1990 ADA versions.

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Now: $21.50

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Patient Insurance Account Information Labels

Patient insurance labels clearly document important information & fit securely on patient files. Handy labels! Self-adhesive backing fits neatly on patient files. Quantity: 100 labels per package.

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Now: $28.67

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Simplified Claim Form Signature Release Labels

Signature release labels can easily be applied to patient insurance forms to avoid claims processing delays. Compatibility: For use with Simplified Claim Forms - Item #4049. Handy! Get a patient signature on self-adhesive labels, then affix to...

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Now: $29.69

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