- US Legal Forms
- Form Library
- More Forms
- More Multi-State Forms
- Zynex Medical Prescription & Letter Of Medical Necessity 2022
Get Zynex Medical Prescription & Letter Of Medical Necessity 2022-2024
Prescription & Letter of Medical Necessity Patient Name DOB Primary Phone Date of InjurySecondary Phone/ Mandate of SurgeryPrimary Language (If Not English)Insurance Type Work CompTRICAREAuto/Attorney/PICommercialMedicare/Medicaid/Uninsured(e.g.
How It Works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Atherosclerosis FAQ
-
Our non-invasive medical technology improves the quality of life of patients with functional disability or intractable pain. Our TENS/IFC/NMES NexWave device has revolutionized the management of debilitating pain and is a safe alternative for pain management.
-
If a payor refuses coverage Zynex directly bills patients a monthly $25 “rental fee”. If NexWave is covered, Zynex continues to submit monthly claims: NexWave purchase at $1,995 or. NexWave rental at $369 per month.
-
ing to the company, patients use NexWave for an average of six to nine months. Recall 80% of revenues now comes from supplies, so roughly $300 is collected for the device and $1,200 from supplies over the course of six to nine months, on average.
-
If a payor refuses coverage Zynex directly bills patients a monthly $25 “rental fee”. If NexWave is covered, Zynex continues to submit monthly claims: NexWave purchase at $1,995 or. NexWave rental at $369 per month.
-
Zynex will invoice your insurance company for the MSRP of the device, and any monthly treatment supplies that are shipped. MSRP amount is simply a list price, and your insurance company will process and reimburse the claim ing to their reimbursement schedule, if approved.
-
Zynex will invoice your insurance company for the MSRP of the device, and any monthly treatment supplies that are shipped. MSRP amount is simply a list price, and your insurance company will process and reimburse the claim ing to their reimbursement schedule, if approved.
-
reduce pain by restricting mobility of the trunk; or facilitate healing following an injury to the spine or related soft tissue: or facilitate healing following a surgical procedure on the spine or related soft tissue; or otherwise support weak spinal muscles and/or deformed spine.
-
The NexWave is a prescription only 3-in-1 device with Interferential, TENS, and NMES. These clinically proven modalities are used to help patients manage their pain symptoms, re-educate and strengthen muscles.
-
Our non-invasive medical technology improves the quality of life of patients with functional disability or intractable pain. Our TENS/IFC/NMES NexWave device has revolutionized the management of debilitating pain and is a safe alternative for pain management.
-
If a payor refuses coverage Zynex directly bills patients a monthly $25 “rental fee”. If NexWave is covered, Zynex continues to submit monthly claims: NexWave purchase at $1,995 or. NexWave rental at $369 per month.
-
ing to the company, patients use NexWave for an average of six to nine months. Recall 80% of revenues now comes from supplies, so roughly $300 is collected for the device and $1,200 from supplies over the course of six to nine months, on average.
-
If a payor refuses coverage Zynex directly bills patients a monthly $25 “rental fee”. If NexWave is covered, Zynex continues to submit monthly claims: NexWave purchase at $1,995 or. NexWave rental at $369 per month.
-
Zynex will invoice your insurance company for the MSRP of the device, and any monthly treatment supplies that are shipped. MSRP amount is simply a list price, and your insurance company will process and reimburse the claim ing to their reimbursement schedule, if approved.
-
Zynex will invoice your insurance company for the MSRP of the device, and any monthly treatment supplies that are shipped. MSRP amount is simply a list price, and your insurance company will process and reimburse the claim ing to their reimbursement schedule, if approved.
-
reduce pain by restricting mobility of the trunk; or facilitate healing following an injury to the spine or related soft tissue: or facilitate healing following a surgical procedure on the spine or related soft tissue; or otherwise support weak spinal muscles and/or deformed spine.
-
The NexWave is a prescription only 3-in-1 device with Interferential, TENS, and NMES. These clinically proven modalities are used to help patients manage their pain symptoms, re-educate and strengthen muscles.
Abdominally Related content
-
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
PRESCRIPTION & LETTER OF MEDICAL NECESSITY
Aug 8, 2023 — PRESCRIPTION & LETTER OF MEDICAL NECESSITY. DATE OF INJURY. DATE OF...
