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
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ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500)
Item #: 24602228Model #: 20241500
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Final price is $42.49
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Attributes | ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500) | ComplyRight Confidential Employee Medical Records Folder, Pack of 25 (A2211) | ComplyRight Employee Warning Notice, Pack of 50 (A2311) | ComplyRight Orthodontic Case Analysis File, 9.5" x 11.75", 25 Folders/Pack (A1048) | ComplyRight Notice of Privacy Practice, 100/Pack (A1349) |
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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 30 | Free delivery by Tue, Jul 01 | Free delivery by Tue, Jul 01 | Free delivery by Tue, Jul 01 | Free delivery by Tue, Jul 01 |
Available in my store | No | No | No | No | No |
Width in Inches | 8.5 | 9.375 | 8.5 | 11.75 | 8.5 |
Length in Inches | 11 | 11.75 | 11 | 9.5 | 11 |
Form Size | 8-1 / 2" x 11" | 9.375" x 11.75" | 8 1 / 2" x 11" | 9.5" x 11.75" | 8 1 / 2" x 11" |
Medical Form Pack Size | 500 | 25 | Data not available | Data not available | 100 |
Medical Form Type | Dental Claims | Medical Records Folders | Data not available | Data not available | Privacy Practice |
True Color | White | Data not available | White | Beige | White |
Print Type | Laser | Data not available | Data not available | Data not available | Data not available |
Price Per Unit | Data not available | Data not available | Data not available | Data not available | Data not available |
Number of Parts | 1 | Data not available | Data not available | Data not available | Data not available |
Add To Cart | Add To Cart | Add To Cart | Add To Cart |