{"product_id":"ada-dental-claim-insurance-claim-forms-8-1-2-x-11-letter-size-for-laser-or-ink-jet-printers-pack-of-100-sheets-pack-of-100-sheets","title":"ADA Dental Claim Insurance Claim Forms, 8-1\/2\" X 11\" Letter Size for Laser or Ink Jet Printers (Pack of 100 Sheets) Pack of 100 Sheets","description":"\u003ch3\u003eADA Dental Claim Insurance Claim Forms, 8-1\/2\" X 11\" Letter Size for Laser or Ink Jet Printers (Pack of 100 Sheets)\u003c\/h3\u003e\n\u003cp id=\"b\"\u003e\u003c\/p\u003e \n\n\u003ch3\u003eProduct Features\u003c\/h3\u003e\n  \u003cul class=\"a\"\u003e\n         \u003cli\u003eComprehensive Form: This ADA American Dental Association Dental Claim Form is a comprehensive document for submitting dental claims and treatment information. Pack of 100 Sheets\u003c\/li\u003e\n         \u003cli\u003eDetailed Sections: The form includes sections for patient information, policyholder\/subscriber details, dental benefit plan information, and a record of services provided.\u003c\/li\u003e\n         \u003cli\u003eCoding Support: It allows for entering diagnostic codes, treatment codes, and other relevant coding for proper claim processing.\u003c\/li\u003e\n         \u003cli\u003eAuthorization Segment: There is a dedicated section for obtaining authorizations and signatures from the patient or policyholder.\u003c\/li\u003e\n         \u003cli\u003eDentist Information: The form provides fields to enter the treating dentist's name, address, license number, and other relevant details, Made in the USA by Next Day Labels TM\u003c\/li\u003e\n  \u003c\/ul\u003e","brand":"NextDayLabels","offers":[{"title":"Default Title","offer_id":45091846750359,"sku":"B0DMXRZY4F","price":154.0,"currency_code":"AUD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0461\/8380\/9175\/files\/B0DMXRZY4F.jpg?v=1775758042","url":"https:\/\/newnestshop.com\/products\/ada-dental-claim-insurance-claim-forms-8-1-2-x-11-letter-size-for-laser-or-ink-jet-printers-pack-of-100-sheets-pack-of-100-sheets","provider":"NewNest Australia","version":"1.0","type":"link"}