Litholink Order Form. You will complete this test at home. Web 24 hour urine collection (litholink) instructions.
Billing Litholink
The patient completes the urine collection and sends the sample (s) back to the laboratory in itasca, il. Web view the order form for litholink’s most commonly requested office supplies. Your provider is waiting on these test results in order to start your kidney stone treatment plan. Litholink will bill you for your coinsurance and/or deductible. Web lab_corp_collection_form.indd 1 7/2/13 1:15 pm p e e welcome to litholink. They will mail you a box of supplies to. Call us with any questions about billing or insurance at 800 338 4333. Web i authorize litholink to bill my insurance company for the laboratory services ordered by my physician. You have been given a test request form to complete a 24 hour urine collection. You can order electronically through an emr, labcorp link, or manually with this test request form.
(please print and complete this test request form off if you wish to use manually.) Web litholink contact information, provider registration forms, or provider supply order forms. If payment is a hardship please advise. They will mail you a box of supplies to. Web form or lab order directly to litholink we will have it on þ le. You have been given a test request form to complete a 24 hour urine collection. (please print and complete this test request form off if you wish to use manually.) Litholink will bill you for your coinsurance and/or deductible. You can order electronically through an emr, labcorp link, or manually with this test request form. I have completed the insurance information form for that purpose. The provider office supply order form is for providers and medical staff only.
