ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500)
$43.59
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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, 500 Forms/Pack (20241500)
Item #: 24602228Model #: 20241500
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$43.59
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| Attributes | ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500) | TFP UB-04 CMS-1450 Health Insurance Claims, 2500/Carton (UB04LC) | ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241) | ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100) | ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411) |
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Your product ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500) Price is $43.59 | |||||
| Reviews | |||||
| Delivery Information | Free delivery by Fri, Apr 03 | Free delivery by Fri, Apr 03 | Free delivery by Fri, Apr 03 | Delivery by Fri, Apr 03 | Free delivery by Fri, Apr 03 |
| Available in my store | No | No | No | No | No |
| Medical Form Pack Size | 2500 | 2500 | 2500 | 100 | 1000 |
| Medical Form Type | Health Insurance Claims | Health Insurance Claims | Dental Claims | Dental Claims | Dental Claims |
| Length in Inches | Data not available | Data not available | 11 | 11 | 11 |
| Width in Inches | Data not available | Data not available | 8.5 | 8.5 | 8.5 |
| Print Type | Laser | Laser | Laser | Laser | Laser |
| Number of Parts | 1 | 1 | 1 | 1 | 1 |
| True Color | White / Red | White / Red | White | White | White |
| Form Size | Data not available | Data not available | 8-1 / 2" x 11" | 8-1 / 2" X 11" | 8-1 / 2" x 11" |
| Acid Free | Data not available | Data not available | Acid Free | Acid Free | Acid Free |
| Add To Cart | Add To Cart | Add To Cart | Add To Cart |
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