American Community Provider Network
Coming Soon

In the near future, American Community will be launching its own provider network in Indiana and Ohio. You’re invited to become a part of this new option.

If you’re a provider in Indiana or Ohio, you’ll receive additional information about how to join the American Community Provider Network in the coming weeks. In the meantime, if you have questions, please contact the AC Network Development department at
(800) 991-2642, extension 6370 or by e-mail at Providers@american-community.com.

Click here to view a demo of the Secure Provider Portal.

How to Join an Existing Network
If you are a physician or medical facility and wish to join an existing network, click here to link to our Provider Locator.

Benefit Verification
There are no requirements for medical necessity pre-certification and no penalties to the member for failure to pre-certify medical necessity prior to delivery of healthcare services, except for members of the Arizona Foundation for Medical Care. Benefits, limitations and exclusions vary from plan to plan. If you wish to verify that benefits are available for a particular service or supply, you may request a benefit verification by completing the PDF form and faxing it to: (734) 853-3113.

Download and complete the form electronically. You can navigate through the form using the tab key or by selecting the fields to be completed with your mouse. Print out the completed form and fax to the number above. You will receive a reply by the next business day.

Benefits quoted are based on coverage, eligibility and plan provisions at the time of your inquiry. This is a description of coverage only and not a guarantee of payment.
 

Arizona Members Arizona Foundation for Medical Care (AFMC) Members are required to pre-certify medical necessity by calling AFMC prior to any non-emergency admission to a hospital for surgical, or major diagnostic procedures and for ancillary services specified in their plan or within 24 hours or on the next business day following Emergency Admission. In Phoenix, call (602) 417-2300 to pre-certify. Outside Phoenix, call (800)-852-8001. Pre-certification with AFMC certifies the medical necessity of the service but does not guarantee that benefits will be payable for the service under the member’s plan. To verify benefit availability, follow the procedure above, for Benefit Verification.