ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500)
$42.49
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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
MADE IN AMERICA
ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500)
Item #: 24602228Model #: 20241500
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Your product ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500) Price is $42.49 | |||||
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Delivery Information | Free delivery by Mon, Jun 02 | Free delivery by Mon, Jun 02 | Delivery by Mon, Jun 02 | Free delivery by Mon, Jun 02 | Delivery by Wed, Jun 04 |
Available in my store | No | No | No | No | No |
Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
Medical Form Pack Size | 500 | 2500 | 100 | 1000 | 500 |
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" | Data not available |
Medical Form Type | Dental Claims | Dental Claims | Dental Claims | Dental Claims | Health Insurance Claims |
True Color | White | White | White | White | Data not available |
Print Type | Laser | Laser | Laser | Laser | Laser |
Number of Parts | 1 | 1 | 1 | 1 | Data not available |
Acid Free | Acid Free | Acid Free | 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 |