Forms

Having important information that is used on a regular basis is important for busy HHP members.  This forms page is created to make finding the information you want quickly. 

Billing Codes

The Insurance Page will provide more information for you.

• HCPCS Hearing Codes V5000-V5999
• ICD-9 Codes
• ICD-9 Index
• ICD-9 Preface
• ICD-9 Appendix E-3-Digit Categories 001-E999
• ICD-9 Diseases of the Ear and Mastoid Process 380-389 (word)
• ICD-9 Diseases of the Ear and Mastoid Process 380-389 (pdf)
  

General Forms

• AHAA Member Request Form
• AHAA HHP Member Enrollment Form
• CAPS Forms
  • Review our dental or vision plan benefit and rate information.
  • Enroll in dental or vision plans.
  • Learn more about or request a quote for the medical insurance plan options.
• Ethics Complaint Form
• HHP Membership Application 
• Managed Care Application 
• PAC Donation Form
• Blue Cross of California Member Responsibility Agreement (word doc)
• Blue Cross of California Member Responsibility Agreement (pdf)
• A Sample of HHPCA Financial Policy (word doc)
• Hearing Healthcare Providers Fitting Protocol (word doc)
• Hearing Healthcare Providers Hearing Aid Dispensing Protocol (word doc)
• Hearing Healthcare Providers Code of Ethics (word doc)

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