ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500)
$43.59
1
Highlights
View all details
- 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
No reviews yet
Compare similar items
| Attributes | ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500) | ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100) | ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241) | ComplyRight 2024 ADA Dental Claim Forms, 1,000 Forms/Pack (202411) | ComplyRight Notice of Privacy Practice, 100/Pack (A1349) | 
|---|---|---|---|---|---|
Your product ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500) Price is $43.59  | |||||
| Reviews | |||||
| Delivery Information | Free delivery by Mon, Nov 10  | Delivery by Mon, Nov 10  | Free delivery by Mon, Nov 10  | Free delivery by Mon, Nov 10  | Free delivery by Wed, Nov 12  | 
| Available in my store | No  | No  | No  | No  | No  | 
| Length in Inches | 11  | 11  | 11  | 11  | 11  | 
| Width in Inches | 8.5  | 8.5  | 8.5  | 8.5  | 8.5  | 
| 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"  | 
| Medical Form Pack Size | 500  | 100  | 2500  | 1000  | 100  | 
| Medical Form Type | Dental Claims  | Dental Claims  | Dental Claims  | Dental Claims  | Privacy Practice  | 
| True Color | White  | White  | White  | White  | White  | 
| Print Type | Laser  | Laser  | Laser  | Laser  | Data not available  | 
| Number of Parts | 1  | 1  | 1  | 1  | Data not available  | 
| Acid Free | Acid Free  | Acid Free  | Acid Free  | Acid Free  | Data not available  | 
|   Add To Cart  |   Add To Cart  |   Add To Cart  |   Add To Cart  |