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  • Com Aciclaims Visitaci

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MAIL TO: Administrative Concepts, Inc. 994 Old Eagle School Road Suite 1005 Wayne, PA 19087-1802 www.visit-aci.com aciclaims visit-aci.com Request for Accident Medical Expense Benefits Group Name:.

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Payer Name: Administrative Concepts Inc.

Associate in Captive Insurance (ACI)

If you, the member or the provider of service received a denial of your claim and you would like your claim reviewed or have questions regarding the reason for the denial, please contact our Customer Service Team at 888-293-9229 or direct an email to claims@visit-aci.com.

Administrative Concepts Corp., a professional employer organization (PEO) engaged in employee leasing, is a wholly-owned subsidiary of Four Corners of Excellence, Inc.

Note: Pre-Enrollment is required for Electronic Remittance Advice.

You need to file the claim within 90 days. However, you are recommended to file as soon as you avail the medical service. After you submit the claim, you should follow up with ACI periodically to make sure the process is going smoothly.

Associate in Captive Insurance (ACI)

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232