Claim Forms
To submit your medical bills:
  1. Check your identification card for the name of your insurance company.
  2. Click on the name of your insurance company to print the claim form.
  3. Complete and sign the claim form. Be sure to answer all questions.
  4. Attach itemized bills from the medical providers to the form and mail to:
    Administrative Concepts, Inc.
    994 Old Eagle School Road
    Suite 1005
    Wayne, PA 19087-1802
    You will receive a response in two weeks.

The following is a list of claim forms that are available online.
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