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Dental Association Fill & Print EDI Software

Fill out Dental Association Claim Forms (J400) on your computer and print the data OR EDI it to a clearinghouse.
  • ** Version 1.2 Updated as of July 30, 2009 **

  • A simple interface with Help boxes for ease of use and learning that act as a tutorial on how to fill out each field

  • Print on pre-purchased forms or print the entire form

  • Allows submission of electronic claims to a clearinghouse that accepts "Print Image" formatted claims

  • EDI claims paid faster than paper claims

  • Advanced Printer Alignment that calibrates the form with your printer

  • Save and load claims from your hard drive

  • Create templates for speed of completion and to eliminate repetition

  • Autofill for repetitive transactions in Rows 1-10

  • One time purchase fee and $15 annual subscription fee