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2024 ADA Dental Claim Forms

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Product Description

The 2024 ADA Dental Claim Form provides a simpler and more efficient claims process for dental providers and patients. This form is updated with the latest revisions including new fields to report data that help to expedite claim reimbursement and that allow dentists to identify as “locum tenens” (meaning one who is standing in for another dentist who is away from the practice for a short time).

  • 100% compliant and printed to exact specifications for layout, paper, ink
  • Printed in a laser format designed for use with most laser or inkjet printers
  • Form measurements: 8.5" x 11"
  • Printed using black ink
  • Printed on Sustainable Forestry Initiative (SFI) paper

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