ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241)
$133.69
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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, 2,500 Forms/Pack (20241)
Item #: 24602226Model #: 20241
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$133.69
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| Attributes | ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241) | TOPS Centers for Medicare and Medicaid Services Forms, 8-1/2" x 11", 250/Pack (50135RV) | ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500) | ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411) | ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100) |
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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 Wed, Apr 29 | Delivery by Thu, Apr 23 | Free delivery by Wed, Apr 29 | Free delivery by Wed, Apr 29 | Delivery by Wed, Apr 29 |
| Available in my store | No | No | No | No | No |
| Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
| Length in Inches | 11 | 11 | 11 | 11 | 11 |
| Form Size | 8-1 / 2" x 11" | 8 1 / 2" x 11" | 8-1 / 2" x 11" | 8-1 / 2" x 11" | 8-1 / 2" X 11" |
| True Color | White | Red and White | White | White | White |
| Medical Form Pack Size | 2500 | 250 | 500 | 1000 | 100 |
| Medical Form Type | Dental Claims | Consent | Dental Claims | Dental Claims | Dental Claims |
| Print Type | Laser | Continuous | 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 |
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