About
Description
ComplyRight Dental Claim Forms allow healthcare providers to bill a patient's insurance company for reimbursement of dental claims.
- These are 2019 version ADA Dental Forms.
- These forms 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.
- Forms adhere to strict printing standards that govern the layout, paper and ink.
Specs
| Manufacturer # | 1900250 |
| Acid Free | Yes |
| Binding Type | Cut-Flush |
| Brand Name | ComplyRight |
| Carbonless | Yes |
| Color (ink) | Black |
| Double Sided | No |
| Manufacturer | TAX FORMS PRINTING, INC. |
| Number of Parts | 1 |
| Product Line | ADA Dental Claim Forms |
| Quantity | 250 |
Description
ComplyRight Dental Claim Forms allow healthcare providers to bill a patient's insurance company for reimbursement of dental claims.
- These are 2019 version ADA Dental Forms.
- These forms 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.
- Forms adhere to strict printing standards that govern the layout, paper and ink.
| Attribute Name | Attribute Value |
|---|
ComplyRight
by
ComplyRight
1900250
ComplyRight ADA Dental Claim Forms, Laser, 8-1/2in x 11in, Pack Of 250 Forms
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