|
|
|
ag |
 |
 |
|
|
|
Oxygen -
Medicare |
|
|
|
|
 |
|
|
|
|
|
|
Recommended
Forms |
|
|
Insurance
Verification |
$499 |
|
Guarantor
and
Next of Kin |
$199 |
|
Confirmation
of
Verbal Order |
$199 |
|
|
If you currently own one of the recommended forms, there is no need to re-purchase it. |
|
| |
|
|
|
$499 |
|
|
|
-------------------------------------------------------------------------------------------------------------------- |
|
Lightweight
Wheelchair Order - Medicare |
|
|
|
|
 |
|
|
|
|
|
|
Recommended
Forms |
|
|
Insurance
Verification |
$499 |
|
Guarantor
and
Next of Kin |
$199 |
|
Confirmation
of
Verbal Order |
$199 |
|
| New ABN |
FREE |
|
|
If you currently own one of the recommended forms, there is no need to re-purchase it. |
|
| |
|
|
|
$499 |
|
|
|
-------------------------------------------------------------------------------------------------------------------- |
|
Diabetic -
Medicare |
|
|
|
|
 |
|
|
|
|
|
|
Recommended
Forms |
|
|
Insurance
Verification |
$499 |
|
Guarantor
and
Next of Kin |
$199 |
|
Confirmation
of
Verbal Order |
$199 |
|
|
If you currently own one of the recommended forms, there is no need to re-purchase it. |
| |
|
|
|
| |
|
|
|
$499 |
|
|
|
-------------------------------------------------------------------------------------------------------------------- |
|
Write off
Request Approval |
|
|
|
|
 |
|
|
|
|
|
|
Recommended
Form |
|
|
A/R Adjustment |
$299 |
|
|
If you currently own one of the
recommended forms, there is no need
to re-purchase it. |
| |
|
|
|
| |
|
|
|
$349 |
|
|
|
 |
 |
|
1x |
|