Provider Resources
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- Plan Reference Guide
- Plan Guide
- Provider Fitting Fees
- Network Portal Plans (2022)
- Aetna BHVA CCC+& DSNP Fitting Fees (2021)
- Blue 365 Fitting Fees (2022)
- Medicaid Fitting Fees (2022)
- OneCall Fitting Fees (2022)
- SMS Fitting Fees (2021)
- Loss & Damage Deductibles (2022)
- Network return or exchange form (2022)
- NEI Audionet Fitting (2022)
- Network Payment Form2022
- Eligibility Verification Form2022
- Walk-In Member Appointment Registration Form 2022
- Plans Requiring CMS 1500 Form
- Forms
- Frequently Used Documents
- AllWell Application 2018
- HearUSA Member Registration Form (2021)
- Service Model Payment Form (2021)
- HearUSA Return Exchange Form (2022)
- Purchase Agreements
- AK - Alaska
- AL - Alabama
- AR - Arkansas
- AZ - Arizona
- CA - California updated regs
- CO - Colorado
- CT - Connecticut
- DC - District of Columbia
- DE - Delaware
- FL - Florida
- GA - Georgia
- HI - Hawaii
- IA - Iowa
- ID - Idaho
- IL - Illinois
- IN - Indiana
- KS - Kansas
- KY - Kentucky
- LA - Louisiana
- MA - Massachusetts
- MD - Maryland
- ME - Maine
- MI - Michigan
- MN - Minnesota
- MO - Missouri
- MS - Mississippi
- MT - Montana
- NC - North Carolina
- ND - North Dakota
- NE - Nebraska
- NH - New Hampshire
- NJ - New Jersey
- NM - New Mexico
- NV - Nevada
- NY - New York
- OH - Ohio
- OK - Oklahoma
- OR - Oregon
- PA - Pennsylvania
- PR - Puerto Rico
- RI - Rhode Island
- SC - South Carolina
- SD - South Dakota
- TN - Tennessee
- TX - Texas
- UT - Utah
- VA - Virginia
- VT - Vermont
- WA - Washington
- WI - Wisconsin
- WV - West Virginia
- WY - Wyoming
- Blank Sales Order
- Additional Resources
- Audiology Online Courses