{"id":222,"date":"2023-05-10T19:21:04","date_gmt":"2023-05-10T19:21:04","guid":{"rendered":"https:\/\/acienroll.azurewebsites.net\/isp\/?page_id=222"},"modified":"2025-06-26T12:48:22","modified_gmt":"2025-06-26T12:48:22","slug":"plans","status":"publish","type":"page","link":"https:\/\/acienroll.azurewebsites.net\/isp\/plans\/","title":{"rendered":"Plans"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"222\" class=\"elementor elementor-222\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2b14a95 elementor-section-full_width elementor-section-height-min-height elementor-section-items-stretch elementor-section-content-middle elementor-section-height-default\" data-id=\"2b14a95\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f357073\" data-id=\"f357073\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d0b5d4e elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"d0b5d4e\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.13.1 - 09-05-2023 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h1 class=\"elementor-heading-title elementor-size-default\">Plan Selection<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c23ba9c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c23ba9c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-122a2b1\" data-id=\"122a2b1\" 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elementor-element elementor-element-3f0d853 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3f0d853\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f37503e\" data-id=\"f37503e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ea07ee4 elementor-widget elementor-widget-shortcode\" data-id=\"ea07ee4\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><div id=\"py-chooser\"><label>Policy Year<\/label><select class=\"select-your-py\" 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d=\"M196.179,107.33a48.684,48.684,0,0,1,1.14,5.227l-.086-.638a3.172,3.172,0,0,1,.02.722l.085-.638a1.721,1.721,0,0,1-.079.324l.242-.573a1.313,1.313,0,0,1-.115.208l.375-.485a1.081,1.081,0,0,1-.17.168l.485-.375a3.477,3.477,0,0,1-.414.219l.574-.242a3.035,3.035,0,0,1-.7.2l.638-.086a2.814,2.814,0,0,1-.655,0l.638.085c-.247-.034-.49-.094-.737-.128a2.655,2.655,0,0,0-1.849.242,2.4,2.4,0,0,0-.861,3.284,2.3,2.3,0,0,0,1.434,1.1c.538.072,1.059.21,1.605.234a5.064,5.064,0,0,0,2.334-.55,3.308,3.308,0,0,0,1.852-2.187,5.6,5.6,0,0,0-.025-2.387c-.284-1.684-.672-3.353-1.1-5a2.4,2.4,0,0,0-4.629,1.276Z\"><\/path><path class=\"c\" d=\"M169.477,92.84c-.821,2.661-.29,8.785,4.753,9.309,6.665-.036,7.024-7.44,4.782-10.922C177.176,88.376,171.775,87.188,169.477,92.84Z\"><\/path><path class=\"c\" d=\"M224.414,92.868c.818,2.662.281,8.786-4.763,9.3-6.665-.043-7.016-7.447-4.771-10.927C216.719,88.4,222.121,87.213,224.414,92.868Z\"><\/path><\/svg>\t\t\t\t<\/a>\n\t\t\t<\/div>\n\t\t\t\t\t\t<div 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class=\"elementor-icon-box-icon\">\n\t\t\t\t<a class=\"elementor-icon elementor-animation-grow\" href=\"https:\/\/acienroll.azurewebsites.net\/isp\/contact-us\/\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" height=\"800px\" width=\"800px\" id=\"Layer_1\" viewBox=\"0 0 512.001 512.001\" xml:space=\"preserve\"><path style=\"fill:#003F84;\" d=\"M433.236,470.611l63.238-63.238c9.685-9.682,14.692-22.371,14.692-35.395 c0-13.021-5.008-25.71-14.692-35.395l-69.455-69.12c-19.031-19.366-51.088-19.366-70.79,0l-39.512,39.514l-11.686,11.686 c-6.678,6.344-6.678,17.03,0,23.374L433.236,470.611z\"><\/path><path style=\"fill:#144F9B;\" d=\"M251.522,84.229l-69.455-69.453c-19.368-19.702-51.09-19.702-70.456,0L65.614,55.874L41.908,79.583 l128.874,128.57c6.465,6.45,16.933,6.443,23.391-0.013l11.686-12.021l45.664-41.432C271.221,135.319,271.221,103.597,251.522,84.229 z\"><\/path><path style=\"fill:#32BBFF;\" 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Us\t\t\t\t\t<\/a>\n\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-305ff04\" data-id=\"305ff04\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-58ab26f waive-ship-link elementor-view-default elementor-mobile-position-top elementor-vertical-align-top elementor-widget elementor-widget-icon-box\" data-id=\"58ab26f\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<a class=\"elementor-icon elementor-animation-grow\" href=\"https:\/\/help.ahpcare.com\/hc\/en-us\/requests\/new?ticket_form_id=14534556836247\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"800px\" height=\"800px\" viewBox=\"0 0 64 64\"><g fill=\"none\" fill-rule=\"evenodd\"><rect width=\"41\" height=\"56\" x=\"6\" y=\"7\" fill=\"#9F5757\" rx=\"3\"><\/rect><circle cx=\"26.5\" cy=\"3.5\" r=\"2.5\" fill=\"#FF78C7\"><\/circle><rect width=\"33\" height=\"48\" x=\"10\" y=\"11\" fill=\"#ECECEC\"><\/rect><path stroke=\"#979797\" stroke-linecap=\"square\" stroke-width=\"2\" d=\"M16 19L35 19M16 23L28 23M16 27L22 27M26 27L32 27\"><\/path><g transform=\"rotate(-45 71.724 -16.96)\"><rect width=\"26\" height=\"6\" x=\"5\" fill=\"#325AA6\"><\/rect><rect width=\"4\" height=\"4\" x=\"31\" y=\"1\" fill=\"#5EA7FF\"><\/rect><path stroke=\"#325AA6\" stroke-linecap=\"square\" stroke-width=\"2\" d=\"M5 3L0 3M29 8L21 8M29 6L29 8\"><\/path><\/g><path fill=\"#FF78C7\" d=\"M16,8 C16,5.790861 17.7904482,4 19.9993692,4 L33.0006308,4 C35.2094214,4 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class=\"elementor-icon-box-content\">\n\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t<a href=\"https:\/\/www.myfirsthealth.com\/LocateProvider\/CustomPage\" >\n\t\t\t\t\t\tFind a Doctor\t\t\t\t\t<\/a>\n\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-3d1ba84\" data-id=\"3d1ba84\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cca0e58 elementor-view-default elementor-mobile-position-top elementor-vertical-align-top elementor-widget elementor-widget-icon-box\" data-id=\"cca0e58\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<a class=\"elementor-icon elementor-animation-grow\" href=\"https:\/\/acienroll.azurewebsites.net\/isp\/contact-us\/\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" height=\"800px\" width=\"800px\" id=\"Layer_1\" viewBox=\"0 0 512.001 512.001\" xml:space=\"preserve\"><path style=\"fill:#003F84;\" d=\"M433.236,470.611l63.238-63.238c9.685-9.682,14.692-22.371,14.692-35.395 c0-13.021-5.008-25.71-14.692-35.395l-69.455-69.12c-19.031-19.366-51.088-19.366-70.79,0l-39.512,39.514l-11.686,11.686 c-6.678,6.344-6.678,17.03,0,23.374L433.236,470.611z\"><\/path><path style=\"fill:#144F9B;\" d=\"M251.522,84.229l-69.455-69.453c-19.368-19.702-51.09-19.702-70.456,0L65.614,55.874L41.908,79.583 l128.874,128.57c6.465,6.45,16.933,6.443,23.391-0.013l11.686-12.021l45.664-41.432C271.221,135.319,271.221,103.597,251.522,84.229 z\"><\/path><path style=\"fill:#32BBFF;\" d=\"M316.717,306.978l-11.686,11.686c-6.344,6.01-17.698,6.344-24.043,0l-86.816-87.485 c-6.678-6.678-6.632-16.408,0-23.04l11.686-12.021L65.614,55.874L41.908,79.583L30.553,91.269 c-19.7,19.367-29.718,42.407-29.718,67.785c0.334,68.786,73.127,141.579,131.896,200.014l19.702,19.7 c29.384,29.718,62.442,62.776,96.5,88.822c34.393,25.711,69.788,44.077,104.515,44.41c25.712,0,48.417-10.018,67.785-29.384 l35.395-35.395L316.717,306.978z\"><\/path><path style=\"fill:#2C9FD9;\" d=\"M248.933,467.589c34.393,25.712,69.788,44.078,104.515,44.412c25.712,0,48.417-10.018,67.785-29.384 l35.395-35.395l-139.91-140.243l-11.686,11.686c-6.344,6.01-17.699,6.344-24.043,0l-43.076-43.406l-94.497,94.496l9.017,9.015 C181.817,408.487,214.875,441.544,248.933,467.589z\"><\/path><\/svg>\t\t\t\t<\/a>\n\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t<a href=\"https:\/\/acienroll.azurewebsites.net\/isp\/contact-us\/\" >\n\t\t\t\t\t\tContact Us\t\t\t\t\t<\/a>\n\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-7b742f1\" data-id=\"7b742f1\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3974b11 waive-ship-link elementor-view-default elementor-mobile-position-top elementor-vertical-align-top elementor-widget elementor-widget-icon-box\" data-id=\"3974b11\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<a class=\"elementor-icon elementor-animation-grow\" href=\"https:\/\/help.ahpcare.com\/hc\/en-us\/requests\/new?ticket_form_id=14534556836247\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"800px\" height=\"800px\" viewBox=\"0 