How Does the Insurance Claims Process Work at AHHC?

Understanding how an insurance claim works shouldn’t be a mystery, although it can often feel like one. Amplifon Hearing Health Care (AHHC) exists to make your health insurance claim process simple and easy to understand.

When you’re getting new hearing aids, here are some things that you can expect when it comes to dealing with a medical claim with AHHC.

1. Step 1: Claim Submission
   Once you receive hearing care services or hearing aids through an AHHC provider, the first step is claim submission.
   Luckily, you don’t have to submit the claim yourself. AHHC submits claims to your insurance company for processing.
   This process means your information is sent quickly and accurately to your insurance company for review.
   
   
2. Step 2: Claim Adjudication
   Your health plan adjudicates (makes an official decision) and determines coverage and payment. AHHC will then review the decision and take the necessary steps needed.
   
   
3. Step 3: Explanation of Benefits and Checking Claim Status
   Once your claim has been adjudicated, you’ll receive an Explanation of Benefits (EOB) from your insurance company outlining how your claim was processed. An EOB isn’t a bill, but rather a summary of how your insurance handled a claim, the total charges, how much insurance paid, and if there are any changes or additional out-of-pocket expenses.
   
   
4. Step 4: Insurance Reimbursement
   When your claim is approved and you’ve overpaid due to changes in deductibles, you’ll receive any needed refunds or reimbursements. Of course, you may be responsible for any applicable copays or coinsurance depending on your insurance.

If a claim is denied or needs clarification, we’ll work with your provider to review and resolve the issue as quickly as possible. Our goal is to make sure you receive the maximum benefit available.

For over 30 years, AHHC has provided high-quality hearing solutions to those who need them. Our members benefit from our:

• Personalized care.
• Exceptional products.
• Nationwide network of credentialed providers.
• Competitive pricing.
• Ongoing support through your hearing health journey.

We’re here to guide you every step of the way, so you can live life to the fullest.