Resources

Forms & Notices

  • Coordination of Benefits
  • Member's Authorization Request
  • Accident Form
  • Medical Benefits Request
  • Dental Claim Form
  • W9 Form

Coordination of Benefits

Download Now

Member's Authorization Request

Download Now

Accident Form

Download Now

Medical Benefits Request

Download Now

Dental Claim Form

Download Now

W-9 Form

Download Now

Transparency in Coverage Act

MRFs



Provider Services Shopping

Click Here

videos

Latest news & Updates

ACS Benefit Services Names New Chief Executive Officer

May 2023

ACS Benefit Services announced today that Bruce Allen will assume the role of Chief Executive Officer, effective July 1, 2023. Allen, a health care industry leader bringing 25+ years of experience, will succeed Beverly Proctor, Interim CEO, who will resume her role as Chief Operating Officer on that same date.

Read More

ACS Benefit Services Announces Partnership with Allegacy Benefit Solutions

March 2022

ACS Benefit Services, a leading third-party administrator in the health benefits marketplace, has announced a new partnership with Allegacy Benefit Solutions, bringing a joint captive insurance solution for North Carolina employer groups.

Read More

ACS Benefit Services Announces Partnership with Delta Dental of NC

January 2022

Winston-Salem, NC – ACS Benefit Services, a leading third-party administrator, has announced a new partnership with Delta Dental of North Carolina (Delta Dental), giving ACS members in North Carolina access to the largest network of dentists statewide and across the country.

Read More

videos

Forms & Notices

  • Dental Claim Form
  • Medical Benefits Request
  • Coordination of Benefits
  • Accident Form
  • Member's Authorization Request
  • W9 Form

Dental Claim Form

Download Now

Medical Benefits Request

Download Now

Coordination of Benefits

Download Now

Accident Form

Download Now

Member's Authorization Request

Download Now

W-9 Form

Download Now

Transparency in Coverage Act

MRFs



Provider Services Shopping

Click Here

Contact Us

Want to learn more about ACS and our innovative health benefit solutions? Let’s talk soon!