Learn more -
Zynex Medical | Non-Invasive Pain Management &...
Zynex Medical improves quality of life for those experiencing pain by offering ... A...
Learn more -
Zynex Medical | Non-Invasive Pain Management &...
Zynex Medical improves quality of life for those experiencing pain by offering ... A...
Learn more -
PRESCRIPTION & LETTER OF MEDICAL NECESSITY
Aug 8, 2023 — PRESCRIPTION & LETTER OF MEDICAL NECESSITY. DATE OF INJURY. DATE OF...
Learn more -
Zynex NexWave | Prescription Pain Management Tens...
Zynex Medical offers IFC, TENS & NMES all within one easy-to-use device. Our prescription...
Learn more -
Zynex NexWave | Prescription Pain Management Tens...
Zynex Medical offers IFC, TENS & NMES all within one easy-to-use device. Our prescription...
Learn more -
Prescription & Letter of Medical Necessity
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Prescription & Letter of Medical Necessity
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Zynex InWave Pelvic Floor Stimulator & Probe...
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Zynex InWave Pelvic Floor Stimulator & Probe...
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Patient Portal
Patient Portal. Ship your device. If we already have your prescription, click the button...
Learn more -
Patient Portal
Patient Portal. Ship your device. If we already have your prescription, click the button...
Learn more -
Zynex Medical Products | Non-Invasive Pain...
We specialize in offering patients simple and safe ways to manage their pain to improve...
Learn more -
Zynex Medical Products | Non-Invasive Pain...
We specialize in offering patients simple and safe ways to manage their pain to improve...
Learn more -
Product Support
Experiencing issues with your Zynex Medical Product or need additional assistance? Our...
Learn more -
Product Support
Experiencing issues with your Zynex Medical Product or need additional assistance? Our...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Zynex Medical | Non-Invasive Pain Management &...
Zynex Medical improves quality of life for those experiencing pain by offering ... A...
Learn more -
PRESCRIPTION & LETTER OF MEDICAL NECESSITY
Aug 8, 2023 — PRESCRIPTION & LETTER OF MEDICAL NECESSITY. DATE OF INJURY. DATE OF...
Learn more -
Zynex NexWave | Prescription Pain Management Tens...
Zynex Medical offers IFC, TENS & NMES all within one easy-to-use device. Our prescription...
Learn more -
Prescription & Letter of Medical Necessity
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Zynex InWave Pelvic Floor Stimulator & Probe...
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Zynex Medical | Non-Invasive Pain Management &...
Zynex Medical improves quality of life for those experiencing pain by offering ... A...
Learn more -
Patient Portal
Patient Portal. Ship your device. If we already have your prescription, click the button...
Learn more -
PRESCRIPTION & LETTER OF MEDICAL NECESSITY
Aug 8, 2023 — PRESCRIPTION & LETTER OF MEDICAL NECESSITY. DATE OF INJURY. DATE OF...
Learn more -
Zynex NexWave | Prescription Pain Management Tens...
Zynex Medical offers IFC, TENS & NMES all within one easy-to-use device. Our prescription...
Learn more -
Zynex Medical Products | Non-Invasive Pain...
We specialize in offering patients simple and safe ways to manage their pain to improve...
Learn more -
Prescription & Letter of Medical Necessity
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Product Support
Experiencing issues with your Zynex Medical Product or need additional assistance? Our...
Learn more -
Zynex InWave Pelvic Floor Stimulator & Probe...
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Patient Portal
Patient Portal. Ship your device. If we already have your prescription, click the button...
Learn more -
Zynex Medical Products | Non-Invasive Pain...
We specialize in offering patients simple and safe ways to manage their pain to improve...
Learn more -
Product Support
Experiencing issues with your Zynex Medical Product or need additional assistance? Our...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Zynex Medical | Non-Invasive Pain Management &...
Zynex Medical improves quality of life for those experiencing pain by offering ... A...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Zynex NexWave | Prescription Pain Management Tens...
Zynex Medical offers IFC, TENS & NMES all within one easy-to-use device. Our prescription...
Learn more -
Zynex Medical Products | Non-Invasive Pain...
