ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100)
$16.39
1
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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$16.39
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Attributes | ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100) | Medical Arts Press Log of Hospital Visits, Pocket-sized, 1-Part | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250) | ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241) | ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500) |
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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 Mon, Sep 08 | Free delivery by Tue, Sep 02 | Delivery by Mon, Sep 08 | Free delivery by Mon, Sep 08 | Free delivery by Mon, Sep 08 |
Available in my store | No | No | No | No | No |
Width in Inches | 8.5 | 5.75 | 8.5 | 8.5 | 8.5 |
Length in Inches | 11 | 3.375 | 11 | 11 | 11 |
Medical Form Pack Size | 100 | Data not available | 250 | 2500 | 500 |
Medical Form Type | Dental Claims | Data not available | Health Insurance Claims | Dental Claims | Dental Claims |
Form Size | 8-1 / 2" X 11" | 5 3 / 4" x 3 3 / 8" | Data not available | 8-1 / 2" x 11" | 8-1 / 2" x 11" |
True Color | White | Data not available | White / Red | White | White |
Print Type | Laser | Data not available | Laser | Laser | Laser |
Number of Parts | 1 | 1 | 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 |