AB must have your insurance forms on file to fully advocate on your behalf.
Print, complete, and submit the Insurance Authorization Form, HIPAA Notice of Privacy Practices, and Healthcare Provider’s Order of Cochlear Implant Products. Once AB has these documents on file, we can help verify your health benefits, provide authorization support if applicable, and bill claims to your health plan.
If your insurance information changes, you will need to update these forms and resubmit to AB’s insurance authorization and reimbursement team. All of your information remains confidential and will be added to your patient file.