ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241)
$133.69
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
ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241)
Item #: 24602226Model #: 20241
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| Attributes | ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241) | ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411) | ComplyRight CMS-1500 Health Insurance Claim Forms (02/12), 8-1/2" x 11", Pack of 250 (CMS12LC250) | TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC) | Adams CMS-1500 Health Insurance Claims, 100/Pack (CMS1500L1V) |
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Your product ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241) Price is $133.69 | |||||
| Reviews | |||||
| Delivery Information | Free delivery by Mon, Nov 02 | Free delivery by Mon, Nov 02 | Delivery by Mon, Nov 02 | Free delivery by Mon, Nov 02 | Delivery by Tue, Oct 27 |
| Available in my store | No | No | No | No | Yes |
| Length in Inches | 11 | 11 | 11 | Data not available | 11 |
| Medical Form Pack Size | 2500 | 1000 | 250 | 2500 | 100 |
| Medical Form Type | Dental Claims | Dental Claims | Health Insurance Claims | Health Insurance Claims | Health Insurance Claims |
| Width in Inches | 8.5 | 8.5 | 8.5 | Data not available | 8.5 |
| True Color | White | White | White / Red | White / Red | White / Red |
| Form Size | 8-1 / 2" x 11" | 8-1 / 2" x 11" | Data not available | Data not available | 8 1 / 2" x 11" |
| Number of Parts | 1 | 1 | 1 | 1 | 1 |
| Print Type | Laser | Laser | Laser | Laser | Data not available |
| Acid Free | Acid Free | Acid Free | Acid Free | Data not available | Data not available |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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