• New Business Application Application to join the Amplifon provider network Download

• Provider Handbook The handbook for understanding our provider program Download
• Code of Ethics Our comprehensive code of ethics Download

General

• Provider Portal Guide How to use our Provider Portal Download
• Provider Portal Login Help How to reset your password, change your login, etc. Download
• Explanation of Payments Guide How to print your Explanation of Payments Download

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

• Manufacturer Account Numbers Hearing aid manufacturer bill-to numbers Download
• Miracle-Ear Ordering Ordering Miracle-Ear products on MyMemsi.com Download

Reimbursement

• Processing Checks Entering electronic checks in the Provider Portal Download
• Returns & Exchanges The quick guide to returns and exchanges Download

• Office Staff Portal Access Form 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 Form To be completed by the owner(s) of record of your clinic Download
• Disclosure of Ownership and Controlling Interest Form_Instruction Guide Guide for completing the disclosure of ownership form Download
• Provider Rights Review your rights as an AHHC participating provider and business Download

• 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
• Workers' Comp Referral Form Workers' compensation referral request form Download

• Policies, Procedures, and Code of Conduct How to prevent, detect, and correct noncompliance and fraud, waste and abuse Download
• Effective Lines of Communication Compliance communication policies and procedures Download
• Disciplinary Standards Disciplinary standards for compliance program violations Download
• Monitoring, Auditing and Identification of Compliance Risks Monitoring, auditing, and identifying potential risk for noncompliance Download
• Response to Compliance Issues Procedures and system for promptly responding to compliance issues Download
• Use of Protected Health Information How to appropriately use PHI within the course of your work Download
• 2019 Amplifon Compliance Attestation Attestation to comply with the CMS requirements Download
• FDR Offshore Subcontractor Attestation Attestation of offshore subcontractor protection of PHI Download