ComplyRight Dental Claim, 1000/Pack (19001)
Item #:
901-24433071
Model #:
19001
Brand:
ComplyRight
Free shipping
Customers Also Viewed
ComplyRight Dental Claims, 250/Pack (1900250)
Item #: 901-24433068
ComplyRight Dental Claim, 500/Pack (1900500)
Item #: 901-24433064
ComplyRight 1-Part Dental Claim, 1000/Pack (19011)
Item #: 901-24433060
ComplyRight Dental Claim, 2500/Pack (1900)
Item #: 901-24433070
ComplyRight 1-Part Dental Claims, 2500/Pack (19011)
Item #: 901-24433065
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).
- Dental claim form
- 1000 forms per pack
- Comes as a white sheet with black text
- Dimensions: 8.5"W x 11"L
- This is the latest version of the claim/attending dentist form (2019)
- 100% compliant to meet the American Dental Association (ADA) guidelines
- Features laser format
Specifications
Brand
ComplyRight
HR Form Pack Size
1000
HR Form Type
Dental Claims
Length in Inches
11
Pack Qty
1000
True Color
Black/White
Width in Inches
8.5