Common Questions

The most frequently asked questions

Below you’ll find a list of the most frequently asked questions our team receives. From resetting your password to understanding your patients’ benefits, you can find the answers to (almost) every common question right here. For more in-depth guides and resources, visit the documents page below. 

About Amplifon

How does the Amplifon Provider Network work?

Amplifon Hearing Health Care partners with hearing healthcare businesses and professionals like independently owned audiology practices, franchise hearing healthcare businesses and ENT clinics. We work with these business owners to provide the best possible hearing healthcare to our Amplifon members.

Who has Amplifon Hearing Health Care?

Amplifon contracts with insurance companies, employers, Third Party Administrators, and other organizations. However, anyone may qualify to use the Amplifon Universal Program and you may refer patients to Amplifon at any time. Simply enter the necessary information in the provider portal Add Patient screen. When a patient is added, Amplifon is notified automatically and will verify insurance. The patient referral is available to process when approved. Refer to the Myamplifonusa.com Quick Guide for specific instruction.

What is the Provider Portal?

The Provider Portal was created to help you easily view your Amplifon referrals, create appointments and enter hearing aid sales for patients referred to your location. The Provider Portal makes it easy for you to manage your referrals and shows you all the relevant referral activities on your dashboard, including a detailed summary of processed sales.

Plans

What is a Discount Plan?

An Amplifon plan where the patient is responsible for 100% of the payment at the time of their service. Pricing is established by Amplifon for testing and hearing aid charges. Testing fees are collected and retained by your office while hearing aid fees are paid directly to Amplifon.

Testing under a Discount Plan

Can I bill my patient’s insurance for testing under a Discount Plan?

Yes. You can bill your patient’s insurance for testing services. If the patient is responsible for a co-pay, the payment would be paid to your office.

Hearing aids under a Discount plan

Can I bill my patient’s insurance for hearing aids under a Discount Plan?

No. Amplifon requires payment in full when the hearing aids are ordered. Amplifon will provide your patient with a receipt which they submit to their insurance to be reimbursed for any eligible hearing benefits.

What is a Funded Plan?

An Amplifon plan where the third party will pay all or a portion of the services and/or hearing aids for the patient. The insurance verification can be found on the provider portal. There are two options for funded plans through Amplifon:
  1. Amplifon will conduct billing for patient’s funded portion to be paid.
  2. Amplifon requires payment in full when the hearing aids are ordered. Amplifon will provide the patient with a receipt which they will submit to their insurance to be reimbursed for any eligible hearing benefits.

Testing under a Funded plan

Can I bill my patient’s insurance for testing under a Funded Plan?

Payments for diagnostic testing vary based on the specific Amplifon partner and health plan. The details of the Funded Plan payment options are provided in the insurance verification section of the customer summary. These are the two most common payment options through a Funded Plan:  

If testing isn’t covered under Amplifon, the patient pays the location directly for diagnostic testing services. The patient can then seek reimbursement from their health plan; or you can bill the plan directly at the insurance contracted rates, if applicable.

You submit a receipt of delivery form with documentation about the diagnostic testing services provided to Amplifon. Amplifon then bills the plan on your behalf, and reimburses you for the diagnostic testing services provided with the provider reimbursement fee.

Hearing aids under a Funded plan

Can I bill my patient’s insurance for hearing aids under a Funded Plan?

No. Your office does not need to bill the patient's insurance. Amplifon will bill the patient's insurance plan for the amount covered and listed on the insurance verification form. This process begins when your office returns the Receipt of Delivery form. Your patient is responsible for the balance at the time of delivery.

Referrals

How do I get referrals?

Patients contact their insurance company and are then referred to Amplifon. Amplifon representatives will verify the patient's eligibility and refer them to your practice. You’ll receive an email notification about the referral, be called by Amplifon or be notified in the Provider Portal. After receiving that notification, you’ll want to help your patient book their appointment.

What do I do when I receive a referral email?

First, you’ll want to review the patient's information from within the Provider Portal. Then, contact your patient directly to schedule their appointment.

Can patients be referred to multiple locations?

No, Amplifon refers patients to a single provider location only. However, if a patient wants to change locations, they can call Amplifon back at any time to do so.

Testing

How do I schedule testing appointments?

Patients are either transferred to your office to schedule an appointment or instructed to contact your office when their letter is received in the mail. However, we encourage providers to contact their patients to assist with the scheduling process. Please contact Amplifon Provider Relations at 1-800-920-4327 if you don’t see your patient listed in the provider portal within 24 hours of scheduling the appointment.

How do I test an Amplifon patient?

Conduct the necessary testing for your patient. Your patient will then pay the clinic directly for any testing conducted. Follow the Amplifon discounted rates listed on the Diagnostic Service Fee Schedule (see below) or on myamplifonusa.com. If your patient has insurance that covers testing, you may bill the patient’s insurance for testing services only. If your patient is responsible for a co-pay, the payment would be paid to your office. If your clinic does not routinely charge for testing, Amplifon patients cannot be charged as per typical insurance billing guidelines. Please contact Amplifon Provider Relations at 1-800-920-4327 if you have any questions or need additional testing codes.

