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ComplyRight ADA Dental Claim Forms (2024 Version), Pack of 100, 8-1/2" X 11", Laser Printed Insurance Claim Form

Asin: B0CPFSF74Q   |   Ean: 0790757381704   |   UPC: 790757381704


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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: 100, 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: 100, 8-1/2 X 11 laser printed claim forms
  • See more on Amazon...

Brand: ComplyRight   |   Manufacturer: ComplyRight

Amazon Price: $11.96 | as of 05/25/2024 (3:01pm pst) *DETAILS
Availability: In Stock
List Price: $14.95

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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.
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  #2

Compuchecks New Cms 1500 Claim Forms - Hcfa (Version 02/12) (500 Sheets), 7106

Asin: B00HNDPJMQ   |   Model: 7106   |   PartNumber: 7106   |   Ean: 0090146171061   |   UPC: 090146171061

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..
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First Available: 10/01/2018

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  #4

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Asin: B074DH2VX7   |   Model: HCFA1500-1000   |   PartNumber: HCFA1500-1000

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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..
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Asin: B014064Z6E   |   Model: CMS12LC   |   PartNumber: CMS12LC   |   Ean: 6093801829820

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Satisfy Record-Keeping Requirements With These Health Insurance Claim Forms..

Features

  • Sold as 2500/Pack.
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  #9

2024 New ADA Dental Claim Form- 2500 sheets

Asin: B0CMBVYP1X

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2,500 Single Sheets For Laser Printers.

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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

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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
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  • Thick 20 LB paper that easily feeds through both Laser and Ink Jet printers
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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

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Compatible: This Form Is Compatible With Amzfiling And Ifs Filing Item 27011.
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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.
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ComplyRight CMS 1500 Healthcare Billing Form | 8.5 x 11 | Medical Billing | Pack of 500

Asin: B08H8TT219

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Features

  • INSURANCE CLAIM FORM: The ComplyRight CMS 1500 Healthcare Billing Forms, version 02/12 are fully updated with the latest form revisions from the U.S. Centers for Medicare & Medicaid Services. Our forms also feature Anti-Rejection Protection, which is guaranteed acceptance by insurance carriers for rejection proof claim filing.
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Doctor Stuff - Dentist Office Forms, Dental Patient Chart Form, Item DF9420, 8-1/2" x 11", 100/Package

Asin: B08JSBC69F   |   Ean: 0630239550368   |   UPC: 630239550368

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Compatible: This Form Is Compatible With Amzfiling And Ifs Filing Item Df9420.
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..
Additional Space On The Back Side Of The Form To Detail Treatment Options And All Dental Services Provided To The Patient At Each Visit.

Features

  • HIGHLY DETAILED patient chart that focuses on periodontal treatment. The form includes general exam information, medical alerts for the dental staff, periodontal charting and classification, and diagnosis and treatment plans.
  • ADDITIONAL SPACE on the back side of the form to detail treatment options and all dental services provided to the patient at each visit
  • 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 green on both sides and has two holes on the top to fit into patient record. 100 forms per package.
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ComplyRight Employee Separation Report Form 8.5 x 11 Payroll Form 50 Pack

Asin: B08866FLTN   |   Ean: 0015171234932   |   UPC: 015171234932

Documented Separation Notice: With This Attorney-Approved Form, Business Owners And Hr Professionals Can Be Certain They’Ve Handled And Documented Employee Separations Properly. The Form Features Easy-To-Follow Checklists To Streamline The Process..
Complyright: Complyright’S Mission Is To Free Employers From The Burden Of Complying With The Complexity Of Federal, State, And Local Employment Laws. Complyright Is The Market Leader In Government-Compliant Products Like Tax Forms, Hr Products, And More..
Packaging/Dimensions: These Separation Forms Are Sold In A Pack Of 50 Folders. Each Folder Measures 8.5-Inches Wide And 11-Inches Long To Fit Perfectly In A Filing Cabinet Or Drawer. Plus, There Are Included Complyright Tips For Optimal, Compliant Use..
Employee Forms: This Employee Exit Management Form Captures The Essential Information To Share With Employees Upon Separation, Such As Final Pay, Cobra Rights, And Confidentiality Obligations..