0 64 64\"><g fill=\"none\" fill-rule=\"evenodd\"><rect width=\"41\" height=\"56\" x=\"6\" y=\"7\" fill=\"#9F5757\" rx=\"3\"><\/rect><circle cx=\"26.5\" cy=\"3.5\" r=\"2.5\" fill=\"#FF78C7\"><\/circle><rect width=\"33\" height=\"48\" x=\"10\" y=\"11\" fill=\"#ECECEC\"><\/rect><path stroke=\"#979797\" stroke-linecap=\"square\" stroke-width=\"2\" d=\"M16 19L35 19M16 23L28 23M16 27L22 27M26 27L32 27\"><\/path><g transform=\"rotate(-45 71.724 -16.96)\"><rect width=\"26\" height=\"6\" x=\"5\" fill=\"#325AA6\"><\/rect><rect width=\"4\" height=\"4\" x=\"31\" y=\"1\" fill=\"#5EA7FF\"><\/rect><path stroke=\"#325AA6\" stroke-linecap=\"square\" stroke-width=\"2\" d=\"M5 3L0 3M29 8L21 8M29 6L29 8\"><\/path><\/g><path fill=\"#FF78C7\" d=\"M16,8 C16,5.790861 17.7904482,4 19.9993692,4 L33.0006308,4 C35.2094214,4 37,5.79535615 37,8 L37,12 L16,12 L16,8 Z\"><\/path><path stroke=\"#325AA6\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-width=\"2\" d=\"M15.8109592,49.3681207 C15.8109592,49.3681207 19.2263045,41.1836513 20.2641715,42.9639716 C21.3020386,44.7442919 19.4647456,49.1688671 19.4647456,49.1688671 C19.4647456,49.1688671 20.8450515,45.5868241 21.948633,46.6183609 C23.0522146,47.6498976 23.0923065,49.8992627 23.0923065,49.8992627 L25.9759069,47.398193 C25.9759069,47.398193 27.4385066,51.2943393 29.6709909,50.596801\"><\/path><\/g><\/svg>\t\t\t\t<\/a>\n\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t<a href=\"https:\/\/help.ahpcare.com\/hc\/en-us\/requests\/new?ticket_form_id=14534556836247\" >\n\t\t\t\t\t\tWaive SHIP\t\t\t\t\t<\/a>\n\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-eaa53dd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"eaa53dd\" data-element_type=\"section\" id=\"id-card-contact-us-ql-section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b875b24\" data-id=\"b875b24\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-30a7b2c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"30a7b2c\" data-element_type=\"section\" data-settings=\"{&quot;shape_divider_top&quot;:&quot;triangle&quot;,&quot;shape_divider_bottom&quot;:&quot;zigzag&quot;}\">\n\t\t\t\t\t<div class=\"elementor-shape elementor-shape-top\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" d=\"M500,98.9L0,6.1V0h1000v6.1L500,98.9z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1800 5.8\" preserveAspectRatio=\"none\">\n  <path class=\"elementor-shape-fill\" d=\"M5.4.4l5.4 5.3L16.5.4l5.4 5.3L27.5.4 33 5.7 38.6.4l5.5 5.4h.1L49.9.4l5.4 5.3L60.9.4l5.5 5.3L72 .4l5.5 5.3L83.1.4l5.4 5.3L94.1.4l5.5 5.4h.2l5.6-5.4 5.5 5.3 5.6-5.3 5.4 5.3 5.6-5.3 5.5 5.3 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d=\"M286.923,128c0.704-3.445,1.077-7.008,1.077-10.667C288,87.883,264.117,64,234.667,64  s-53.333,23.883-53.333,53.333c0,3.659,0.373,7.221,1.077,10.667H286.923z\"><\/path>\t<path style=\"fill:#FFFFFF;\" d=\"M458.667,384.032c0,11.765-9.536,21.301-21.301,21.301H31.968c-11.765,0-21.301-9.536-21.301-21.301  V149.301c0-11.765,9.536-21.301,21.301-21.301h405.397c11.765,0,21.301,9.536,21.301,21.301V384.032z\"><\/path><\/g><circle style=\"fill:#D94452;\" cx=\"138.667\" cy=\"266.667\" r=\"85.333\"><\/circle><path d=\"M437.365,117.333H298.667c0-35.296-28.704-64-64-64s-64,28.704-64,64H31.968C14.336,117.333,0,131.68,0,149.301v234.731 C0,401.653,14.336,416,31.968,416h405.397c17.632,0,31.968-14.347,31.968-31.968V149.301 C469.333,131.68,454.997,117.333,437.365,117.333z M234.667,74.667c23.531,0,42.667,19.136,42.667,42.667H192 C192,93.803,211.136,74.667,234.667,74.667z M448,384.032c0,5.867-4.768,10.635-10.635,10.635H31.968 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Card\t\t\t\t\t<\/a>\n\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-b16baf7\" data-id=\"b16baf7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c8e18bd elementor-view-default elementor-mobile-position-top elementor-vertical-align-top elementor-widget elementor-widget-icon-box\" data-id=\"c8e18bd\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<a class=\"elementor-icon elementor-animation-grow\" href=\"https:\/\/acienroll.azurewebsites.net\/isp\/contact-us\/\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" height=\"800px\" width=\"800px\" id=\"Layer_1\" viewBox=\"0 0 512.001 512.001\" xml:space=\"preserve\"><path style=\"fill:#003F84;\" d=\"M433.236,470.611l63.238-63.238c9.685-9.682,14.692-22.371,14.692-35.395 c0-13.021-5.008-25.71-14.692-35.395l-69.455-69.12c-19.031-19.366-51.088-19.366-70.79,0l-39.512,39.514l-11.686,11.686 c-6.678,6.344-6.678,17.03,0,23.374L433.236,470.611z\"><\/path><path style=\"fill:#144F9B;\" d=\"M251.522,84.229l-69.455-69.453c-19.368-19.702-51.09-19.702-70.456,0L65.614,55.874L41.908,79.583 l128.874,128.57c6.465,6.45,16.933,6.443,23.391-0.013l11.686-12.021l45.664-41.432C271.221,135.319,271.221,103.597,251.522,84.229 z\"><\/path><path style=\"fill:#32BBFF;\" d=\"M316.717,306.978l-11.686,11.686c-6.344,6.01-17.698,6.344-24.043,0l-86.816-87.485 c-6.678-6.678-6.632-16.408,0-23.04l11.686-12.021L65.614,55.874L41.908,79.583L30.553,91.269 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elementor-col-25 elementor-inner-column elementor-element elementor-element-10876cd\" data-id=\"10876cd\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-654cbf7 waive-ship-link elementor-view-default elementor-mobile-position-top elementor-vertical-align-top elementor-widget elementor-widget-icon-box\" data-id=\"654cbf7\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<a class=\"elementor-icon elementor-animation-grow\" href=\"https:\/\/help.ahpcare.com\/hc\/en-us\/requests\/new?ticket_form_id=14534556836247\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"800px\" height=\"800px\" viewBox=\"0 0 64 64\"><g fill=\"none\" fill-rule=\"evenodd\"><rect width=\"41\" 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C21.3020386,44.7442919 19.4647456,49.1688671 19.4647456,49.1688671 C19.4647456,49.1688671 20.8450515,45.5868241 21.948633,46.6183609 C23.0522146,47.6498976 23.0923065,49.8992627 23.0923065,49.8992627 L25.9759069,47.398193 C25.9759069,47.398193 27.4385066,51.2943393 29.6709909,50.596801\"><\/path><\/g><\/svg>\t\t\t\t<\/a>\n\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t<a href=\"https:\/\/help.ahpcare.com\/hc\/en-us\/requests\/new?ticket_form_id=14534556836247\" >\n\t\t\t\t\t\tWaive SHIP\t\t\t\t\t<\/a>\n\t\t\t\t<\/h3>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5d90400 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5d90400\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0cee29d\" data-id=\"0cee29d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b53283c elementor-widget-divider--view-line_text elementor-widget-divider--element-align-center elementor-widget elementor-widget-divider\" data-id=\"b53283c\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t\t<h2 class=\"elementor-divider__text elementor-divider__element\">\n\t\t\t\tUSE YOUR INSURANCE\t\t\t\t<\/h2>\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-88448a0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"88448a0\" data-element_type=\"section\" id=\"uhcg-ppo-section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7b3fc5a\" data-id=\"7b3fc5a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-da0d628 elementor-tabs-alignment-center elementor-tabs-view-horizontal elementor-widget elementor-widget-tabs\" data-id=\"da0d628\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.13.1 - 09-05-2023 *\/\n.elementor-widget-tabs.elementor-tabs-view-vertical .elementor-tabs-wrapper{width:25%;flex-shrink:0}.elementor-widget-tabs.elementor-tabs-view-vertical .elementor-tab-desktop-title.elementor-active{border-right-style:none}.elementor-widget-tabs.elementor-tabs-view-vertical .elementor-tab-desktop-title.elementor-active:after,.elementor-widget-tabs.elementor-tabs-view-vertical .elementor-tab-desktop-title.elementor-active:before{height:999em;width:0;right:0;border-right-style:solid}.elementor-widget-tabs.elementor-tabs-view-vertical .elementor-tab-desktop-title.elementor-active:before{top:0;transform:translateY(-100%)}.elementor-widget-tabs.elementor-tabs-view-vertical .elementor-tab-desktop-title.elementor-active:after{top:100%}.elementor-widget-tabs.elementor-tabs-view-horizontal .elementor-tab-desktop-title{display:table-cell}.elementor-widget-tabs.elementor-tabs-view-horizontal .elementor-tab-desktop-title.elementor-active{border-bottom-style:none}.elementor-widget-tabs.elementor-tabs-view-horizontal .elementor-tab-desktop-title.elementor-active:after,.elementor-widget-tabs.elementor-tabs-view-horizontal .elementor-tab-desktop-title.elementor-active:before{bottom:0;height:0;width:999em;border-bottom-style:solid}.elementor-widget-tabs.elementor-tabs-view-horizontal .elementor-tab-desktop-title.elementor-active:before{right:100%}.elementor-widget-tabs.elementor-tabs-view-horizontal .elementor-tab-desktop-title.elementor-active:after{left:100%}.elementor-widget-tabs .elementor-tab-content,.elementor-widget-tabs .elementor-tab-title,.elementor-widget-tabs .elementor-tab-title:after,.elementor-widget-tabs .elementor-tab-title:before,.elementor-widget-tabs .elementor-tabs-content-wrapper{border:1px #d5d8dc}.elementor-widget-tabs .elementor-tabs{text-align:left}.elementor-widget-tabs .elementor-tabs-wrapper{overflow:hidden}.elementor-widget-tabs .elementor-tab-title{cursor:pointer;outline:var(--focus-outline,none)}.elementor-widget-tabs .elementor-tab-desktop-title{position:relative;padding:20px 25px;font-weight:700;line-height:1;border:solid transparent}.elementor-widget-tabs .elementor-tab-desktop-title.elementor-active{border-color:#d5d8dc}.elementor-widget-tabs .elementor-tab-desktop-title.elementor-active:after,.elementor-widget-tabs .elementor-tab-desktop-title.elementor-active:before{display:block;content:\"\";position:absolute}.elementor-widget-tabs .elementor-tab-desktop-title:focus-visible{border:1px solid #000}.elementor-widget-tabs .elementor-tab-mobile-title{padding:10px;cursor:pointer}.elementor-widget-tabs .elementor-tab-content{padding:20px;display:none}@media (max-width:767px){.elementor-tabs .elementor-tab-content,.elementor-tabs .elementor-tab-title{border-style:solid solid none}.elementor-tabs .elementor-tabs-wrapper{display:none}.elementor-tabs .elementor-tabs-content-wrapper{border-bottom-style:solid}.elementor-tabs .elementor-tab-content{padding:10px}}@media (min-width:768px){.elementor-widget-tabs.elementor-tabs-view-vertical .elementor-tabs{display:flex}.elementor-widget-tabs.elementor-tabs-view-vertical .elementor-tabs-wrapper{flex-direction:column}.elementor-widget-tabs.elementor-tabs-view-vertical .elementor-tabs-content-wrapper{flex-grow:1;border-style:solid solid solid none}.elementor-widget-tabs.elementor-tabs-view-horizontal .elementor-tab-content{border-style:none solid solid}.elementor-widget-tabs.elementor-tabs-alignment-center .elementor-tabs-wrapper,.elementor-widget-tabs.elementor-tabs-alignment-end .elementor-tabs-wrapper,.elementor-widget-tabs.elementor-tabs-alignment-stretch .elementor-tabs-wrapper{display:flex}.elementor-widget-tabs.elementor-tabs-alignment-center .elementor-tabs-wrapper{justify-content:center}.elementor-widget-tabs.elementor-tabs-alignment-end .elementor-tabs-wrapper{justify-content:flex-end}.elementor-widget-tabs.elementor-tabs-alignment-stretch.elementor-tabs-view-horizontal .elementor-tab-title{width:100%}.elementor-widget-tabs.elementor-tabs-alignment-stretch.elementor-tabs-view-vertical .elementor-tab-title{height:100%}.elementor-tabs .elementor-tab-mobile-title{display:none}}<\/style>\t\t<div class=\"elementor-tabs\">\n\t\t\t<div class=\"elementor-tabs-wrapper\" role=\"tablist\" >\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-2281\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-2281\" aria-expanded=\"false\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/sites\/2\/2023\/05\/stethoscope-svgrepo-com-1.svg\" style=\"width: 100px; display: block; margin-left: auto; margin-right: auto; margin-bottom: 20px;\"><h3 style=\"font-size: 40px; line-height: 1.2em; text-align: center;\">PPO Network<\/h3> <p style=\"font-size: 17px; line-height: 1.5em; text-align: center;\"> \tInformation about the<br\/>Preferred Provider<br\/>Organizer <\/p><\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-2282\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-2282\" aria-expanded=\"false\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/sites\/2\/2023\/05\/medical-records-svgrepo-com.svg\" style=\"width: 100px; display: block; margin-left: auto; margin-right: auto; margin-bottom: 20px;\"> <h3 style=\"font-size: 40px; line-height: 1.2em; text-align: center;\">Claims<\/h3><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"elementor-tabs-content-wrapper\" role=\"tablist\" aria-orientation=\"vertical\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-2281\" aria-expanded=\"false\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/sites\/2\/2023\/05\/stethoscope-svgrepo-com-1.svg\" style=\"width: 100px; display: block; margin-left: auto; margin-right: auto; margin-bottom: 20px;\"><h3 style=\"font-size: 40px; line-height: 1.2em; text-align: center;\">PPO Network<\/h3> <p style=\"font-size: 17px; line-height: 1.5em; text-align: center;\"> \tInformation about the<br\/>Preferred Provider<br\/>Organizer <\/p><\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2281\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-2281\" tabindex=\"0\" hidden=\"false\"><p data-pm-slice=\"1 1 []\"><strong>To find a UHCG PPO provider:<\/strong><\/p><ol><li data-pm-slice=\"1 1 []\">Go to\u00a0<a class=\"ProsemirrorEditor-link\" href=\"https:\/\/www.whyuhc.com\/us1\">www.whyuhc.com<\/a>\u00a0and click\u00a0<strong>\u201cSearch the network for your healthcare provider.\u201d<\/strong><\/li><li data-pm-slice=\"1 1 []\">Then click \u201c<strong>Search the network:\u00a0 Options PPO\u201d<\/strong>.<\/li><li data-pm-slice=\"1 1 []\">Under\u00a0<strong>\u201cWhat type of medical Care can we help you find near\u201d<\/strong> start by clicking the blue font and entering a street address, city &amp; State, 5 digit zip code or county.<\/li><li data-pm-slice=\"1 1 []\">Once entered, click &#8220;<strong>Update location<\/strong>&#8220;<\/li><li data-pm-slice=\"1 1 []\">You now would enter or select your search parameters by entering a specific providers name, or service in the search box or by clicking one of the categories icons<strong>.<\/strong><\/li><\/ol><p>\u00a0<\/p><p>Always check with the doctor or medical facility directly to confirm that they accept the UnitedHealthcare Option PPO Network before you receive treatment.<\/p><p>It is best to locate an in-network doctor, urgent care center, and emergency room near you before you get sick.<\/p><div style=\"color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif; background-color: #f0edea;\"><div style=\"width: auto; float: left; border-right: 1px solid rgba(128, 128, 128, 0.5); min-width: 26.5%; padding: 0.5em 1em 0px 0px; margin-top: 1em;\"><h3 style=\"margin: 0px 0px 0.5em; line-height: normal; font-size: 1.5em; color: #e87722; font-family: ProximaNova-Regular;\">LINKS<\/h3><p><a style=\"color: #3eb1c8; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"https:\/\/www.whyuhc.com\/us1\" target=\"_blank\" rel=\"noopener\"><b>Options PPO<\/b><\/a><\/p><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-2282\" aria-expanded=\"false\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/sites\/2\/2023\/05\/medical-records-svgrepo-com.svg\" style=\"width: 100px; display: block; margin-left: auto; margin-right: auto; margin-bottom: 20px;\"> <h3 style=\"font-size: 40px; line-height: 1.2em; text-align: center;\">Claims<\/h3><\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2282\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-2282\" tabindex=\"0\" hidden=\"hidden\"><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">In most cases, the provider will submit the claim for you.<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">If you are required to pay for services up front, you will need to complete a claim form in order to be reimbursed by the insurance company.