Litholink Order Form. They will mail you a box of supplies to. The patient completes the urine collection and sends the sample (s) back to the laboratory in itasca, il.
Billing Litholink
Web 24 hour urine collection (litholink) instructions. 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. Litholink will bill you for your coinsurance and/or deductible. 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. Web form or lab order directly to litholink we will have it on þ le. Web litholink contact information, provider registration forms, or provider supply order forms. (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.
You will complete this test at home. (please print and complete this test request form off if you wish to use manually.) 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. Detailed instructions, collection supplies, return shipping box, and a I have completed the insurance information form for that purpose. 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. 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. If payment is a hardship please advise.
