Resources and Documents

Looking to get started?

Below you will find the information needed to become an Amplifon Hearing Health Care provider, from the new business application to policies and procedures.

New Business Application

Dowload the New Business Application

Application to join the Amplifon provider network

Donwload

Getting Started

Provider handbook

The handbook for understanding our provider program

Download

Code of Ethics

Our comprehensive code of ethics

Download

How-To's - General

Provider portal guide

How to use provider portal

Download

Provider portal log in help

How to reset your password, change your log in

Download

Explanation for Payment Guide

How to print your Explanation of Payments

Dowload

How To's - Miracle-Ear

Provider Portal Guide (M-E)

How to use our Provider Portal for Miracle-Ear

Download

Provider Portal Login Help (M-E)

How to reset your password, change your login, etc.

Download

Locating Amplifon Referrals (M-E)

Where to find referral information in the Provider Portal

Download

Ordering & Reimbursment

Processing Checks

Entering electronic checks in the Provider Portal

Download

Returns & Exchanges

The quick guide to returns and exchanges

Download

Practice-Related Information

Office Staff Portal Access Form

Our office staff account approval form.

Download

Provider Update Form

Updating information about your providers

Download

Business Update Form

Updating information about your clinic locations

Download

Authorized Contact Form

Share who is authorized to make changes to your account

Download

W-9 Form

Request for taxpayer identification number and certification

Download

Disclosure of Ownership and Controlling Interest

To be completed by the owner(s) of record of your clinic

Download

Disclosure of Ownership Instruction Guide

Guide for completing the disclosure of ownership form

Download

Provider rights

Review your rights as an AHHC participating provider and business

Download

Worker's Comp

Workers' Comp Portal Guide

How to use the workers' compensation dashboard

Download

Workers' Comp Portal Guide (M-E)

How to use the workers' compensation dashboard for Miracle-Ear

Download

Compliance Program Policy

Workers' compensation referral request form

Download

Compliance

Compliance Program Policy

How to prevent, detect, and correct noncompliance and fraud, waste and abuse

Download

Compliance Reporting Mechanisms Procedure

Methods potential issues can be reported to the compliance dept

Download

Policy Development and Management Procedure

How to develop and implement policies and procedures to ensure compliance with relevant laws and regulations

Download

Use of Protected Health Information

How to appropriately use PHI within the course of your work

Download

2020 Amplifon Compliance Attestation

Attestation to comply with the CMS requirements

Download

FDR Offshore Subcontractor Attestation

Attestation of offshore subcontractor protection of PHI

Download

Training

Medicare Learning Network® Compliance & Fraud, Waste, and Abuse Trainings

Download

Get support and advice

About Amplifon Hearing Health Care

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