<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">Download a claim form below, and send the completed form with all bills and receipts for medical treatment to:<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif; text-align: center;\"><span style=\"font-family: ProximaNova-Bold;\">Administrative Concepts, Inc.<br \/>PO Box 4000<br \/>Collegeville PA 19426<\/span><\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif; text-align: center;\">Fax: (610) 293-9299<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">Make sure you fill out the form completely so your claim will be processed promptly.<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\"><span style=\"font-family: ProximaNova-Bold;\">Keep copies of all the documents you submit for claims.<\/span>\u00a0If you have questions about claims, contact Administrative Concepts, Inc.<br \/>at\u00a0<span style=\"font-family: ProximaNova-Bold;\">(800) 476-4802<\/span>\u00a0or\u00a0<a style=\"color: #635d58; text-decoration-line: underline; outline: none;\" href=\"mailto:claims@acitpa.com\"><span style=\"font-family: ProximaNova-Bold;\">claims@acitpa.com<\/span><\/a>.<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\"><span style=\"font-family: ProximaNova-Bold;\">Confidential Communication Request<\/span><\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">If you would like to have confidential medical information from the claims administrator sent to an address other than the address on file with your school, you can download a Confidential Communication Request, fill out the form, and send it to the address listed. This form is available below.<\/p><div class=\"row\" style=\"color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif; background-color: #f0edea;\"><div class=\"block-links col-3\" style=\"width: auto; float: left; border-right: 1px solid rgba(128, 128, 128, 0.5); min-width: 26.5%; padding: 0.5em 1em 0px 0px; margin-top: 1em;\"><h3 style=\"margin: 0px 0px 0.5em; line-height: normal; font-size: 1.5em; color: #e87722; font-family: ProximaNova-Regular;\">LINKS<\/h3><p><a style=\"color: #3eb1c8; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"https:\/\/secure.acitpa.com\/ClaimStatus\/\" target=\"_blank\" rel=\"noopener\">ACI Member Access<\/a><\/p><\/div><div class=\"block-downloads col-3\" style=\"width: auto; float: left; border-right: 0px; min-width: 35%; padding: 0.5em 0px 0px 1em; margin-top: 1em;\"><h3 style=\"margin: 0px 0px 0.5em; line-height: normal; font-size: 1.5em; color: #e87722; font-family: ProximaNova-Regular;\">DOWNLOADS<\/h3><p><a style=\"color: #635d58; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"\/wp-content\/uploads\/sites\/2\/2023\/09\/ACI-Claim-Form-Updated-09.21.21.pdf\" target=\"_blank\" rel=\"noopener\">Claim Form<span style=\"color: #3eb1c8; float: right; margin-right: -3em;\">[pdf]<\/span><\/a><br \/><a style=\"color: #635d58; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"\/wp-content\/uploads\/sites\/2\/2023\/09\/21-22-ACI_Confidential-Communication-Request.pdf\" target=\"_blank\" rel=\"noopener\">Confidential Communication Request<span style=\"color: #3eb1c8; float: right; margin-right: -3em;\">[pdf]<\/span><\/a><br \/><span style=\"font-family: ProximaNova-Bold;\"><span style=\"outline-color: initial; outline-width: initial; font-size: 1.1em; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\"><a style=\"color: #635d58; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"\/wp-content\/uploads\/sites\/2\/2023\/09\/21-22-ACI_HIPAA-Authorization.pdf\" target=\"_blank\" rel=\"noopener\">HIPAA-Authorization<span style=\"color: #3eb1c8; float: right; margin-right: -3em;\">[pdf]<\/span><\/a><\/span><\/span><\/p><div>\u00a0<\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3f68d05 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3f68d05\" data-element_type=\"section\" id=\"ucla-ppo-section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e8f2bf9\" data-id=\"e8f2bf9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0eb36bb elementor-tabs-alignment-center elementor-tabs-view-horizontal elementor-widget elementor-widget-tabs\" data-id=\"0eb36bb\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-tabs\">\n\t\t\t<div class=\"elementor-tabs-wrapper\" role=\"tablist\" >\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1541\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-1541\" aria-expanded=\"false\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/sites\/2\/2023\/05\/stethoscope-svgrepo-com-1.svg\" style=\"width: 100px; display: block; margin-left: auto; margin-right: auto; margin-bottom: 20px;\"><h3 style=\"font-size: 40px; line-height: 1.2em; text-align: center;\">PPO Network<\/h3> <p style=\"font-size: 17px; line-height: 1.5em; text-align: center;\"> \tInformation about the<br\/>Preferred Provider<br\/>Organizer <\/p><\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1542\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1542\" aria-expanded=\"false\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/sites\/2\/2023\/05\/medical-records-svgrepo-com.svg\" style=\"width: 100px; display: block; margin-left: auto; margin-right: auto; margin-bottom: 20px;\"> <h3 style=\"font-size: 40px; line-height: 1.2em; text-align: center;\">Claims<\/h3><\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1543\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1543\" aria-expanded=\"false\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/sites\/2\/2023\/05\/signature-doc-svgrepo-com.svg\" style=\"width: 100px; display: block; margin-left: auto; margin-right: auto; margin-bottom: 20px;\"> <h3 style=\"font-size: 40px; line-height: 1.2em; text-align: center;\">Waiver<br>Criteria<\/h3><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"elementor-tabs-content-wrapper\" role=\"tablist\" aria-orientation=\"vertical\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-1541\" aria-expanded=\"false\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/sites\/2\/2023\/05\/stethoscope-svgrepo-com-1.svg\" style=\"width: 100px; display: block; margin-left: auto; margin-right: auto; margin-bottom: 20px;\"><h3 style=\"font-size: 40px; line-height: 1.2em; text-align: center;\">PPO Network<\/h3> <p style=\"font-size: 17px; line-height: 1.5em; text-align: center;\"> \tInformation about the<br\/>Preferred Provider<br\/>Organizer <\/p><\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1541\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1541\" tabindex=\"0\" hidden=\"false\"><p data-pm-slice=\"1 1 []\"><strong>To find a UHCG PPO provider:<\/strong><\/p><ol><li data-pm-slice=\"1 1 []\">Go to\u00a0<a class=\"ProsemirrorEditor-link\" href=\"https:\/\/www.whyuhc.com\/us1\">www.whyuhc.com<\/a>\u00a0and click\u00a0<strong>\u201cSearch the network for your healthcare provider.\u201d<\/strong><\/li><li data-pm-slice=\"1 1 []\">Then click \u201c<strong>Search the network:\u00a0 Options PPO\u201d<\/strong>.<\/li><li data-pm-slice=\"1 1 []\">Under\u00a0<strong>\u201cWhat type of medical Care can we help you find near\u201d<\/strong> start by clicking the blue font and entering a street address, city &amp; State, 5 digit zip code or county.<\/li><li data-pm-slice=\"1 1 []\">Once entered, click &#8220;<strong>Update location<\/strong>&#8220;<\/li><li data-pm-slice=\"1 1 []\">You now would enter or select your search parameters by entering a specific providers name, or service in the search box or by clicking one of the categories icons<strong>.<\/strong><\/li><\/ol><p>\u00a0<\/p><p>Always check with the doctor or medical facility directly to confirm that they accept the UnitedHealthcare Option PPO Network before you receive treatment.<\/p><p>It is best to locate an in-network doctor, urgent care center, and emergency room near you before you get sick.