ADA Dental Claim Continuous Forms, 1-Part, Box Of 2,500

Item #799252
ADA Dental Claim Continuous Forms, 1-Part, Box Of 2,500
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$73.99/case

Description

    Allows healthcare providers to bill a patient's insurance company for reimbursement of dental claims

    • Forms must adhere to strict printing standards that govern the layout, paper and ink.
    • Each form must 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.
    • This is the latest version of the claim/attending dentist form (2012).
    • 100% compliant to meet the American Dental Association (ADA) guidelines.
    • Compatible with ADA Dental Self-Seal Envelopes (SKU #799306). Products are sold seperately.
    $73.99/case