Description 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 1,000 sets per carton White Compatible with dot matrix printers Specifications Form Type : Insurance Format : Dental Claim Form Sheet Size : 8-1/2" x 11" Lines : No Lines Form Size : 8-1/2" x 11" Media Quantity : 1000 Binding Type : Continuous Number of Parts : 2 Carbonless : Yes # Up Per Sheet/Page : 1 NCR Paper : No Numbered : No Holes Punched : None Personalization : No Security Features : No Certifications & Standards : SFI Sustainable Forestry Initiative Post-Consumer Waste% : 0 Brand : TFP Customizable : No Weight : 1.00 lbs. per Carton
Trustpilot
1 week ago
2 weeks ago
