OUT OF NETWORK PROVIDERS SERVING AETNA PPO MEMBERS IN 2020, PLEASE FOLLOW THE PROTOCOL OUTLINED BELOW:

  • All orders must be processed through HCS for the member to utilize their benefit
  • All claims will be denied for orders that are not processed through HCS
  • HCS will handle collection of any applicable payment from the member
  • Please submit all claims for the hearing exam directly to Aetna
  • The orders for hearing aids will be processed through HCS
  1. Providers will proceed to https://providerportal.hearingcaresolutions.com and click the link for Aetna PPO OON
  2. Complete all fields to enable HCS to verify eligibility information and issue a login to the provider portal
  3. Check your email for login instructions to the provider portal
  4. Proceed to the provider portal to check eligibility and gain access to the list of hearing instruments available
  5. Once you have made your recommendation to the member for hearing instrument(s), place your order in the provider portal
  6. HCS will review the order and will reach out to the member to collect ALL APPLICABLE monies owed by the member for the hearing instrument(s) selected
        • a.) The order acknowledgement process (OAP) can take up to 30 days to complete authorization. Please do not fit the patient without authorization from HCS.
  7. Upon receipt of applicable payment, HCS will submit authorization to deliver in the provider portal
      • a.) For BTE, RIC and Signia Silk Click instruments: HCS will submit the order directly to the manufacturer, which will be shipped directly to your office for delivery
      • b.) For ALL Custom instruments: HCS will upload the order form back to the provider portal upon authorization and you will be responsible for submitting the order directly to the manufacturer with the custom impressions.  PLEASE DO NOT SUBMIT CUSTOM INSTRUMENTS UNTIL HCS HAS PROVIDED AUTHORIZATION.
  8. Upon receipt of the HCS authorization for delivery and the hearing instrument(s), you may fit the member
  9. Please have the member sign the HCS Purchase Agreement, which can be downloaded from the provider portal.  THIS IS A REQUIRED DOCUMENT FOR PAYMENT OF SERVICES.
  10. If the member is utilizing financing through Care Credit, you will also need to submit the signed Care Credit sales slip.  THIS IS A REQUIRED DOCUMENT FOR PAYMENT OF SERVICES WHEN A MEMBER USES CARE CREDIT.
  11. The member has a 60-day evaluation period to exchange or return the instruments.  Please process ALL exchanges and returns through the provider portal.
  12. HCS will ship 1st year battery supply direct to the member following completion of the evaluation period
  13. Please submit the completed Purchase Agreement and Care Credit sales slip (if applicable) through the provider portal
  14. Payment for services will be remitted to you after completion of the 60-day evaluation period and receipt of all required documentation (purchase agreement and care credit sales slip where applicable)

PROVIDERS WITHIN THE HCS NETWORK, PLEASE ADHERE TO YOUR NORMAL PROTOCOL

 

PROVIDERS THAT WOULD LIKE TO BECOME PART OF THE HCS NETWORK, PLEASE VISIT https://hearingcaresolutions.com/provider-application/, call 303-407-6813 or https://hearingcaresolutions.com/provider-program-information/ to learn more.