Those usually contain carbon as well as other atoms, like nitrogen, oxygen and hydrogen among others. There are some materials, however, that contain only carbon. These are pure forms of carbon (anthracite, the purest coal, is only 92 to 98% pure carbon). The other materials on the list below are 100% carbon.
2. Send Us Your Claim Form and Itemized Invoice. Help us process your claim quickly. Email, fax or mail us this claim form, your itemized veterinary invoice, and include your petâs. complete medical records if this is your first claim. Weâre unable to process a claim without your petâs medical records.
Health Insurance Claim Forms CMS-1500 & UB-04 EFFECTIVE DATE 11/02/2010 LAST UPDATED 11/02/2010 Description: This policy documents payment using the CMS-1500 and UB-04 paper claim forms. History: CMS-1500 Form: The Form CMS-1500 is the basic form prescribed by CMS for the Medicare and Medicaid programs for claims from physicians and suppliers.