← Back to list
Claim Information for Braven Health℠ Audiology/Hearing Aid Benefits
Act
immediately
Effective date
Not stated in the notice
Identified
Oct 3, 2026
Summary
HearUSA is designated as the exclusive in-network provider for all audiology and hearing aid services (routine hearing exams, fittings/evaluations, and hearing aids) under Braven Health Medicare Advantage plans. HearUSA will administer benefits and process claims on behalf of the plan. Billing teams must route all audiology/hearing aid claims through HearUSA and direct patients to HearUSA network locations.
Get alerts when payers change rules like this one
We check Horizon BCBS NJ and other payers every day and email you when a change matches your specialty and state.
Get Horizon BCBS NJ alertsPolicy Monitoring is free. No card required.
What to do
immediately · 6 steps
01Billing team must update patient records and billing system to reflect that HearUSA is the exclusive in-network provider for all audiology and hearing aid services for Braven Health Medicare Advantage members.
02Update superbills, encounter forms, and referral templates to direct patients to HearUSA network locations only.
03Train front desk and clinical staff to inform Braven Health Medicare Advantage members to schedule audiology/hearing aid services through HearUSA (1-800-442-8231) or at HearUSA network locations.
04Route all audiology/hearing aid claims for these members to HearUSA for processing.
05Claims submitted directly to the practice for these services may be denied or rerouted.
06Verify patient plan status at point of service to confirm Braven Health Medicare Advantage enrollment before scheduling.
Original notice
Claim Information for Braven Health℠ Audiology/Hearing Aid Benefits
horizonblue.com · Always check the source before changing claims.