---
title: ACI Member Resources
description: ACI Member Resources
---

ADMINISTRATIVE CONCEPTS, INC. - A THIRD PARTY ADMINISTRATOR

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# Member Resources

####              DOCUMENTS

[HIPAA Authorization](https://www.acitpa.com/hippa-authorization?hsLang=en)

[Medical Info Release](https://www.acitpa.com/hubfs/Medical%20Release%20Auth%20Fillable.pdf?hsLang=en)

RX Forms - [Mail Order Form](https://secure.visit-aci.com/membres/Documents/RX%20Mail%20Order%20Form.PDF) or [Reimbursement Form](https://secure.visit-aci.com/membres/Documents/RX%20Reimbursement%20Form.pdf)

####              FILE A CLAIM

[Instructions](https://www.acitpa.com/hippa-authorization-0?hsLang=en)

[Claim Process](https://www.acitpa.com/hippa-authorization-1?hsLang=en)

[Claim Forms](https://www.acitpa.com/claim-forms?hsLang=en)

####      UNDERSTANDING MY EXPLANATION OF BENEFITS

 

[Click for a PDF sample of EOB](https://www.acitpa.com/hubfs/EOB_EXAMPLE_2014.pdf?hsLang=en)

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