Downloads

Start Hearing Applications

• Owner Application Packets
• Professional Application

Start Hearing Provider Guides

• Advanced Hearing Providers Provider Guide
• Arch Coal UMR, BCBS Provider Guide
• AudioNet Provider Guide
• Consol Healthscope Provider Guide
• Electric Boat Commercial Insurance Provider Guide
• Electric Boat Workers Comp Provider Guide
• Hearing Rehibilitation Solutions Provider Guide
• Medical Service Quotes Provider Guide
• NASSCO Work Comp Provider Guide
• OneCall Care Management Provider Guide
• Peabody Coal UMR, BCBS Provider Guide
• United Mine Workers of America Provider Guide
• VEBA Healthsmart Provider Guide

Discount

• Apple Employee Discount Provider Guide
• Blue365 Discount Provider Guide
• Discount Program Provider Guide
• Electric Boat Discount Program Provider Guide
• Independent Health & NYSHIP Provider Guide
• Bill of Sale

Order Forms

• Wireless BTE Order Form
• Wireless Custom Order Form
• Earmold Order Form
• Absolute Power Custom Receiver/Ric Order Form

Forms

• AudioNet Claim Worksheet
• Coal Claim Worksheet
• Confirmation of Delivery
• Custom Repair and Remake Form
• Insurance Exchange Return Form
• Justification Form
• Loss and Damange Replacement Form
• Medical Clearance Form
• Return for Credit or Color Exchange Form
• Standard Hearing Aid and Wireless- Accessory Repair Form

Provider Training Documents

• Fraud, Waste and Abuse (CMS)
• Medicare Parts C and D General Compliance (CMS)