ADA 2012 Dental Claim Forms; 1-Part Continuous, 2,500/Carton

Item # 901-1201M  Model # 1201
• Form Type: Insurance • Format: Dental Claim Form • Sheet Size: 8-1/2" x 11"
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$56.99
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  • 100% compliant to meet ADA guidelines
  • 2012 version accommodates NPI requirements and complies with the latest HIPAA guidelines
  • The American Dental Association urges universal use and acceptance of the 2012 ADA dental claim form by third-party payers, third-party payer organizations and electronic data interchange agencies
  • Size: 8-1/2x11"
  • 1-part continuous
  • 2,500 per carton

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