ComplyRight ADA Dental Claim Forms (2024 Version), Pack of 500, 8-1/2" X 11", Laser Printed Insurance Claim Form
Asin: B0CPFR2MJK | Ean: 0790757381698 | UPC: 790757381698
As an Amazon Associate we earn a fee from qualifying purchases when you follow a link to Amazon from this page. We rank the products, but the links to Amazon are promotional.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.
Pack Size: 500, 8-1/2" X 11" Laser Printed Claim Forms.
Compliant: Forms Adhere To Strict Printing Standards That Govern The Layout, Paper And Ink. 100% Compliant To Meet Ada Guidelines.
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)..
Features
- 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
- See more on Amazon...
Brand: ComplyRight | Manufacturer: ComplyRight
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500 CMS-1500 Claim Forms - Current HCFA 02/2012 New Version - Forms Will Line Up with Billing Software and Laser Compatible - 500 Sheets - 8.5 x 11
Asin: B071CN5ZMJ | Model: FBA_BSS-92588-302 | PartNumber: FBA_BSS-92588-302 | Ean: 0869643000361 | UPC: 869643000361
Thick 20 Lb Paper That Easily Feeds Through Both Laser And Ink Jet Printers.
Cms-1500 Forms Are Required For Health Care Providers To Receive Reimbursements For Clients, Medicare Begin Accepting The New 02/2012 Version In January Of 2014 And Now Only Accepts This Version.
100 % Compliant With Hipaa Act With All Forms Printed In The Usa By Us Government Certified Printers.
All Printed Fields Will Align With The Correct Boxes When Using Your Templates Or Billing Software With Our Consistently High Quality Forms That Are Manufactured In The Usa.
Features
- Easily get reimbursed by insurance companies with Current 02/2012 version CMS-1500 Forms (OMB-0938-1197) that are 100% compliant with HIPAA with all correct content, Red ink, and 1 Part printing style
- All printed fields will align with the correct boxes when using your templates or billing software with our consistently high quality forms that are manufactured in the USA
- Thick 20 LB paper that easily feeds through both Laser and Ink Jet printers
- 100 % compliant with HIPAA Act with all forms printed in the USA by US government certified printers
- CMS-1500 forms are required for health care providers to receive reimbursements for clients, Medicare begin accepting the NEW 02/2012 version in January of 2014 and now only Accepts this version
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Brand: Blue Summit Supplies | Manufacturer: Blue Summit Supplies
Weight: 4.52 pounds
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CMS 1500 Claim Forms - HCFA (Version 02/12) 2,500 SHEETS, APPROVED OMB-0938-1197
Asin: B07BPT2PH2 | Ean: 0689732705904 | UPC: 689732705904
Size: 8-1/2" X 11"; Weight: 24# Paper.
For Laser And/Or Inkjet Printers.
(Version 02/12) Approved Omb-0938-1197.
Features
- 2,500 Single Sheets - Printed in OCR red
- (Version 02/12) APPROVED OMB-0938-1197
- Size: 8-1/2 X 11; Weight: 24# Paper
- For Laser and/or Inkjet Printers
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Brand: Stockchecks | Manufacturer: Stockchecks, Inc
Dimensions: 50.00 x 100.00 x 100.00 Centimeters | Weight: 27.00 pounds
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New CMS 1500 Claim Forms - HCFA (Version 02/12) 1000 per Box
Asin: B074DH2VX7 | Model: HCFA1500-1000 | PartNumber: HCFA1500-1000
Required For Healthcare Providers To Bill Patients' Insurance Companies For Reimbursement.
Made In The Usa By Next Day Labels Tm - 100% Guaranteed.
Latest Hcfa / Cms 1500 Claim Form (Approved Omb-0938-1197).
1-Part 8-1/2" X 11" Laser Form Cms-1500, Printed In Red Ink.
Features
- Box of 1,000 Sheets - New Health Insurance Claim Forms, 2012 Approved Version
- 1-Part 8-1/2 X 11 Laser Form CMS-1500, Printed in Red Ink
- Required for Healthcare Providers to Bill Patients' Insurance Companies for Reimbursement
- Latest HCFA / CMS 1500 Claim Form (Approved OMB-0938-1197)
- Made in the USA by Next Day Labels TM - 100% Guaranteed
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CMS 1500 Claim Forms "ICD-10" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 2500 Sheets
Asin: B01521DTEU | Model: WCMS-1500 (02/12) | PartNumber: WCMS-1500 (02/12)
2,500 Sheets.
