ComplyRight ADA Dental Claim Form, Laser-Cut Sheet, 1000/Cartoon
Supplies and Accessories
Authorized for use by the American Dental Association, these dental claim forms allow the attending dentist to bill patients’ insurance providers for reimbursement of dental claims.
ComplyRight ADA Dental claim form measures 8 1/2" x 11" and accommodates reporting of National Provider Identifier. Form is officially licensed by the American Dental Association and is sold as 1000 pieces per carton.
Dimensions: 8-1/2" W x 11" H
1000 per carton
All claim forms officially licensed by the American Dental Association and supported by most popular dental software packages
100% compliant to meet ADA guidelines
Accommodates reporting of National Provider Identifier (NPI)
Designed for processing on high speed OCR scanning equipment
Laser Cut Sheet
Printed with special "dropout" red ink on 20# paper
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