Reimbursement for Medical Expenses
Filing a Claim
In the event of an emergency, or any time that you are unable to contact AXA Assistance before seeking medical treatment, you may submit a claim for reimbursement after the fact. It is very important to keep all documentation that you receive from your provider, including receipts, medical records, etc.
A detailed description of the claims filing process can be found in this document.
There are two forms that you may need to submit as part of the process, depending on the circumstances: the medical claim form, for any expenses incurred for medical care, and the trip cancellation or interruption claim form, for certain covered travel expenses. Please ensure that you input your employee or student ID on the "Member ID" line of the appropriate claim form. This will allow you to track your claim's status online.
In order to view your claim's status once you have submitted it, follow the instructions in this document. If you did not input your employee or student ID on the "Member ID" line of the claim form you submitted, you will need to call ACI for them to issue a Member ID for you. They can be reached at 888-293-9229.
Important Contact Information
For customer service, eligibility verification, plan information, or to file a claim, contact Administrative Concepts, Inc.
Phone: 1-888-293-9229 (from inside the US) or 1-610-293-9229 (from outside the US)
E-mail claims to: firstname.lastname@example.org
You may also mail claims to:
Administrative Concepts, Inc.
994 Old Eagle School Rd., S. 1005
Wayne, PA 19087-1706
Be sure to keep copies of all documents for your records.