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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Price isĀ $133.69
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| Attributes | ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100) | ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411) | ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241) | ComplyRight UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5) | ComplyRight CMS-1500 Health Insurance Claim Form, 250/Box (CMS12LC250) |
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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 deliveryĀ by Tue, Sep 08 | Free deliveryĀ by Tue, Sep 08 | DeliveryĀ by Fri, Sep 11 | DeliveryĀ by Tue, Sep 01 |
| Available in my store | No | No | No | No | No |
| Length in Inches | 11 | 11 | 11 | 11 | 11 |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| Medical Form Pack Size | 100 | 1000 | 2500 | 500 | 250 |
| Medical Form Type | Dental Claims | Dental Claims | Dental Claims | Health Insurance Claims | Health Insurance Claims |
| True Color | White | White | White | Data not available | White |
| Form Size | 8-1 / 2" X 11" | 8-1 / 2" x 11" | 8-1 / 2" x 11" | Data not available | 8 1 / 2" x 11" |
| Print Type | Laser | Laser | Laser | Laser | Laser |
| Number of Parts | 1 | 1 | 1 | Data not available | Data not available |
| Acid Free | Acid Free | Acid Free | Acid Free | Acid Free | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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