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Insurance Claim Forms

ComplyRight ADA Dental Claim Forms (2024 Version), Pack of 500, 8-1/2" X 11", Laser Printed Insurance Claim Form

R 2,170

or 4 x payments of R542.50 with Payflex

Payflex

Availability: Currently in Stock

Delivery: 10-20 working days

Please be aware orders placed now will not arrive in time for Christmas, please check delivery times.

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ComplyRight ADA Dental Claim Forms (2024 Version), Pack of 500, 8-1/2" X 11", Laser Printed Insurance Claim Form
- IMPORTANT: Starting January 1, 2024, providers and dental industry partners will see crucial updates designed to streamline dental claims processing.
- CLAIM FORM: ComplyRight Dental Claim Forms allow healthcare providers to bill a patient's insurance company for reimbursement of dental claims. These forms have accurate content and conform to the Health Insurance Portability and Accountability Act (HIPAA).
- PROFESSIONAL: 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
- COMPLIANT: Forms adhere to strict printing standards that govern the layout, paper and ink. 100% compliant to meet ADA guidelines
- PACK SIZE: 500, 8-1/2" X 11" laser printed claim forms
Country USA
Brand ComplyRight
Manufacturer ComplyRight
Binding Office Product
ItemPartNumber 20241500
Size 500 Forms
UPCs 790757381698
EANs 0790757381698
ReleaseDate 0000-00-00