ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)
$16.79
1
Highlights
View all details
- 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
MADE IN AMERICA
ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)
Item #: 24602229Model #: 20241100
No reviews yet
$16.79
Free Returns
Online. In store. Always free.
Learn More
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Over 30
Consider this similar product
Customers bought together
ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100) is Your Product
No reviews yet
Price is $16.79
Selected
No reviews yet
Price is $21.29
Selected
Price for all 3
$49.07
Compare similar items
| Attributes | ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100) | 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) | ComplyRight UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5) |
|---|---|---|---|---|---|
Your product ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100) Price is $16.79 | |||||
| Reviews | |||||
| Delivery Information | Delivery by Thu, Jan 08 | Free delivery by Thu, Jan 08 | Free delivery by Thu, Jan 08 | Free delivery by Thu, Jan 08 | Delivery by Wed, Jan 14 |
| Available in my store | No | No | No | No | No |
| Length in Inches | 11 | 11 | 11 | 11 | 11 |
| Medical Form Pack Size | 100 | 500 | 2500 | 1000 | 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 |
| Print Type | Laser | Laser | Laser | Laser | Laser |
| True Color | White | White | White | White | 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 |
| Number of Parts | 1 | 1 | 1 | 1 | 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 |
Featured Products
Page 1 of 3