Augmentative Communication Consultants, Inc.

P. O. Box 731

Moon Township, PA  15108

1 800-982-2248     1 800-982-2248      

412-269-0923        412-269-0923      

 Dear Funding Applicant,

For Augmentative Communication Consultants, Inc. to approach your private health insurance, Medicaid or Medicare, you must submit all of the information needed to process your claim.  This information is listed on the on Funding Checklist.  Please note that information that is incomplete can delay the shipment of your device. 

You will need the following:

1.  Patient Information Form

2.  Consent Form

3.  SLP Report (dated before the Physician Script)

4.  Physician Script to include the doctor's NPI number

Once you complete all the forms correctly, send them to Augmentative Communication Consultants, Inc. either by fax (412 269-0923) or mail to the above address.  Please be sure to make a copy of all forms for your records. 

ACCI will process the claim for you through your private Insurer, Medicare. 

Please understand that any co-payment is your responsibility and will be expected to paid in advance of your order.  For Medicaid and Private Insurance, we will need to obtain Authorization or Pre-approval for the device before it can be shipped to you.   Authorization can take anywhere from three to five weeks.

Any questions regarding the forms or the process, can be directed to ACCI at 1-800-982-2248  Monday through Friday.  Our hours are 9:00 AM to 4:00 PM Eastern Standard Time.  We will be glad to  help you through the funding process.

ACCI's Funding Department