<\/p><div style=\"color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif; background-color: #f0edea;\"><div style=\"width: auto; float: left; border-right: 1px solid rgba(128, 128, 128, 0.5); min-width: 26.5%; padding: 0.5em 1em 0px 0px; margin-top: 1em;\"><h3 style=\"margin: 0px 0px 0.5em; line-height: normal; font-size: 1.5em; color: #e87722; font-family: ProximaNova-Regular;\">LINKS<\/h3><p><a style=\"color: #3eb1c8; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"https:\/\/www.whyuhc.com\/us1\" target=\"_blank\" rel=\"noopener\"><b>Options PPO<\/b><\/a><\/p><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1542\" aria-expanded=\"false\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/sites\/2\/2023\/05\/medical-records-svgrepo-com.svg\" style=\"width: 100px; display: block; margin-left: auto; margin-right: auto; margin-bottom: 20px;\"> <h3 style=\"font-size: 40px; line-height: 1.2em; text-align: center;\">Claims<\/h3><\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1542\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1542\" tabindex=\"0\" hidden=\"hidden\"><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">In most cases, the provider will submit the claim for you.<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">If you are required to pay for services up front, you will need to complete a claim form in order to be reimbursed by the insurance company.<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">Download a claim form below, and send the completed form with all bills and receipts for medical treatment to:<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif; text-align: center;\"><span style=\"font-family: ProximaNova-Bold;\">Administrative Concepts, Inc.<br \/>PO Box 4000<br \/>Collegeville PA 19426<\/span><\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif; text-align: center;\">Fax: (610) 293-9299<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">Make sure you fill out the form completely so your claim will be processed promptly.<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\"><span style=\"font-family: ProximaNova-Bold;\">Keep copies of all the documents you submit for claims.<\/span>\u00a0If you have questions about claims, contact Administrative Concepts, Inc.<br \/>at\u00a0<span style=\"font-family: ProximaNova-Bold;\">(800) 476-4802<\/span>\u00a0or\u00a0<a style=\"color: #635d58; text-decoration-line: underline; outline: none;\" href=\"mailto:claims@acitpa.com\"><span style=\"font-family: ProximaNova-Bold;\">claims@acitpa.com<\/span><\/a>.<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\"><span style=\"font-family: ProximaNova-Bold;\">Confidential Communication Request<\/span><\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">If you would like to have confidential medical information from the claims administrator sent to an address other than the address on file with your school, you can download a Confidential Communication Request, fill out the form, and send it to the address listed. This form is available below.<\/p><div class=\"row\" style=\"color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif; background-color: #f0edea;\"><div class=\"block-links col-3\" style=\"width: auto; float: left; border-right: 1px solid rgba(128, 128, 128, 0.5); min-width: 26.5%; padding: 0.5em 1em 0px 0px; margin-top: 1em;\"><h3 style=\"margin: 0px 0px 0.5em; line-height: normal; font-size: 1.5em; color: #e87722; font-family: ProximaNova-Regular;\">LINKS<\/h3><p><a style=\"color: #3eb1c8; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"https:\/\/secure.acitpa.com\/ClaimStatus\/\" target=\"_blank\" rel=\"noopener\">ACI Member Access<\/a><\/p><\/div><div class=\"block-downloads col-3\" style=\"width: auto; float: left; border-right: 0px; min-width: 35%; padding: 0.5em 0px 0px 1em; margin-top: 1em;\"><h3 style=\"margin: 0px 0px 0.5em; line-height: normal; font-size: 1.5em; color: #e87722; font-family: ProximaNova-Regular;\">DOWNLOADS<\/h3><p><a style=\"color: #635d58; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"\/wp-content\/uploads\/sites\/2\/2023\/09\/ACI-Claim-Form-Updated-09.21.21.pdf\" target=\"_blank\" rel=\"noopener\">Claim Form<span style=\"color: #3eb1c8; float: right; margin-right: -3em;\">[pdf]<\/span><\/a><br \/><a style=\"color: #635d58; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"\/wp-content\/uploads\/sites\/2\/2023\/09\/21-22-ACI_Confidential-Communication-Request.pdf\" target=\"_blank\" rel=\"noopener\">Confidential Communication Request<span style=\"color: #3eb1c8; float: right; margin-right: -3em;\">[pdf]<\/span><\/a><br \/><span style=\"font-family: ProximaNova-Bold;\"><span style=\"outline-color: initial; outline-width: initial; font-size: 1.1em; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\"><a style=\"color: #635d58; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"\/wp-content\/uploads\/sites\/2\/2023\/09\/21-22-ACI_HIPAA-Authorization.pdf\" target=\"_blank\" rel=\"noopener\">HIPAA-Authorization<span style=\"color: #3eb1c8; float: right; margin-right: -3em;\">[pdf]<\/span><\/a><\/span><\/span><\/p><div>\u00a0<\/div><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1543\" aria-expanded=\"false\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/sites\/2\/2023\/05\/signature-doc-svgrepo-com.svg\" style=\"width: 100px; display: block; margin-left: auto; margin-right: auto; margin-bottom: 20px;\"> <h3 style=\"font-size: 40px; line-height: 1.2em; text-align: center;\">Waiver<br>Criteria<\/h3><\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1543\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1543\" tabindex=\"0\" hidden=\"hidden\"><p><span style=\"text-decoration: underline;\"><strong>Waiver Criteria for Opting Out of the School Medical Insurance Plan<\/strong><\/span><\/p><p>If you have other medical insurance, and you do not wish to enroll in the UCLA Scholar Medical Insurance Plan, you may opt out of coverage by submitting a waiver. Your coverage must include all of the following benefits to be eligible to<br \/>opt-out:<\/p><ul><li><strong>$100,000 per accident\/illness in medical coverage<\/strong><\/li><li><strong>An annual deductible of no more than $500<\/strong><\/li><li><strong>Coinsurance that does not exceed 25%<\/strong><\/li><li><strong>Medical evacuation up to $50,000<\/strong><\/li><li><strong>Repatriation up to $25,000<\/strong><\/li><li><strong>Pre-existing conditions must be covered with a waiting period no longer than 12 months<\/strong><\/li><\/ul><p>\u00a0<\/p><p>Please be sure to upload your insurance Plan Summary and ID card for evaluation.\u00a0 Your documents will be evaluated to verify your coverage meets the school requirements.\u00a0 Please watch for an email notification of the waiver determination.<\/p><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fc3d9ab elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fc3d9ab\" data-element_type=\"section\" id=\"firsthealth-ppo-section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d2e2a17\" data-id=\"d2e2a17\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-06a9b65 elementor-tabs-alignment-center elementor-tabs-view-horizontal elementor-widget elementor-widget-tabs\" data-id=\"06a9b65\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-tabs\">\n\t\t\t<div class=\"elementor-tabs-wrapper\" role=\"tablist\" >\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-6981\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-6981\" aria-expanded=\"false\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/sites\/2\/2023\/05\/stethoscope-svgrepo-com-1.svg\" style=\"width: 100px; display: block; margin-left: auto; margin-right: auto; margin-bottom: 20px;\"><h3 style=\"font-size: 40px; line-height: 1.2em; text-align: center;\">PPO Network<\/h3> <p style=\"font-size: 17px; line-height: 1.5em; text-align: center;\"> \tInformation about the<br\/>Preferred Provider<br\/>Organizer <\/p><\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-6982\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-6982\" aria-expanded=\"false\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/sites\/2\/2023\/05\/medical-records-svgrepo-com.svg\" style=\"width: 100px; display: block; margin-left: auto; margin-right: auto; margin-bottom: 20px;\"> <h3 style=\"font-size: 40px; line-height: 1.2em; text-align: center;\">Claims<\/h3><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"elementor-tabs-content-wrapper\" role=\"tablist\" aria-orientation=\"vertical\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-6981\" aria-expanded=\"false\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/sites\/2\/2023\/05\/stethoscope-svgrepo-com-1.svg\" style=\"width: 100px; display: block; margin-left: auto; margin-right: auto; margin-bottom: 20px;\"><h3 style=\"font-size: 40px; line-height: 1.2em; text-align: center;\">PPO Network<\/h3> <p style=\"font-size: 17px; line-height: 1.5em; text-align: center;\"> \tInformation about the<br\/>Preferred Provider<br\/>Organizer <\/p><\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-6981\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-6981\" tabindex=\"0\" hidden=\"false\"><p data-pm-slice=\"1 1 []\"><strong>To find a PPO provider by phone, call <b>(800) 226-5116<\/b>:<\/strong><\/p><ol><li data-pm-slice=\"1 1 []\">Go to\u00a0<a href=\"https:\/\/www.myfirsthealth.com\/LocateProvider\/CustomPage\">www.myfirsthealth.com<\/a>\u00a0and click\u00a0<strong>\u201cStart Now.