Tomorrow's Practice
                 Everything Healthcare™

    

Phone Number (609-576-1385)  Fax (609) 788-8884  info@tomorrowspractice.com
 
 

Laser 2002 ADA Claim Form


Speed third-party billing! Available in 1990, 1995, 2000 and 2002 versions. Accepts updated CDT-4 codes. Convenient fold lines for easy placement of address in window envelope.

                                                  1,000      2,000      5,000

                                                 $64.60     111.35    254.15

Companion ADA Insurance Form Envelopes

Perfectly sized and aligned to accept ADA forms. Right window and  handy self-seal. Size 4-1/8" x 9-1/2". Printed or unimprinted.

                                      1,000      2,000      3,000      5,000

                 Printed           $84.15    160.65    237.15     313.65

                     Blank                  67.15    133.45    186.15     262.65

 


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