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ADA Dental Claim Continuous Forms, 1-Part, Box Of 2,500 Item # 799252
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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.
|eco-label/standard||SFI Fiber Sourcing|
|manufacturer||TFP Data Systems|
|number of parts||1|
|Product Line||ADA Dental Claim Continuous Form|