UB-04 Claim Form | PDF Sponsored Links Blank Version Sample The UB-04 claim form may be used by institutional healthcare providers for submitting insurance claims. Also known as the CMS-1450 form, this is the industry standard for paper billing of all insurance carriers. Sponsored Links How ...
Contact Form DPDT Switch Function ON - ON Voltage Rating AC 28 V Voltage Rating DC 28 V Power Rating 0.4 VA Mounting Style Through Hole Illumination Illuminated Illumination Color Red, Green, Super Bright Bicolor Termination Style Straight PC Contact Plating Gold Actua...
This invention contemplates an improved foldaxble tray blank embodying a single fiatsheet scored longitudinally and transversely to form bottom, side and end panels foldable into overlapping relation on the longitudinal scorings to form ...