Providers / Clinicians
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What qualifications do I need to be on ACI's provider panel?
All ACI providers must:
- Provide evidence of a current state license as MFT, LCSW, or Psychologists. In some states, an alcohol provider or equivalent certificate is acceptable for M.A. level providers.
- Demonstrate experience in working with corporations and/or EAPs.
- Have extensive knowledge of community resources.
- Provide proof of professional liability insurance at $1 million occurrence, $3 million aggregate, or higher.
How much paperwork do I need to fill out to join?
- You will find that there is minimal paperwork involved. To register as a provider with ACI, just complete the one-page contract and a two-page provider survey here and fax both documents to Provider Recruitment at 858-452-7819.
Can I self-refer the clients after the initial sessions?
- You will experience a flexible referral process. ACI allows clients to self-refer to panelists following the EAP assessment and referral process.
Where can I find the forms to join?
- For your convenience, important documents that providers frequently access are located here. Please download utilization forms and client intake forms and feel free to contact our office at 858-452-1254 if you have any questions.
Where can I find the billing forms?
Can I use any other billing forms, such as HICFA?
- To keep the billing process simple for our providers, ACI only accepts our own billing forms found on our Provider Forms page.
When do I send my billing forms?
- Please send both the completed client intake form and utilization form within 30 days of your final session. If you choose to do so, you can send us your billing forms after each individual session as well.
Where do I send my billing forms?
- You can fax ACI billing forms to our Billing Department at (858) 452 - 7819, or send these forms by mail to:
ACI Billing 5414 Oberlin Drive, Suite 240 San Diego, CA 92121
I have further questions about billing. How can I contact ACI?
- You can contact us by email or call our office at (800) 932 - 0034.
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