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, 1,000 Forms/Pack (202411) | ComplyRight 2024 ADA Dental Claim Forms, 2,500 Forms/Pack (20241) | ComplyRight 2024 ADA Dental Claim Forms, 100 Forms/Pack (20241100) | ComplyRight UB-04 Hospital Claim Form, 500 Forms/Pack (UB04LC5) |
---|---|---|---|---|---|
Your product ComplyRight 2024 ADA Dental Claim Forms, 500 Forms/Pack (20241500) Price is $43.59 | |||||
Reviews | |||||
Delivery Information | Free delivery by Tue, Oct 21 | Free delivery by Tue, Oct 21 | Free delivery by Tue, Oct 21 | Delivery by Tue, Oct 21 | Delivery by Fri, Oct 24 |
Available in my store | No | No | No | No | No |
Medical Form Pack Size | 500 | 1000 | 2500 | 100 | 500 |
Length in Inches | 11 | 11 | 11 | 11 | 11 |
Medical Form Type | Dental Claims | Dental Claims | Dental Claims | Dental Claims | Health Insurance Claims |
Width in Inches | 8.5 | 8.5 | 8.5 | 8.5 | 8.5 |
Print Type | Laser | Laser | Laser | Laser | Laser |
True Color | White | White | White | White | Data not available |
Number of Parts | 1 | 1 | 1 | 1 | Data not available |
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 |
Acid Free | Acid Free | Acid Free | Acid Free | Acid Free | Acid Free |
Add To Cart | Add To Cart | Add To Cart | Add To Cart |