Resource Documents

Below are links to supporting documents including designed to assist administrators with billing for the Reltok Clear-Flo Nasal Airway.

New Product/Procedure Request Form

 

Sample Billing Form

Reltok Operative Report Instructions

 

Reltok Instructions for Use

 

Reltok Airway UP Patent Document

 

Intranasal Airway Explanation of Benefits Examples

Claim Appeal Letter

 

Reltok Airway FDA Clearance Letter

 

Anesthesiologist Endorsement for Intranasal Airway

 

Blue Shield of CA Claims Appeal Approval Letter

JAMA Facial Plastic Surgery Paper, September, 2018

 

Original Research Paper 2014

 

Reltok Clear-Flo FAQ Common Objections

 

Reltok Clear-Flo Patient Brochure

Reltok Billing Infographic

 

Reltok Clear-Flo Admin Handbook

 

CPT Code 30999-BR Explanation