CPT; Description; Amplifon Fee

92551; Screen Test Air Only; $0.00

92556; Speech Audio with SRT & Discr.; $21.00

92557; Comprehensive Hearing Test; $48.00

92567; Tympanometry; $18.00

92568; Acoustic Reflex Testing; $15.00

What does the referral & sales process look like?

1. Patient contacts Amplifon and the Patient Care Advocate will explain the Amplifon program and find a location in their area. The Patient Care Advocate will enter the patient’s information into the provider portal and your location will be notified of the referral via email. 

2. Provider logs into the provider portal and accesses the Dashboard to view referrals. 

3. Provider calls the Amplifon patient to make an appointment if one was not made during the initial referral call.

4. Patient comes in for an appointment and hearing aids are recommended.

5. Provider logs into the provider portal and locates the patient listed on the Referrals List to complete the four-step enter outcome process. Patient payment can be processed at the time of order and/or at the time of dispense. 

6. Provider enters in the outcome and submits order details through the AHHC Ordering Smartsheet. An AHHC ordering representative will place the order directly with the manufacturer. 

7. Provider receives the hearing aids from the manufacturer and submits patient payment through the provider portal.

8. Once patient payment is completed, print the Receipt of Delivery from the provider portal

9. Provider and Patient sign and date the Receipt of Delivery. Cigna disclosure form to be signed by Provider and Patient if applicable. 

10. Provider will fax and/or upload the completed Receipt of Delivery with the manufacturer packing slip to 1-888-371-5961 or upload through the provider portal.

Ordering

Can I order RIC/BTE hearing aids?

Can I order custom hearing aids?

Yes, there are many custom hearing aids within the Amplifon formularies available to order.  Please refer to the applicable provider guide for step-by-step instructions on how to process.

Can I order earmolds?

Yes, Earmolds are included in the price of RIC/BTE products. Only standard shipping (First Class Mail) is authorized with the earmold order for Emtech, Great Lakes Earmold, or Precision Laboratories. Earmold orders through the hearing aid manufacturer can be ordered with original hearing aids orders only and with standard manufacturer shipping methods (i.e. Fed Ex).  Please refer to the applicable provider guide for step-by-step instructions on how to process.

Payment

On the day of the fitting

What do I need to do when my patient orders their hearing aids?

On the day of the hearing aid fitting, follow the steps in the  guide to enter the sale into the provider portal. Print all of the paperwork and review it with your patient. Both the credentialed provider and patient should then sign and date all of the paperwork. All payments for the hearing aids are due at the time of fitting.

Who does the patient pay at the time of ordering?

The patient is paying Amplifon. Providers should be processing all payments through the provider portal. Please refer to the applicable guide for step-by-step instructions on how to process a payment.  

What are the patient’s payment options?

Payments can be made in the following ways:

Credit Card (Visa, MasterCard, Discover, AMEX), E-Check – CareCredit. For instructions on how to process each type of payment please refer to the provider guide

Does Amplifon offer financing options?

Amplifon works with CareCredit to offer a 6, 12, & 18-month interest-free option, as well as a 24, 36, or 48-month extended finance option with interest. If the patient doesn’t have a Care Credit account, please direct them to https://www.carecredit.com/ to apply prior to the fitting of the hearing aid. Please refer to our website for more details.

For additional information on how to process a CareCredit please refer to the prover manual for step by step instructions.

 

When will I receive my provider reimbursement?

Provider reimbursements are paid out at 60 days of delivery.
(NOTE: All payments for hearing aids and accessories are processed through Amplifon.)

Returns & Exchanges

Can I accept a return or an exchange?

Yes, returns and exchanges can be initiated in the Provider Portal. Please refer to the Return & Exchange Quick Guide for full instructions on how to process a return or an exchange. **Please be aware returns and exchanges must be completed within the 60 day trial period. **

What is the loss and damage warranty process?

To replace a hearing aid under the loss and damage warranty, please follow the steps below. This transaction is handled directly between the patient and the provider’s office at the set deductible amount listed below. The only exception to this process is when a hearing aid is lost for a Workers’ Compensation claimant (in these instances, contact Amplifon’s Workers’ Compensation Division at 1.888.319.9206).

  1. Verify with the manufacturer if the warranty is still in effect.
  2. Complete the manufacturer’s paperwork utilizing clinics bill-to account number and ship-to account number.
  3. Send to the manufacturer to obtain a replacement hearing aid under the loss and damage warranty.
  4. The patient pays your office the Amplifon deductible amount. 
  5. Payment is retained within your office.
  6. Notify patient the loss and damage warranty has been utilized and any future loss is their responsibility.

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