autotech protect claims reference form

NOTE: This is a quick reference guide only. Please refer to the official ACA Claims Procedure documents for complete details. Rev 1/2016. Page 1 of 2 QUICK REFERENCE CLAIM SUBMISSION GUIDE CALL: 855.807.2885 EMAIL: [email protected] FAX: 866.639.5583 Step 1. Collect Information. When contacting ACA to initiate a claim, your claims adjuster may request the following: - Contract number. - Customer name, address, and phone number. - Vehicle ID number. - Repair Order information, including mileage. - Maintenance records. - Diagnosis and estimate for repair. Step 2. Contact ACA for Claim Approval. By Phone: ACA’s Claims Department is staffed 8:00am to 7:30pm, Monday-Friday, and 9:00am to 12:00pm on Saturday. By Email or Fax: We understand your time is important, so let us call you! Email or Fax us your name and phone and we will return your call to initiate a claim. When possible, please include a copy of the repair order, the diagnosis and estimate, which will allow us to pre-process the claim before returning your call. A claim fax form is available for your convenience. Step 3. Coverage verification. Your ACA Claims adjuster will verify coverage or explain coverage in accordance with the terms of the contract. Be sure to receive the claim authorize code before performing any repairs. In some cases, inspection by a third party may be required. When possible, inspection will be performed without disassembly to minimize disruption to your facility. Our goal is to perform each inspection within 48 hours - over 95% occur within 24 hours - and to issue a claim decision within one hour of receiving the report. Step 4. Getting paid. 1. Collect the deductible and for any customer pay work from the contract holder. 2. Have the contract holder sign the repair invoice. 3. Submit the invoice for reimbursement. Invoice should include: Customer name, address and phone number, vehicle year, make, model, and VIN, vehicle mileage, itemize repair, and claim approval code. When applicable, be sure to include any rental, towing or sublet invoices. 4. Invoice and documents may be submitted by Fax to 866.582.6040, by email at [email protected], or mail to ACA, PO Box 2085, Dublin, OH 43017.

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Page 1: AutoTech Protect Claims Reference Form

NOTE: This is a quick reference guide only. Please refer to the official ACA Claims Procedure documents for complete details. Rev 1/2016.

Page 1 of 2

QUICK REFERENCE CLAIM SUBMISSION GUIDE

CALL: 855.807.2885 EMAIL: [email protected] FAX: 866.639.5583

Step 1. Collect Information.

When contacting ACA to initiate a claim, your claims adjuster may request the following:

- Contract number. - Customer name, address, and phone number.

- Vehicle ID number. - Repair Order information, including mileage.

- Maintenance records. - Diagnosis and estimate for repair.

Step 2. Contact ACA for Claim Approval.

By Phone: ACA’s Claims Department is staffed 8:00am to 7:30pm, Monday-Friday, and 9:00am to 12:00pm on Saturday.

By Email or Fax: We understand your time is important, so let us call you! Email or Fax us your name and phone and we will return your call to initiate a claim. When possible, please include a copy of the repair order, the diagnosis and estimate, which will allow us to pre-process the claim before returning your call. A claim fax form is available for your convenience.

Step 3. Coverage verification.

Your ACA Claims adjuster will verify coverage or explain coverage in accordance with the terms of the

contract. Be sure to receive the claim authorize code before performing any repairs.

In some cases, inspection by a third party may be required. When possible, inspection will be performed

without disassembly to minimize disruption to your facility. Our goal is to perform each inspection within 48

hours - over 95% occur within 24 hours - and to issue a claim decision within one hour of receiving the report.

Step 4. Getting paid.

1. Collect the deductible and for any customer pay work from the contract holder.

2. Have the contract holder sign the repair invoice.

3. Submit the invoice for reimbursement. Invoice should include: Customer name, address and phone

number, vehicle year, make, model, and VIN, vehicle mileage, itemize repair, and claim approval code.

When applicable, be sure to include any rental, towing or sublet invoices.