Ada 2012 Insurance Claim Form, Padded

Personalize your claim forms for faster, more error-free third party billing. Authorized by the American Dental Association (ADA), these updated, one-part claim/attending dentist forms are padded for your convenience.

• Convenient and easy to use: ADA compliant forms make third party billing a breeze
• Accepts updated billing codes: And has more room for provider and patient ID numbers.
• Personalize it! Add your practice name, address, social security number or TIN, and license number for an extra professional touch.
• One-part padded format: 100 forms per pad
• Fold lines on forms: Help ensure proper placement of address in envelope window.
• Envelope compatibility: Use with CE2003