Cms 1500 (02/12) Claim Forms Are Available For Use With The Icd-10 Codes..
Features
- for physicians, the CMS 1500 meets The Centers for Medicare and Medicaid Services guidelines.
- cms 1500 (02/12) claim forms are available for use with the ICD-10 codes.
- 2,500 sheets
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Brand: twiHealthcare | Manufacturer: twihealthcare
Dimensions: 11.00 x 12.00 x 10.00 Inches
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New CMS 1500 Health Insurance Claim Forms, HCFA Approved Version (02/12) - Ream of 100 Forms
Asin: B01DJLTNPY | Model: CMS 1500 | PartNumber: CMS 1500 | Ean: 0609015486009 | UPC: 609015486009
Required For Healthcare Providers To Bill Patients' Insurance Companies For Reimbursement.
Ream Of 100 Laser / Inkjet Forms.
Latest Hcf / Cms 1500 Claim Form (Approved Omb-0938-1197).
1-Part 8-1/2" X 11" Laser Form Cms-1500, Printed In Red Ink.
Features
- New Health Insurance Claim Forms, 2012 Approved Version
- 1-Part 8-1/2 X 11 Laser Form CMS-1500, Printed in Red Ink
- Required for Healthcare Providers to Bill Patients' Insurance Companies for Reimbursement
- Latest HCF / CMS 1500 Claim Form (Approved OMB-0938-1197)
- REAM OF 100 LASER / INKJET FORMS
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Brand: HCF | Manufacturer: HCF
Dimensions: 0.50 x 11.00 x 8.40 inches | Weight: 0.90 pounds
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SecurityDocs 500 CMS-1500 Health Insurance Claim Forms, Laser/Inkjet Compatible (HCFA Form 1500 Version 02-12) 8.5x11, 500 Forms (59211)
Asin: B09BBKBQRM | Model: 59211 | PartNumber: 59211 | Ean: 0810019031052 | UPC: 810019031052
Thick 20 Lb Paper (Per Government Regulations) That Are Compatible With Laser And Ink Jet Printers.
Cms-1500 Forms Are Required For Health Care Providers To Receive Reimbursements For Clients, Medicare Begin Accepting The New 02/2012 Version In January Of 2014 And Now Only Accepts This Version.
100% Compliant With Hipaa With All Correct Content, Red Ink, And 1 Part Printing Style, Manufactured & Printed In The Usa.
All Printed Fields Will Align With The Correct Boxes When Using Your Templates Or Billing Software.
Features
- Easily get reimbursed by insurance companies with the current 02/2012 version CMS-1500 Forms (HCFA-1500 New Version 02/12 NUCC, Approved OMB-0938-1197 Form 1500 02-12)
- All printed fields will align with the correct boxes when using your templates or billing software
- Thick 20 LB paper (per government regulations) that are compatible with Laser and Ink Jet printers
- 100% compliant with HIPAA with all correct content, Red ink, and 1 Part printing style, Manufactured & Printed in the USA
- CMS-1500 forms are required for health care providers to receive reimbursements for clients, Medicare begin accepting the NEW 02/2012 version in January of 2014 and now only Accepts this version
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Brand: Aimoh | Manufacturer: Aimoh
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ComplyRight CMS 1500 Healthcare Billing Form - 02/12, Laser, 2500-Count (CMS12LC)
Asin: B01E37YZM4 | Model: CMS12LC | PartNumber: CMS12LC
20-Lb Paper With Ocr "Dropout" Red Ink For Greater Scanning Accuracy.
Sfi Certified - Certified To Meet Sfi Standards.
Forms Adhere To Strict Printing Standards That Govern The Layout, Paper And Ink.
Features
- Required for healthcare providers to bill a patient's insurance company for reimbursement of medical claims
- Forms adhere to strict printing standards that govern the layout, paper and ink
- 20-Lb paper with OCR dropout red ink for greater scanning accuracy
- SFI certified - certified to meet SFI standards
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Brand: ComplyRight | Manufacturer: ComplyRight
Dimensions: 10.50 x 11.00 x 8.50 Inches
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ComplyRight ADA Dental Self-Seal Envelope | Insurance Claim | Box of 500
Asin: B09ZJWDGCJ | Ean: 0790757378117 | UPC: 790757378117
Secure: The Self-Seal Closures Keep Pages Tucked Secure Inside For Enhanced Privacy And Added Security, And Includes A Window With Security Tint To Meet Hipaa Guidelines..