Features

  • HR & EMPLOYEE MANAGEMENT: Document key details of employee separations with the ComplyRight Employee Separation Report Form. Accurate, thorough documentation is vitally important when an employee resigns, is laid off, or retires.
  • EMPLOYEE FORMS: This employee exit management form captures the essential information to share with employees upon separation, such as final pay, COBRA rights, and confidentiality obligations.
  • DOCUMENTED SEPARATION NOTICE: With this attorney-approved form, business owners and HR professionals can be certain they ve handled and documented employee separations properly. The form features easy-to-follow checklists to streamline the process.
  • PACKAGING/DIMENSIONS: These separation forms are sold in a pack of 50 folders. Each folder measures 8.5-inches wide and 11-inches long to fit perfectly in a filing cabinet or drawer. Plus, there are included ComplyRight tips for optimal, compliant use.
  • COMPLYRIGHT: ComplyRight s mission is to free employers from the burden of complying with the complexity of federal, state, and local employment laws. ComplyRight is the market leader in government-compliant products like tax forms, HR products, and more.
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5Forms Dental Exam Record Numbered Teeth System C 8 x 9 1/2" Qty 100

Asin: B0CFGDDVNV

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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
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ACS Catalog - New 2024 ADA Dental Claim Form - 500 Sheets Per Pack

Asin: B09TQ1KLR9   |   Ean: 0676351480770   |   UPC: 676351480770

Printed Front & Back,.
100% Guaranteed Compliance..
Meets The American Dental Associations Guidelines..
500 Sheets Per Pack.
This Will Be The Only Form Accepted By The American Dental Association For Claims Effective 1/1/24..
8-1/2" X 11", Laser Form.
Hipaa Compliant.
Dental Claim Forms.

Features

  • ADA Claim Form - New 2024 Version Dental Claim Forms Printed Front & Back, 8-1/2" x 11", Laser Form 500 Sheets Per Pack This will be the only form accepted by the American Dental Association for claims effective 1/1/24. 100% guaranteed compliance. Meets The American Dental Associations guidelines. HIPAA Compliant
  • Dental Claim Forms
  • Printed Front & Back,
  • 8-1/2 x 11, Laser Form
  • 500 Sheets Per Pack
  • This will be the only form accepted by the American Dental Association for claims effective 1/1/24.
  • 100% guaranteed compliance.
  • Meets The American Dental Associations guidelines.
  • HIPAA Compliant
  • See more on Amazon...

Brand: Generic   |   Manufacturer: ACS Catalog

Amazon Price: $32.95 | as of 05/25/2024 (3:01pm pst) *DETAILS

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  #20

ComplyRight CMS-1500 Health Insurance Claim Form ; 100 Sheets

Asin: B0BYRVS73N   |   Model: 650657   |   PartNumber: 650657   |   Ean: 0015171105096   |   UPC: 015171105096

Includes The Newest Nucc Revisions..
Guaranteed To Comply With All Government Standards For Paper, Ink And Layout...
Printed In Red, Scannable, Ocr Ink..
Designed For Filing Medicare Part B Claims As Well As Claims To Commercial Insurance Companies..

Features

  • Sold as 100/Pack.
  • Designed for filing Medicare part B claims as well as claims to commercial insurance companies.
  • Includes the newest NUCC revisions.
  • Printed in red, scannable, OCR ink.
  • Guaranteed to comply with all government standards for paper, ink and layout..
  • See more on Amazon...

First Available: 04/04/2023

Brand: ComplyRight   |   Manufacturer: TFP DATA SYSTEMS

Dimensions: 0.00 x 11.00 x 8.50 inches   |   Weight: 1.10 pounds

Amazon Price: $16.78 | as of 05/25/2024 (3:01pm pst) *DETAILS

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