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Stream Dx Uroflowmeter
At Home Uroflow Testing
The Stream Dx Uroflowmeter is a Class II 510k exempt FDA registered medical device used to collect uroflow data from patients at home.
Claim Submission Letter (Word)
Claim Appeal Letter - Denial of Coverage (Word)
Claim Appeal Letter - Insufficient Reimbursement (Word)
Form 1500 - 53899 (PDF)
Billing Summary - 53899 (PDF)
Summary of Supporting Evidence (PDF)
If you would like our assistance in obtaining a copy of the supporting evidence, please contact us at email@example.com.
List of EOBs
Physician Reimbursement Systems
12301 Grant St Unit 100
Thornton, CO 80241