Provider Resources

Provider Portal

• Provider Portal Manual

• Order Quick Guide

• Referral Quick Guide

Provider Training Documents

• Fraud, Waste and Abuse (CMS)

• Medicare Parts C and D General Compliance (CMS)

CareCredit

• Application

Service Forms

• Custom Repair and Remake Form

• Loss and Damage Replacement Form

• Return Exchange Form

• Standard Hearing Aid and Wireless- Accessory Repair Form

• Phonak Return For Credit Form

• Phonak School

• Phonak Service Form

• Unitron Return For Credit Form

• Unitron Service Form

• Widex Loss & Damage Form

• Widex Repair & Remake Form

• Widex Return For Credit Form

• Signia Loss & Damage Form

• Signia Repair Form

• Signia Return for Credit Form

• Rexton Repair & Remake Form

• Rexton Return For Credit Form

• ReSound Repair & Remake

• ReSound Loss & Damage

• ReSound Return for Credit

• Oticon Service Form

• Oticon Replacement Claim Form

• Oticon Return for Credit Form

• Bernafon Service Order Form

• Bernafon Return for Credit Form