Litholink Order Form. Web i authorize litholink to bill my insurance company for the laboratory services ordered by my physician. The provider office supply order form is for providers and medical staff only.
Billing Litholink
The patient completes the urine collection and sends the sample (s) back to the laboratory in itasca, il. Your provider is waiting on these test results in order to start your kidney stone treatment plan. The provider office supply order form is for providers and medical staff only. Web i authorize litholink to bill my insurance company for the laboratory services ordered by my physician. Litholink will bill you for your coinsurance and/or deductible. Detailed instructions, collection supplies, return shipping box, and a You will complete this test at home. Call us with any questions about billing or insurance at 800 338 4333. (please print and complete this test request form off if you wish to use manually.) You can order electronically through an emr, labcorp link, or manually with this test request form.
Web lab_corp_collection_form.indd 1 7/2/13 1:15 pm p e e welcome to litholink. Your provider is waiting on these test results in order to start your kidney stone treatment plan. This test studies the urine and blood to determine your specific risk factors for forming kidney stones. They will mail you a box of supplies to. You will complete this test at home. You can order electronically through an emr, labcorp link, or manually with this test request form. Web i authorize litholink to bill my insurance company for the laboratory services ordered by my physician. If payment is a hardship please advise. Litholink will bill you for your coinsurance and/or deductible. Detailed instructions, collection supplies, return shipping box, and a Web litholink contact information, provider registration forms, or provider supply order forms.
