ComplyRight Dental Claim, 500/Pack (1900500)
$23.29
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Description
This ADA dental claim form allows healthcare providers to bill a patient’s insurance company for reimbursement of dental claims. This form in laser format features 8.5″ x 11″ size. This is the latest version of the claim/attending dentist form (2019).
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Dental claim form
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500 forms per pack
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Comes as a white sheet with black text
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Dimensions: 8.5″W x 11″L
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This is the latest version of the claim/attending dentist form (2019)
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100% compliant to meet the American Dental Association (ADA) guidelines
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Features laser format
| Brand : ComplyRight | Customizable : No | HR Form Pack Size : 500 | HR Form Type : Dental Claims |
| Length in Inches : 11 | Pack Qty : 500 | True Color : Black/White | Width in Inches : 8.5 |
| Weight : 4.00 lbs. per Each |
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