Get the free SPRINGSTONE PARTICIPATING PROVIDER AGREEMENT

LIVINGSTONE PARTICIPATING PROVIDER AGREEMENT This Participating Provider Agreement (this Agreement) is by and between Spring stone Financial, LLC, a wholly owned subsidiary of Lending Club Corporation

How to fill out springstone participating provider agreement

How to fill out springstone participating provider agreement:

1. Obtain the agreement form: The first step in filling out the springstone participating provider agreement is to obtain the form itself. You can typically find this form on the springstone website or by contacting their customer service.
2. Read the instructions: Before you start filling out the agreement, take the time to read through the instructions provided. This will give you a better understanding of what information is required and how to properly complete the form.
3. Fill in your practice information: The agreement will ask for your practice name, address, contact information, and other relevant details. Make sure to accurately fill in this information to ensure proper communication and documentation.
4. Provide credentialing information: As a participating provider, you may be required to provide your professional credentials, such as your license number, board certifications, and any additional credentials required by springstone. Fill in this information accurately and provide any supporting documentation if necessary.
5. Specify services offered: The agreement will likely ask you to specify the services you offer as a provider. This may include details about the types of treatments or therapies you provide. Be thorough and accurate in describing your services.
6. Review the terms and conditions: Carefully review the terms and conditions section of the agreement. This will outline the obligations and responsibilities of both parties involved. Make sure you understand and agree to these terms before signing the agreement.
7. Sign and submit the agreement: Once you have completed filling out the agreement, sign it in the designated area. Make a copy of the signed agreement for your records and submit the original to springstone as instructed in the form.

Who needs springstone participating provider agreement?

1. Mental health providers: Mental health providers, such as psychologists, psychiatrists, therapists, counselors, and social workers who wish to participate in the springstone network and provide services to patients using springstone's financing options, will need to fill out the springstone participating provider agreement.
2. Dental providers: Dentists and dental practices offering dental services that are eligible for financing through springstone may also need to fill out the participating provider agreement. This allows them to accept springstone financing as a payment option for their patients.
3. Medical providers: Some medical providers, such as surgeons, physicians, and medical practices that offer certain elective procedures or treatments, may be required to complete the springstone participating provider agreement. This enables them to offer their patients the option to finance their medical expenses through springstone.

Note: It is important to check with springstone directly to determine if you are eligible and need to complete the participating provider agreement based on your specific practice and services offered.

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What is springstone participating provider agreement?

Springstone participating provider agreement is a contract between healthcare providers and Springstone, outlining the terms and conditions for services provided.

Who is required to file springstone participating provider agreement?

Healthcare providers who wish to become participating providers with Springstone are required to file the agreement.

How to fill out springstone participating provider agreement?

Healthcare providers can fill out the Springstone participating provider agreement by following the instructions provided by Springstone and submitting the required information.

What is the purpose of springstone participating provider agreement?

The purpose of the Springstone participating provider agreement is to establish a partnership between healthcare providers and Springstone to provide quality healthcare services to patients.

What information must be reported on springstone participating provider agreement?

The Springstone participating provider agreement typically includes information such as provider details, services offered, payment terms, and compliance with regulations.