ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)
$17.29
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
ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)
Item #: 24602229Model #: 20241100
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$17.29
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Your product ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100) Price is $17.29 Out of Stock | |||||
| Reviews | |||||
| Delivery Information | Data not available | Free delivery by Wed, Jul 22 | Free delivery by Wed, Jul 22 | Free delivery by Wed, Jul 22 | Delivery by Mon, Jul 27 |
| Available in my store | No | No | No | No | No |
| Length in Inches | 11 | 11 | 11 | 11 | 11 |
| Medical Form Pack Size | 100 | 1000 | 500 | 2500 | 500 |
| Medical Form Type | Dental Claims | Dental Claims | Dental Claims | Dental Claims | Health Insurance Claims |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| True Color | White | White | White | White | Data not available |
| Print Type | Laser | Laser | Laser | Laser | Laser |
| Number of Parts | 1 | 1 | 1 | 1 | Data not available |
| Form Size | 8-1 / 2" X 11" | 8-1 / 2" x 11" | 8-1 / 2" x 11" | 8-1 / 2" x 11" | Data not available |
| Acid Free | Acid Free | Acid Free | Acid Free | Acid Free | Acid Free |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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