We specialize in offering patients simple and safe ways to manage their pain to improve...
Learn more -
Prescription & Letter of Medical Necessity
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Patient Portal
Patient Portal. Ship your device. If we already have your prescription, click the button...
Learn more -
Contact
Have questions about your medical device? Check out our Product Support page or call our...
Learn more -
Ship Your Device
Looking to have your Zynex Medical Products shipped to you? Complete your order here after...
Learn more -
PRESCRIPTION & LETTER OF MEDICAL NECESSITY
8 Aug 2023 — PRESCRIPTION & LETTER OF MEDICAL NECESSITY. DATE OF INJURY. DATE OF...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Zynex Medical | Non-Invasive Pain Management &...
Zynex Medical improves quality of life for those experiencing pain by offering ... A...
Learn more -
PRESCRIPTION & LETTER OF MEDICAL NECESSITY
Aug 8, 2023 — PRESCRIPTION & LETTER OF MEDICAL NECESSITY. DATE OF INJURY. DATE OF...
Learn more -
Zynex NexWave | Prescription Pain Management Tens...
Zynex Medical offers IFC, TENS & NMES all within one easy-to-use device. Our prescription...
Learn more -
Prescription & Letter of Medical Necessity
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Zynex InWave Pelvic Floor Stimulator & Probe...
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Patient Portal
Patient Portal. Ship your device. If we already have your prescription, click the button...
Learn more -
Zynex Medical Products | Non-Invasive Pain...
We specialize in offering patients simple and safe ways to manage their pain to improve...
Learn more -
Product Support
Experiencing issues with your Zynex Medical Product or need additional assistance? Our...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Zynex Medical | Non-Invasive Pain Management &...
Zynex Medical improves quality of life for those experiencing pain by offering ... A...
Learn more -
PRESCRIPTION & LETTER OF MEDICAL NECESSITY
Aug 8, 2023 — PRESCRIPTION & LETTER OF MEDICAL NECESSITY. DATE OF INJURY. DATE OF...
Learn more -
Zynex NexWave | Prescription Pain Management Tens...
Zynex Medical offers IFC, TENS & NMES all within one easy-to-use device. Our prescription...
Learn more -
Prescription & Letter of Medical Necessity
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Zynex InWave Pelvic Floor Stimulator & Probe...
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Patient Portal
Patient Portal. Ship your device. If we already have your prescription, click the button...
Learn more -
Zynex Medical Products | Non-Invasive Pain...
We specialize in offering patients simple and safe ways to manage their pain to improve...
Learn more -
Product Support
Experiencing issues with your Zynex Medical Product or need additional assistance? Our...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Zynex Medical | Non-Invasive Pain Management &...
Zynex Medical improves quality of life for those experiencing pain by offering ... A...
Learn more -
PRESCRIPTION & LETTER OF MEDICAL NECESSITY
Aug 8, 2023 — PRESCRIPTION & LETTER OF MEDICAL NECESSITY. DATE OF INJURY. DATE OF...
Learn more -
Zynex NexWave | Prescription Pain Management Tens...
Zynex Medical offers IFC, TENS & NMES all within one easy-to-use device. Our prescription...
Learn more -
Prescription & Letter of Medical Necessity
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Zynex InWave Pelvic Floor Stimulator & Probe...
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Patient Portal
Patient Portal. Ship your device. If we already have your prescription, click the button...
Learn more -
Zynex Medical Products | Non-Invasive Pain...
We specialize in offering patients simple and safe ways to manage their pain to improve...
Learn more -
Product Support
Experiencing issues with your Zynex Medical Product or need additional assistance? Our...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
PRESCRIPTION & LETTER OF MEDICAL NECESSITY
Aug 8, 2023 — PRESCRIPTION & LETTER OF MEDICAL NECESSITY. DATE OF INJURY. DATE OF...
Learn more -
Zynex Medical | Non-Invasive Pain Management &...
Zynex Medical improves quality of life for those experiencing pain by offering ... A...
Learn more -
Zynex NexWave | Prescription Pain Management Tens...
Zynex Medical offers IFC, TENS & NMES all within one easy-to-use device. Our prescription...
Learn more -
Prescription & Letter of Medical Necessity
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Zynex InWave Pelvic Floor Stimulator & Probe...