\u201d<\/strong><\/li><li data-pm-slice=\"1 1 []\">Select the <b>Type of provider.<\/b><\/li><li data-pm-slice=\"1 1 []\">Under <b>&#8220;Search by&#8221; <\/b>start by entering your ZIP code and then select a distance.<\/li><li data-pm-slice=\"1 1 []\">(Optional) If you would like to select by specialty, procedure, or other options, click on <b>&#8220;Show More Options.&#8221;<\/b><\/li><li data-pm-slice=\"1 1 []\">Click <b>&#8220;Search now.&#8221;\u00a0<\/b>\u00a0Select a provider from the generated listing.<\/li><li data-pm-slice=\"1 1 []\">Contact the provider to confirm they accept First Health Network PPO to make an appointment.<\/li><\/ol><p><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-size: var( --e-global-typography-text-font-size ); font-style: var( --e-global-typography-text-font-style ); font-weight: var( --e-global-typography-text-font-weight ); letter-spacing: var( --e-global-typography-text-letter-spacing ); text-transform: var( --e-global-typography-text-text-transform ); background-color: var( --e-global-color-c696dce );\">\u00a0<\/span><\/p><p><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-size: var( --e-global-typography-text-font-size ); font-style: var( --e-global-typography-text-font-style ); font-weight: var( --e-global-typography-text-font-weight ); letter-spacing: var( --e-global-typography-text-letter-spacing ); text-transform: var( --e-global-typography-text-text-transform ); background-color: var( --e-global-color-c696dce );\">Always check with the doctor or medical facility directly to confirm that they accept the UnitedHealthcare Option PPO Network before you receive treatment.<\/span><\/p><p>It is best to locate an in-network doctor, urgent care center, and emergency room near you before you get sick.<\/p><div style=\"color: #635d58; background-color: #f0edea;\"><div style=\"width: auto; float: left; border-right: 1px solid rgba(128, 128, 128, 0.5); min-width: 26.5%; padding: 0.5em 1em 0px 0px; margin-top: 1em;\"><h3 style=\"font-family: ProximaNova-Regular; margin: 0px 0px 0.5em; line-height: normal; font-size: 1.5em; color: #e87722;\">LINKS<\/h3><p><a style=\"color: #3eb1c8; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"https:\/\/www.myfirsthealth.com\/LocateProvider\/CustomPage\" target=\"_blank\" rel=\"noopener\"><b>First Health Network<\/b><\/a><\/p><\/div><\/div><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-6982\" aria-expanded=\"false\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/sites\/2\/2023\/05\/medical-records-svgrepo-com.svg\" style=\"width: 100px; display: block; margin-left: auto; margin-right: auto; margin-bottom: 20px;\"> <h3 style=\"font-size: 40px; line-height: 1.2em; text-align: center;\">Claims<\/h3><\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-6982\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-6982\" tabindex=\"0\" hidden=\"hidden\"><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">In most cases, the provider will submit the claim for you.<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">If you are required to pay for services up front, you will need to complete a claim form in order to be reimbursed by the insurance company.<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">Download a claim form below, and send the completed form with all bills and receipts for medical treatment to:<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif; text-align: center;\"><span style=\"font-family: ProximaNova-Bold;\">Administrative Concepts, Inc.<br \/>PO Box 4000<br \/>Collegeville PA 19426<\/span><\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif; text-align: center;\">Fax: (610) 293-9299<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">Make sure you fill out the form completely so your claim will be processed promptly.<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\"><span style=\"font-family: ProximaNova-Bold;\">Keep copies of all the documents you submit for claims.<\/span>\u00a0If you have questions about claims, contact Administrative Concepts, Inc.<br \/>at\u00a0<span style=\"font-family: ProximaNova-Bold;\">(800) 476-4802<\/span>\u00a0or\u00a0<a style=\"color: #635d58; text-decoration-line: underline; outline: none;\" href=\"mailto:claims@acitpa.com\"><span style=\"font-family: ProximaNova-Bold;\">claims@acitpa.com<\/span><\/a>.<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\"><span style=\"font-family: ProximaNova-Bold;\">Confidential Communication Request<\/span><\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">If you would like to have confidential medical information from the claims administrator sent to an address other than the address on file with your school, you can download a Confidential Communication Request, fill out the form, and send it to the address listed. This form is available below.<\/p><div class=\"row\" style=\"color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif; background-color: #f0edea;\"><div class=\"block-links col-3\" style=\"width: auto; float: left; border-right: 1px solid rgba(128, 128, 128, 0.5); min-width: 26.5%; padding: 0.5em 1em 0px 0px; margin-top: 1em;\"><h3 style=\"margin: 0px 0px 0.5em; line-height: normal; font-size: 1.5em; color: #e87722; font-family: ProximaNova-Regular;\">LINKS<\/h3><p><a style=\"color: #3eb1c8; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"https:\/\/secure.acitpa.com\/ClaimStatus\/\" target=\"_blank\" rel=\"noopener\">ACI Member Access<\/a><\/p><\/div><div class=\"block-downloads col-3\" style=\"width: auto; float: left; border-right: 0px; min-width: 35%; padding: 0.5em 0px 0px 1em; margin-top: 1em;\"><h3 style=\"margin: 0px 0px 0.5em; line-height: normal; font-size: 1.5em; color: #e87722; font-family: ProximaNova-Regular;\">DOWNLOADS<\/h3><p><a style=\"color: #635d58; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"\/wp-content\/uploads\/sites\/2\/2023\/09\/21-22-ACI_HIPAA-Authorization.pdf\" target=\"_blank\" rel=\"noopener\">Claim Form<span style=\"color: #3eb1c8; float: right; margin-right: -3em;\">[pdf]<\/span><\/a><br \/><a style=\"color: #635d58; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"\/wp-content\/uploads\/sites\/2\/2023\/09\/21-22-ACI_Confidential-Communication-Request.pdf\" target=\"_blank\" rel=\"noopener\">Confidential Communication Request<span style=\"color: #3eb1c8; float: right; margin-right: -3em;\">[pdf]<\/span><\/a><br \/><span style=\"font-family: ProximaNova-Bold;\"><span style=\"outline-color: initial; outline-width: initial; font-size: 1.1em; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\"><a style=\"color: #635d58; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"\/wp-content\/uploads\/sites\/2\/2023\/09\/21-22-ACI_HIPAA-Authorization.pdf\" target=\"_blank\" rel=\"noopener\">HIPAA-Authorization<span style=\"color: #3eb1c8; float: right; margin-right: -3em;\">[pdf]<\/span><\/a><\/span><\/span><\/p><\/div><\/div><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4bf4295 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4bf4295\" data-element_type=\"section\" id=\"phcs-ppo-section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d822276\" data-id=\"d822276\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7586afc elementor-tabs-alignment-center elementor-tabs-view-horizontal