ComplyRight™ ADA Dental Claim Forms, Laser, 8-1/2" x 11", Pack Of 250 Forms
1 / 1
$12.99/each
Description
ComplyRight Dental Claim Forms allow healthcare providers to bill a patient's insurance company for reimbursement of dental claims.
These are 2019 version ADA Dental Forms.
These forms have accurate content and conform to the Health Insurance Portability and Accountability Act (HIPAA). Developed in conjunction with all the governing agencies, including the National Uniform Claim Committee (NUCC), the National Uniform Billing Committee (NUBC), the CMS Centers for Medicare and Medicaid Services, the Health and Human Services Agency, and the American Hospital Association.
Forms adhere to strict printing standards that govern the layout, paper and ink.
Specifications
Item #
5127498
Manufacturer #
1900250
Color (Ink)
Black
sheet size
Letter (8-1/2" x 11")
double sided
No
sensor bars
No
number of parts
1
carbonless
Yes
acid free
Yes
Product Line
ADA Dental Claim Forms
binding type
Cut-Flush
quantity
250
brand name
ComplyRight
manufacturer
TAX FORMS PRINTING, INC.
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