Litholink Order Form

LABORATORY CORP OF AMERICA HOLDINGS FORM 8K March 16, 2011

Litholink Order Form. Detailed instructions, collection supplies, return shipping box, and a Web i authorize litholink to bill my insurance company for the laboratory services ordered by my physician.

LABORATORY CORP OF AMERICA HOLDINGS FORM 8K March 16, 2011
LABORATORY CORP OF AMERICA HOLDINGS FORM 8K March 16, 2011

The provider office supply order form is for providers and medical staff only. I have completed the insurance information form for that purpose. Call us with any questions about billing or insurance at 800 338 4333. Web form or lab order directly to litholink we will have it on þ le. If payment is a hardship please advise. They will mail you a box of supplies to. You will complete this test at home. Web view the order form for litholink’s most commonly requested office supplies. Web 24 hour urine collection (litholink) instructions. Web litholink contact information, provider registration forms, or provider supply order forms.

The patient completes the urine collection and sends the sample (s) back to the laboratory in itasca, il. Web 24 hour urine collection (litholink) instructions. I have completed the insurance information form for that purpose. Litholink will bill you for your coinsurance and/or deductible. Call us with any questions about billing or insurance at 800 338 4333. This test studies the urine and blood to determine your specific risk factors for forming kidney stones. The provider office supply order form is for providers and medical staff only. 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. If payment is a hardship please advise. Web view the order form for litholink’s most commonly requested office supplies.