elementor-widget elementor-widget-tabs\" data-id=\"7586afc\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-tabs\">\n\t\t\t<div class=\"elementor-tabs-wrapper\" role=\"tablist\" >\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1231\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-1231\" aria-expanded=\"false\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/sites\/2\/2023\/05\/stethoscope-svgrepo-com-1.svg\" style=\"width: 100px; display: block; margin-left: auto; margin-right: auto; margin-bottom: 20px;\"><h3 style=\"font-size: 40px; line-height: 1.2em; text-align: center;\">PPO Network<\/h3> <p style=\"font-size: 17px; line-height: 1.5em; text-align: center;\"> \tInformation about the<br\/>Preferred Provider<br\/>Organizer <\/p><\/div>\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1232\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1232\" aria-expanded=\"false\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/sites\/2\/2023\/05\/medical-records-svgrepo-com.svg\" style=\"width: 100px; display: block; margin-left: auto; margin-right: auto; margin-bottom: 20px;\"> <h3 style=\"font-size: 40px; line-height: 1.2em; text-align: center;\">Claims<\/h3><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"elementor-tabs-content-wrapper\" role=\"tablist\" aria-orientation=\"vertical\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-1231\" aria-expanded=\"false\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/sites\/2\/2023\/05\/stethoscope-svgrepo-com-1.svg\" style=\"width: 100px; display: block; margin-left: auto; margin-right: auto; margin-bottom: 20px;\"><h3 style=\"font-size: 40px; line-height: 1.2em; text-align: center;\">PPO Network<\/h3> <p style=\"font-size: 17px; line-height: 1.5em; text-align: center;\"> \tInformation about the<br\/>Preferred Provider<br\/>Organizer <\/p><\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1231\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1231\" tabindex=\"0\" hidden=\"false\"><p data-pm-slice=\"1 1 []\">To find a PHCS PPO provider, call <b>(800) 678-7427<\/b>\u00a0or visit <a href=\"https:\/\/www.multiplan.com\">www.multiplan.com<\/a>.<\/p>\n\n<ol>\n \t<li data-pm-slice=\"1 1 []\">Select <b>&#8220;Find a provider.&#8221;<\/b><\/li>\n \t<li data-pm-slice=\"1 1 []\">Read about provider information changes and click<b>&#8220;OK.&#8221; <\/b><\/li>\n \t<li data-pm-slice=\"1 1 []\">Click on <b>&#8220;Select a Network&#8221;<\/b>, then select <b>&#8220;PHCS.&#8221;<\/b><\/li>\n \t<li data-pm-slice=\"1 1 []\">Use the search box to specify what type of provider you are seeking.<\/li>\n \t<li data-pm-slice=\"1 1 []\">Set your Location by updating your <b>&#8220;Zip Code&#8221;<\/b> and <b>&#8220;Enter.&#8221;<\/b><\/li>\n \t<li data-pm-slice=\"1 1 []\">You may refine your search results as applicable to your needs.<\/li>\n<\/ol>\n<span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-size: var( --e-global-typography-text-font-size ); font-style: var( --e-global-typography-text-font-style ); font-weight: var( --e-global-typography-text-font-weight ); letter-spacing: var( --e-global-typography-text-letter-spacing ); text-transform: var( --e-global-typography-text-text-transform ); background-color: var( --e-global-color-c696dce );\">\u00a0<\/span>\n\n<span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-size: var( --e-global-typography-text-font-size ); font-style: var( --e-global-typography-text-font-style ); font-weight: var( --e-global-typography-text-font-weight ); letter-spacing: var( --e-global-typography-text-letter-spacing ); text-transform: var( --e-global-typography-text-text-transform ); background-color: var( --e-global-color-c696dce );\">\n<div style=\"color: #635d58; background-color: #f0edea;\">\n<div style=\"width: auto; float: left; border-right: 1px solid rgba(128, 128, 128, 0.5); min-width: 26.5%; padding: 0.5em 1em 0px 0px; margin-top: 1em;\">\n<h3 style=\"font-family: ProximaNova-Regular; margin: 0px 0px 0.5em; line-height: normal; font-size: 1.5em; color: #e87722;\">LINKS<\/h3>\n<a style=\"color: #3eb1c8; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"https:\/\/www.multiplan.com\" target=\"_blank\" rel=\"noopener\"><b>PHCS Multiplan Website<\/b><\/a>\n\n<\/div>\n<\/div><\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"elementor-tab-content-1232\" aria-expanded=\"false\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/sites\/2\/2023\/05\/medical-records-svgrepo-com.svg\" style=\"width: 100px; display: block; margin-left: auto; margin-right: auto; margin-bottom: 20px;\"> <h3 style=\"font-size: 40px; line-height: 1.2em; text-align: center;\">Claims<\/h3><\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1232\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1232\" tabindex=\"0\" hidden=\"hidden\"><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">In most cases, the provider will submit the claim for you.<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">If you are required to pay for services up front, you will need to complete a claim form in order to be reimbursed by the insurance company.<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">Download a claim form below, and send the completed form with all bills and receipts for medical treatment to:<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif; text-align: center;\"><span style=\"font-family: ProximaNova-Bold;\">Administrative Concepts, Inc.<br \/>PO Box 4000<br \/>Collegeville PA 19426<\/span><\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif; text-align: center;\">Fax: (610) 293-9299<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">Make sure you fill out the form completely so your claim will be processed promptly.<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\"><span style=\"font-family: ProximaNova-Bold;\">Keep copies of all the documents you submit for claims.<\/span>\u00a0If you have questions about claims, contact Administrative Concepts, Inc.<br \/>at\u00a0<span style=\"font-family: ProximaNova-Bold;\">(800) 476-4802<\/span>\u00a0or\u00a0<a style=\"color: #635d58; text-decoration-line: underline; outline: none;\" href=\"mailto:claims@acitpa.com\"><span style=\"font-family: ProximaNova-Bold;\">claims@acitpa.com<\/span><\/a>.<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\"><span style=\"font-family: ProximaNova-Bold;\">Confidential Communication Request<\/span><\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">If you would like to have confidential medical information from the claims administrator sent to an address other than the address on file with your school, you can download a Confidential Communication Request, fill out the form, and send it to the address listed. This form is available below.<\/p><div class=\"row\" style=\"color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif; background-color: #f0edea;\"><div class=\"block-links col-3\" style=\"width: auto; float: left; border-right: 1px solid rgba(128, 128, 128, 0.5); min-width: 26.5%; padding: 0.5em 1em 0px 0px; margin-top: 1em;\"><h3 style=\"margin: 0px 0px 0.5em; line-height: normal; font-size: 1.5em; color: #e87722; font-family: ProximaNova-Regular;\">LINKS<\/h3><p><a style=\"color: #3eb1c8; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"https:\/\/secure.acitpa.com\/ClaimStatus\/\" target=\"_blank\" rel=\"noopener\">ACI Member Access<\/a><\/p><\/div><div class=\"block-downloads col-3\" style=\"width: auto; float: left; border-right: 0px; min-width: 35%; padding: 0.5em 0px 0px 1em; margin-top: 1em;\"><h3 style=\"margin: 0px 0px 0.5em; line-height: normal; font-size: 1.5em; color: #e87722; font-family: ProximaNova-Regular;\">DOWNLOADS<\/h3><p><a style=\"color: #635d58; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"\/wp-content\/uploads\/sites\/2\/2023\/09\/21-22-ACI_HIPAA-Authorization.pdf\" target=\"_blank\" rel=\"noopener\">Claim Form<span style=\"color: #3eb1c8; float: right; margin-right: -3em;\">[pdf]<\/span><\/a><br \/><a style=\"color: #635d58; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"\/wp-content\/uploads\/sites\/2\/2023\/09\/21-22-ACI_Confidential-Communication-Request.pdf\" target=\"_blank\" rel=\"noopener\">Confidential