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Patient Portal
Patient Portal. Ship your device. If we already have your prescription, click the button...
Learn more -
Zynex Medical Products | Non-Invasive Pain...
We specialize in offering patients simple and safe ways to manage their pain to improve...
Learn more -
Product Support
Experiencing issues with your Zynex Medical Product or need additional assistance? Our...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Zynex Medical | Non-Invasive Pain Management &...
Zynex Medical improves quality of life for those experiencing pain by offering ... A...
Learn more -
PRESCRIPTION & LETTER OF MEDICAL NECESSITY
Aug 8, 2023 — PRESCRIPTION & LETTER OF MEDICAL NECESSITY. DATE OF INJURY. DATE OF...
Learn more -
Zynex NexWave | Prescription Pain Management Tens...
Zynex Medical offers IFC, TENS & NMES all within one easy-to-use device. Our prescription...
Learn more -
Prescription & Letter of Medical Necessity
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Zynex InWave Pelvic Floor Stimulator & Probe...
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Patient Portal
Patient Portal. Ship your device. If we already have your prescription, click the button...
Learn more -
Zynex Medical Products | Non-Invasive Pain...
We specialize in offering patients simple and safe ways to manage their pain to improve...
Learn more -
Product Support
Experiencing issues with your Zynex Medical Product or need additional assistance? Our...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Zynex Medical | Non-Invasive Pain Management &...
Zynex Medical improves quality of life for those experiencing pain by offering ... A...
Learn more -
PRESCRIPTION & LETTER OF MEDICAL NECESSITY
Aug 8, 2023 — PRESCRIPTION & LETTER OF MEDICAL NECESSITY. DATE OF INJURY. DATE OF...
Learn more -
Zynex NexWave | Prescription Pain Management Tens...
Zynex Medical offers IFC, TENS & NMES all within one easy-to-use device. Our prescription...
Learn more -
Prescription & Letter of Medical Necessity
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Zynex InWave Pelvic Floor Stimulator & Probe...
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Patient Portal
Patient Portal. Ship your device. If we already have your prescription, click the button...
Learn more -
Zynex Medical Products | Non-Invasive Pain...
We specialize in offering patients simple and safe ways to manage their pain to improve...
Learn more -
Product Support
Experiencing issues with your Zynex Medical Product or need additional assistance? Our...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Prescription & Letter of Medical Necessity
Zynex will text and call you. (usually the same day we receive your Rx!) • Have your...
Learn more -
Zynex Medical | Non-Invasive Pain Management &...
Zynex Medical improves quality of life for those experiencing pain by offering ... A...
Learn more -
Zynex NexWave | Prescription Pain Management Tens...
Zynex Medical offers IFC, TENS & NMES all within one easy-to-use device. Our prescription...
Learn more -
PRESCRIPTION & LETTER OF MEDICAL NECESSITY
Aug 8, 2023 — PRESCRIPTION & LETTER OF MEDICAL NECESSITY. DATE OF INJURY. DATE OF...
Learn more -
Prescription & Letter of Medical Necessity
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Zynex InWave Pelvic Floor Stimulator & Probe...
I certify that the equipment and supplies I prescribed are Medically Necessary for this...
Learn more -
Patient Portal
Patient Portal. Ship your device. If we already have your prescription, click the button...
Learn more -
Zynex Medical Products | Non-Invasive Pain...
We specialize in offering patients simple and safe ways to manage their pain to improve...
Learn more -
Product Support
Experiencing issues with your Zynex Medical Product or need additional assistance? Our...
Learn more
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Keywords relevant to Zynex Medical Prescription & Letter Of Medical Necessity
- contraindication
- incoherence
- NexWave
- orderszynex
- npi
- comfortrac
- Atherosclerosis
- Abdominally
- oa
- Raynauds
- Buergers
- vasospastic
- NMES
- tricare
- Flexion
USLegal fulfills industry-leading security and compliance standards.
-
VeriSign secured
#1 Internet-trusted security seal. Ensures that a website is free of malware attacks.
-
Accredited Business
Guarantees that a business meets BBB accreditation standards in the US and Canada.
-
TopTen Reviews
Highest customer reviews on one of the most highly-trusted product review platforms.