ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)
$16.39
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Highlights
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- Forms conform to the Health Insurance Portability and Accountability Act (HIPAA)
- Forms provide a common format for reporting dental services to a patient's dental benefit plan
- ADA policy promotes use and acceptance latest version ADA Dental Claim Forms by dentists and payers
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ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)
Item #: 24602229Model #: 20241100
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Final price is $16.39
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Attributes | ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100) | Adams Health Insurance Claims (CMS1500CV) | ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500) | ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241) | ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411) |
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Your product ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100) Price is $16.39 | |||||
Reviews | |||||
Delivery Information | Delivery by Fri, Jun 13 | Pick up in 1 hour | Free delivery by Fri, Jun 13 | Free delivery by Fri, Jun 13 | Free delivery by Fri, Jun 13 |
Available in my store | No | Yes | No | No | No |
Width in Inches | 8.5 | 9.5 | 8.5 | 8.5 | 8.5 |
Length in Inches | 11 | 11 | 11 | 11 | 11 |
Medical Form Pack Size | 100 | 100 | 500 | 2500 | 1000 |
Medical Form Type | Dental Claims | Health Insurance Claims | Dental Claims | Dental Claims | Dental Claims |
Form Size | 8-1 / 2" X 11" | 9 1 / 2" x 11" | 8-1 / 2" x 11" | 8-1 / 2" x 11" | 8-1 / 2" x 11" |
True Color | White | White | White | White | White |
Print Type | Laser | Data not available | Laser | Laser | Laser |
Number of Parts | 1 | Data not available | 1 | 1 | 1 |
Acid Free | Acid Free | Data not available | Acid Free | Acid Free | Acid Free |
Price Per Unit | Data not available | Data not available | Data not available | Data not available | Data not available |
Add To Cart | Add To Cart | Add To Cart | Add To Cart |