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Hometown Audiology

Call 435-414-8282

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    • Hearing Evaluation
    • Hearing Aids
    • Hearing Aid Repairs
    • Ear Wax & Tinnitus
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  • About Us
    • Meet Dr. Heather Smith
    • Why Desert Sound
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  • More
    • Home
    • Hearing Help
      • Hearing Evaluation
      • Hearing Aids
      • Hearing Aid Repairs
      • Ear Wax & Tinnitus
      • Custom Ear Plugs
      • Auracast for TV
      • FAQs
      • Book Appointment
    • About Us
      • Meet Dr. Heather Smith
      • Why Desert Sound
      • Contact Us
    • Payment

Call 435-414-8282

Hometown Audiology
  • Home
  • Hearing Help
    • Hearing Evaluation
    • Hearing Aids
    • Hearing Aid Repairs
    • Ear Wax & Tinnitus
    • Custom Ear Plugs
    • Auracast for TV
    • FAQs
    • Book Appointment
  • About Us
    • Meet Dr. Heather Smith
    • Why Desert Sound
    • Contact Us
  • Payment

Insurance Reimbursement

Reimbursement Forms

Here is a list of common insurance providers and links to submit for reimbursement for covered services.

Aetna

Medicare Medical Claim Reimbursement Form

Bluecross Blueshield

Member Reimbursement Form

Cigna

Out-of-Network Reimbursement Form

Deseret Mutual Benefit Administrators (DMBA)

Submitting Claims

Medicare

Patient Request for Medical Payment Form

Medicaid

Generally, does not Reimburse Out-of-Network Care

Select Health

Claim Reimbursement Form

United Healthcare

Claim Reimbursement Form

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144 W Brigham Rd, Bldg E, St George, Utah 84790

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