Reimbursement Documentation
Documents/Tools
- Reimbursement Overview for Physician Practices
- Claim Submission Basics (instructions for submitting claims)
Additional Documents For Manual Claim Submission (if required)
- Sample Letter Of Medical Necessity
- Sample Procedural Notes
- Sample Supply List
- FDA Letter
- Bibliography
- Product Brochure
- Reimbursement Overview For Payers
Sample Appeal Letters*
- Experimental/Investigational
- Board Certified Urologist Review Request
- Code Validity - Attached
- Not Medically Necessary
- Professional Component Only
- Technical Component Only
* Additional documentation may be required for appeals. Contact Novasys Medical at 866-784-4777 or reimbursement@novasysmedical.com for more information and additional materials.