Communication Request<span style=\"color: #3eb1c8; float: right; margin-right: -3em;\">[pdf]<\/span><\/a><br \/><span style=\"font-family: ProximaNova-Bold;\"><span style=\"outline-color: initial; outline-width: initial; font-size: 1.1em; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\"><a style=\"color: #635d58; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"\/wp-content\/uploads\/sites\/2\/2023\/09\/21-22-ACI_HIPAA-Authorization.pdf\" target=\"_blank\" rel=\"noopener\">HIPAA-Authorization<span style=\"color: #3eb1c8; float: right; margin-right: -3em;\">[pdf]<\/span><\/a><\/span><\/span><\/p><\/div><\/div><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9b86b61 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9b86b61\" data-element_type=\"section\" id=\"claims-only-info-section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-997a1c8\" data-id=\"997a1c8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-11c4fc2 elementor-tabs-alignment-center elementor-tabs-view-horizontal elementor-widget elementor-widget-tabs\" data-id=\"11c4fc2\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-tabs\">\n\t\t\t<div class=\"elementor-tabs-wrapper\" role=\"tablist\" >\n\t\t\t\t\t\t\t\t\t<div id=\"elementor-tab-title-1861\" class=\"elementor-tab-title elementor-tab-desktop-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-1861\" aria-expanded=\"false\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/sites\/2\/2023\/05\/medical-records-svgrepo-com.svg\" style=\"width: 100px; display: block; margin-left: auto; margin-right: auto; margin-bottom: 20px;\"> <h3 style=\"font-size: 40px; line-height: 1.2em; text-align: center;\">Claims<\/h3><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<div class=\"elementor-tabs-content-wrapper\" role=\"tablist\" aria-orientation=\"vertical\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-tab-title elementor-tab-mobile-title\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"elementor-tab-content-1861\" aria-expanded=\"false\"><img decoding=\"async\" src=\"\/wp-content\/uploads\/sites\/2\/2023\/05\/medical-records-svgrepo-com.svg\" style=\"width: 100px; display: block; margin-left: auto; margin-right: auto; margin-bottom: 20px;\"> <h3 style=\"font-size: 40px; line-height: 1.2em; text-align: center;\">Claims<\/h3><\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1861\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"elementor-tab-title-1861\" tabindex=\"0\" hidden=\"false\"><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">In most cases, the provider will submit the claim for you.<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">If you are required to pay for services up front, you will need to complete a claim form in order to be reimbursed by the insurance company.<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">Download a claim form below, and send the completed form with all bills and receipts for medical treatment to:<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif; text-align: center;\"><span style=\"font-family: ProximaNova-Bold;\">Administrative Concepts, Inc.<br \/>PO Box 4000<br \/>Collegeville PA 19426<\/span><\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif; text-align: center;\">Fax: (610) 293-9299<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">Make sure you fill out the form completely so your claim will be processed promptly.<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\"><span style=\"font-family: ProximaNova-Bold;\">Keep copies of all the documents you submit for claims.<\/span>\u00a0If you have questions about claims, contact Administrative Concepts, Inc.<br \/>at\u00a0<span style=\"font-family: ProximaNova-Bold;\">(800) 476-4802<\/span>\u00a0or\u00a0<a style=\"color: #635d58; text-decoration-line: underline; outline: none;\" href=\"mailto:claims@acitpa.com\"><span style=\"font-family: ProximaNova-Bold;\">claims@acitpa.com<\/span><\/a>.<\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\"><span style=\"font-family: ProximaNova-Bold;\">Confidential Communication Request<\/span><\/p><p style=\"margin-right: 0px; margin-bottom: 1em; margin-left: 0px; font-size: 1.4em; line-height: 1.15; color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif;\">If you would like to have confidential medical information from the claims administrator sent to an address other than the address on file with your school, you can download a Confidential Communication Request, fill out the form, and send it to the address listed. This form is available below.<\/p><div class=\"row\" style=\"color: #635d58; font-family: ProximaNova-Regular, Arial, Helvetica, Georgia, sans-serif; background-color: #f0edea;\"><div class=\"block-links col-3\" style=\"width: auto; float: left; border-right: 1px solid rgba(128, 128, 128, 0.5); min-width: 26.5%; padding: 0.5em 1em 0px 0px; margin-top: 1em;\"><h3 style=\"margin: 0px 0px 0.5em; line-height: normal; font-size: 1.5em; color: #e87722; font-family: ProximaNova-Regular;\">LINKS<\/h3><p><a style=\"color: #3eb1c8; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"https:\/\/secure.acitpa.com\/ClaimStatus\/\" target=\"_blank\" rel=\"noopener\">ACI Member Access<\/a><\/p><\/div><div class=\"block-downloads col-3\" style=\"width: auto; float: left; border-right: 0px; min-width: 35%; padding: 0.5em 0px 0px 1em; margin-top: 1em;\"><h3 style=\"margin: 0px 0px 0.5em; line-height: normal; font-size: 1.5em; color: #e87722; font-family: ProximaNova-Regular;\">DOWNLOADS<\/h3><p><a style=\"color: #635d58; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"\/wp-content\/uploads\/sites\/2\/2023\/09\/21-22-ACI_HIPAA-Authorization.pdf\" target=\"_blank\" rel=\"noopener\">Claim Form<span style=\"color: #3eb1c8; float: right; margin-right: -3em;\">[pdf]<\/span><\/a><br \/><a style=\"color: #635d58; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"\/wp-content\/uploads\/sites\/2\/2023\/09\/21-22-ACI_Confidential-Communication-Request.pdf\" target=\"_blank\" rel=\"noopener\">Confidential Communication Request<span style=\"color: #3eb1c8; float: right; margin-right: -3em;\">[pdf]<\/span><\/a><br \/><span style=\"font-family: ProximaNova-Bold;\"><span style=\"outline-color: initial; outline-width: initial; font-size: 1.1em; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\"><a style=\"color: #635d58; outline: none; font-size: 1.1em; font-family: ProximaNova-Bold; display: inline-block; min-width: 100%; margin-bottom: 0.7em; letter-spacing: 0.02em;\" href=\"\/wp-content\/uploads\/sites\/2\/2023\/09\/21-22-ACI_HIPAA-Authorization.pdf\" target=\"_blank\" rel=\"noopener\">HIPAA-Authorization<span style=\"color: #3eb1c8; float: right; margin-right: -3em;\">[pdf]<\/span><\/a><\/span><\/span><\/p><\/div><\/div><\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Plan Selection WELCOME HELPFUL QUICK LINKS ID Card Find a Doctor Contact Us Waive SHIP ID Card Find a Doctor Contact Us Waive SHIP ID Card Contact Us Waive SHIP USE YOUR INSURANCE PPO Network Information about thePreferred ProviderOrganizer Claims PPO Network Information about thePreferred ProviderOrganizer To find a UHCG PPO provider: Go to\u00a0www.whyuhc.com\u00a0and click\u00a0\u201cSearch [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/acienroll.azurewebsites.net\/isp\/wp-json\/wp\/v2\/pages\/222"}],"collection":[{"href":"https:\/\/acienroll.azurewebsites.net\/isp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/acienroll.azurewebsites.net\/isp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/acienroll.azurewebsites.net\/isp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/acienroll.azurewebsites.net\/isp\/wp-json\/wp\/v2\/comments?post=222"}],"version-history":[{"count":256,"href":"https:\/\/acienroll.azurewebsites.net\/isp\/wp-json\/wp\/v2\/pages\/222\/revisions"}],"predecessor-version":[{"id":961,"href":"https:\/\/acienroll.azurewebsites.net\/isp\/wp-json\/wp\/v2\/pages\/222\/revisions\/961"}],"wp:attachment":[{"href":"https:\/\/acienroll.azurewebsites.net\/isp\/wp-json\/wp\/v2\/media?parent=222"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}