Complyright: At Complyright, Our Mission Is To Free Employers From The Burden Of Tracking And Complying With The Complex Web Of Federal, State, And Local Employment Laws. Complyright Is The Market Leader In Government Compliant Products Such As Tax Forms, Tax Software, Hr Products And Services, Labor Law Solutions, And Health Insurance Claim Forms..
Packaging/Dimensions: Envelopes Are In A Pack Of 500 And Measure 4-1/8" X 9".
Ada Envelopes: Send Your Practice’S Ada Claims And Attending Dentist’S Forms In Convenient Self-Seal Envelopes.
Features
- ADA CLAIM FORM ENVELOPE: ComplyRight s ADA Dental Self-Seal Envelopes, are specifically designed to perfectly fit ADA Dental Claim Forms. Envelopes are self-seal for easier sealing, 100% compatible with HIPAA requirements, and tinted inside for confidentiality of components.
- ADA ENVELOPES: Send your practice s ADA claims and attending dentist s forms in convenient self-seal envelopes
- SECURE: The self-seal closures keep pages tucked secure inside for enhanced privacy and added security, and includes a window with security tint to meet HIPAA guidelines.
- PACKAGING/DIMENSIONS: Envelopes are in a pack of 500 and measure 4-1/8 x 9
- COMPLYRIGHT: At ComplyRight, our mission is to free employers from the burden of tracking and complying with the complex web of federal, state, and local employment laws. ComplyRight is the market leader in government compliant products such as tax forms, tax software, HR products and services, labor law solutions, and health insurance claim forms.
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Brand: ComplyRight | Manufacturer: ComplyRight
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CMS-1500 Claim Forms Current HCFA 02/2012 Version Health Insurance Claim Forms for Medical Facilities and Hospitals, Compatible w/Laser and Inkjet Printers - 8.5'' x 11 (1000 Sheets)
Asin: B002VRA00U | Model: 1001 | PartNumber: 1001
Compliant With All Government Standards: Each Ub04 Claim Form Has Accurate Content And Adheres To Strict Government Standards Developed By Hipaa In Conjunction With Cms Centers For Medicare And Medicaid Services, Nubc, Nucc, Health And Human Services Agency, And American Hospital Association..
Latest Approved Version Forms: Cms/Hcfa 1500 Claim Forms (02/2012 Version) Are The Currently Approved Forms That Replaced (Version 08/05) Cms-1500 Forms; Required For Health Care Providers To Bill A Patient's Insurance Company For Reimbursement Of Medical Claims..
Simply Your Compensation Process With Our 2012 Approved Cms-1500 Health Insurance Claim Forms. 500 Sheets, Proudly Made In The Usa. Widely Accepted By Hospitals, Nursing Facilities, And Other In-Patient Providers Since 2014..
All Printed Fields, Boxes, And Layout Will Perfectly Align With The Correct Boxes For Easy Printing With Billing Software. No Need To Change Settings When Using These High-Quality Hcfa 1500 Claim Forms! Printed On Red Ink For Greater Scanning Accuracy..
Features
- SUPERIOR QUALITY: Our CMS-1500 insurance claim forms are manufactured and printed in the USA by US government certified printers on bright white Thick 20 LB paper; compatible with Laser and Inkjet printers. Printed in red ink.
- All printed fields, boxes, and layout will perfectly align with the correct boxes for easy printing with billing software. No need to change settings when using these high-quality HCFA 1500 claim forms! Printed on red ink for greater scanning accuracy.
- COMPLIANT WITH ALL GOVERNMENT STANDARDS: Each UB04 Claim Form has accurate content and adheres to strict government standards developed by HIPAA in conjunction with CMS Centers for Medicare and Medicaid Services, NUBC, NUCC, Health and Human Services Agency, and American Hospital Association.
- SIMPLY YOUR COMPENSATION PROCESS with our 2012 approved CMS-1500 Health Insurance Claim Forms. 500 sheets, proudly made in the USA. Widely accepted by hospitals, nursing facilities, and other in-patient providers since 2014.
- LATEST APPROVED VERSION FORMS: CMS/HCFA 1500 claim forms (02/2012 version) are the currently approved forms that replaced (version 08/05) CMS-1500 Forms; required for health care providers to bill a patient's insurance company for reimbursement of medical claims.
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ComplyRight 02/12 Version CMS-1500 Health Insurance Claims 2500/Pack (CMS12LC)
Asin: B014064Z6E | Model: CMS12LC | PartNumber: CMS12LC | Ean: 6093801829820
Contains 2500 Forms Per Package..
For Use By All Medical Facilities. Developed In Conjunction With All The Governing Agencies. Comes In Laser-Cut Sheet Format..
