User Manual Q&AAnswer
Jan 23, 2025 - 01:13 AM
To complete the Start Hearing Owner Application, please follow these steps:
1. Fill out the Primary Billing Information section:
- Provide the location where all payments and remits will be sent.
- Include an email address for the owner, which will be used for owner-specific communication.
- If the billing and credentialing contact information is different from the owner's, provide the necessary details.
- If the owner does not have an organizational NPI (National Provider Identifier), they can obtain one by visiting https://nppes.cms.hhs.gov/#/. Note that if the business is operated as a Sole Proprietor, the owner can use their Individual NPI as the Organizational NPI.
2. Sign the Business Owner Attestation and Disclosure, which must be completed and signed by the owner.
3. Fill out the Facility Application (Dispensing Location) for each office where patients will be seen. If the same as the Billing office information, you can submit a roster containing all the required information. Indicate whether aids will be shipped to this office and provide the address if applicable.
4. Fill out the Professional Application (Providers) for each provider who will be seeing patients, including the owner if they are a provider. Similar to the Facility Application, you can submit a roster if it contains all the necessary information. Hearing Instrument Specialists and Audiologists should also create or update their CAQH Profile at the CAQH website (mentioned in the manual) and attest to their information every 120 days.
5. Complete the Direct Deposit Form, which is optional but highly encouraged. This form allows you to receive direct deposits for payments. You will receive an email notification whenever a deposit is made to your account, including the amount and the patient the payment should be applied toward.
6. Fill out the W-9 form, listing the Social Security Number (SSN) only if the owner is using their SSN instead of a Tax Identification Number (TIN) as a Sole Proprietor. The form must be signed by the owner.
7. Sign the Network Provider Agreement, which must be completed and signed by the owner.
8. Include any applicable Business Licenses, such as city, county, or state licenses required to do business in your location. If not required, this can be skipped.
9. Provide a Certificate of Professional Liability Insurance with minimum coverage limits of $1 million per occurrence/$3 million in aggregate. Ensure that the coverage is specifically for Professional Liability Insurance and not Business Liability or General Liability Insurance. If the Professional Liability Insurance coverage is within the General Liability or Business Liability Insurance coverage, the policy document should include a note stating that Professional Liability Insurance is included within those limits.
10. Scan all the required documents and email them to credentialing@starthearing.com. Make sure to submit the completed application within 180 days of signing the Provider Agreement. If you have any questions, you can contact Start Hearing's credentialing team at (800) 510-4194.
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