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Get the free Wearable Hearing Aids Prior Authorization Request - securityhealth

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831-00057-48 (02/16) 2016 Security Health Plan of Wisconsin, Inc. Effective 1/2016 Mail or fax form to: Security Health Plan Marsh field Clinic providers route to:
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Wearable hearing aids prior is a form that needs to be filled out and submitted before obtaining a hearing aid device.
Individuals who are in need of a hearing aid device are required to file wearable hearing aids prior.
To fill out wearable hearing aids prior, individuals need to provide their personal information, details about their hearing loss, and the type of hearing aid device they are requesting.
The purpose of wearable hearing aids prior is to ensure that individuals receive the appropriate hearing aid device based on their specific needs.
Information such as personal details, medical history, hearing test results, and the recommended hearing aid device must be reported on wearable hearing aids prior.
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