Printed With Ocr Dropout Red Ink On White Paper..
Satisfy Record-Keeping Requirements With These Health Insurance Claim Forms..
Features
- Sold as 2500/Pack.
- Satisfy record-keeping requirements with these health insurance claim forms.
- Contains 2500 forms per package.
- Printed with OCR dropout red ink on white paper.
- For use by all medical facilities. Developed in conjunction with all the governing agencies. Comes in laser-cut sheet format.
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Brand: ComplyRight | Manufacturer: ComplyRight
Dimensions: 10.25 x 11.00 x 8.50 Inches
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2024 New ADA Dental Claim Form- 2500 sheets
Asin: B0CMBVYP1X
Adherence To Ada Guidelines Ensures Compliance, Making Your Claims Process Straightforward And Acceptable To All Dental Insurance Companies..
Quality Printing: These Forms Are Printed On High-Grade White Paper Using Black Ink, Providing A Crisp And Clean Backdrop For All Your Claims Data..
2,500 Single Sheets For Laser Printers.
Features
- NEW 2024 Version Dental Claim Forms
- 2,500 Single Sheets for laser printers
- Adherence to ADA guidelines ensures compliance, making your claims process straightforward and acceptable to all dental insurance companies.
- Quality Printing: These forms are printed on high-grade white paper using black ink, providing a crisp and clean backdrop for all your claims data.
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Brand: Stockchecks | Manufacturer: StockChecks
Dimensions: 0.10 x 11.00 x 8.50 Inches | Weight: 28.00 Pounds
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New 2500 CMS 1500 Claim Forms Current HCFA 02/2012 Version (OMB-0938-1197) - Forms will Line Up with Billing Software and Laser Compatible - 2500 Sheets - 8.5 Inch x 11
Asin: B072JL5N63 | Ean: 0858213007022 | UPC: 858213007022
Thick 20 Lb Paper That Easily Feeds Through Both Laser And Ink Jet Printers.
Cms 1500 Forms Are Required For Health Care Providers To Receive Reimbursements For Clients, Medicare Begin Accepting The New 02/2012 Version In January Of 2014 And Now Only Accepts This Version.
100 % Compliant With Hipaa Act With All Forms Printed In The Usa By Us Government Certified Printers.
All Printed Fields Will Align With The Correct Boxes When Using Your Templates Or Billing Software With Our Consistently High Quality Forms That Are Manufactured In The Usa.
Features
- Easily get reimbursed by insurance companies with Current 02/2012 version CMS-1500 Forms that are 100 % compliant of HIPAA with all correct content, Red ink, and 1 Part printing style
- All printed fields will align with the correct boxes when using your templates or billing software with our consistently high quality forms that are manufactured in the USA
- Thick 20 LB paper that easily feeds through both Laser and Ink Jet printers
- 100 % compliant with HIPAA Act with all forms printed in the USA by US government certified printers
- CMS 1500 forms are required for health care providers to receive reimbursements for clients, Medicare begin accepting the NEW 02/2012 version in January of 2014 and now only Accepts this version
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Dimensions: 50.00 x 100.00 x 100.00 Centimeters | Weight: 27.00 Pounds
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Two-Sided Dental Icon Design Registration & History Form, 3 Pads, 100 Forms Per Pad, English
Asin: B00OY52BT0 | Model: 4065 | PartNumber: 4065
Two Sided Format.
Capture Personal Data, Insurance Information, Medical History And More With 1 Colorful, Patient-Friendly Form.
28 Pound Ledger Stock.
Features
- 3 Pads per order, 100 Sheets per pad
- 28 pound ledger stock
- Two sided format
- Capture personal data, insurance information, medical history and more with 1 colorful, patient-friendly form
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Brand: EGPChecks | Manufacturer: EGP
Weight: 2.00 Pounds
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ComplyRight Dental Claims, 250/Pack (1900250)
Asin: B095JCQPBZ | Ean: 0015172206921 | UPC: 015172206921
Language: English..
Isbn -13: 978-1483800387. Format: Game. Weight: 1.4 Lbs..
Isbn -10: 1483800385..
No. Of Pages: 30 Pages..
Features
- Sold as 1 Each.
- No. Of Pages: 30 Pages.
- Language: English.
- ISBN -10: 1483800385.
- ISBN -13: 978-1483800387. Format: Game. Weight: 1.4 lbs.
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Brand: ComplyRight | Manufacturer: TFP Data Systems
Dimensions: 2.50 x 11.00 x 8.50 Inches | Weight: 2.50 Pounds
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TFP ComplyRight 2-Part Continuous CMS-1500 Health Insurance Claim Form (02/12), 1000/Box (CMS122)
Asin: B01E37YYXE | Model: CMS122 | PartNumber: CMS122
20 Lb...
Printed With Ocr "Dropout" Red Ink Per Government Regulations. Pin Fed. 1,000 Per Case. Carbonless. Npi Compliance Guaranteed..
White..
8 1/2" X 11"..
Features
- Sold as 1000/Box.
- 8 1/2 x 11.
- 20 lb..
- White.
- Printed with OCR dropout red ink per government regulations. Pin fed. 1,000 per case. Carbonless. NPI Compliance Guaranteed.
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Brand: ComplyRight | Manufacturer: ComplyRight
Dimensions: 8.00 x 11.00 x 9.50 Inches | Weight: 20.20 Pounds
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NEW CMS 1500 Claim Forms - HCFA (Version 02/12) 100 per Ream
Asin: B00BZ6NHUI | Model: 1500-100 | PartNumber: 1500-100
Strict Compliance With Nucc And Cms Regulations.
See Below For Complete Product Details.
Most Recent Update (02/12).
Features
- Size: 8 1/2 x 11 - 100 sheets per pack
- Most recent update (02/12)
- Strict compliance with NUCC and CMS regulations
- See below for complete product details
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Brand: EGPChecks | Manufacturer: EGPChecks
Dimensions: 0.50 x 11.00 x 8.50 Inches
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Doctor Stuff - Dentist Office Forms, Dental Medical History Form, Item 27011, 8-1/2" x 11", 100/Package
Asin: B08HLC69SK | Ean: 0630239550160 | UPC: 630239550160
Medical Record Compatible: This Form Is Designed To Work With Your Medical Records System. Form Is 8-1/2 In. X 11 In., Printed In Light Blue On Both Sides And Has Two Holes On The Top To Fit Into Patient Record. 100 Forms Per Package..
Compatible: This Form Is Compatible With Amzfiling And Ifs Filing Item 27011.
Perfectly Organized: Our Series Of Dental Forms Ensure That Your Practice Will Have All The Necessary Documentation Needed To Capture Important Patient Information While Following Hipaa Guidelines. These Forms Help Create An Easy And Effective Filing System For Office And Patient Chart Information..
Quickly File In The Patient's Dental Chart Using The Two Pre-Punched Holes At The Top Of The Form..
Features
- DETAILED FORM to capture your patient's complete dental and medical history. The easy to fill out form allows you to qucikly collect important information from your patients, including medical and dental condition questions, previous dental treatments, and much more.
- QUICKLY FILE in the patient's dental chart using the two pre-punched holes at the top of the form.
- MEDICAL RECORD COMPATIBLE: This form is designed to work with your medical records system. Form is 8-1/2 in. x 11 in., printed in light blue on both sides and has two holes on the top to fit into patient record. 100 forms per package.
- PERFECTLY ORGANIZED: Our series of dental forms ensure that your practice will have all the necessary documentation needed to capture important patient information while following HIPAA guidelines. These forms help create an easy and effective filing system for office and patient chart information.
- COMPATIBLE: This form is compatible with AMZFiling and IFS Filing Item 27011
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Brand: Doctor Stuff | Manufacturer: Doctor Stuff
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EGP Single Sided Registration & History Form, Dental Icon Design, English, Size 8 1/2 x 11, 3 Pads - 100 Forms Per Pad
Asin: B00OY92CYU | Model: 4066 | PartNumber: 4066
Accommodates Up To 50 Patient Names And Arrival Times Per Sheet.
100 Single Sided Registration And History Forms Per Pad.
28 Pound Ledger Stock.
Features
- Size: 8 1/2 x 11
- 28 pound ledger stock
- Accommodates up to 50 patient names and arrival times per sheet
- 100 single sided registration and history forms per pad
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Brand: EGPChecks | Manufacturer: EGP
Weight: 3.00 Pounds
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CMS 1500 Claim Forms "ICD-10" HCFA (Version 02/12) - Health Insurance, Laser Cut Sheet - 1000 Sheets
Asin: B0151ZFNEQ | Model: WCMS-1500 (02/12) | PartNumber: WCMS-1500 (02/12)
Brand: twihealthcare | Manufacturer: twihealthcare
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5Forms Patient Sign In Sheet Dental Icon Design 8 1/2 x 11" QTY 300
Asin: B0CCBRS9LK
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