How does ACS handle appeals?
ACS acts as a provider advocate and will work with the client to resolve any issues ranging from general questions to an appeal. In addition to responding to appeal requests from the provider or member, ACS has many processes in place to identify underpaid claims and will initiate appeals on behalf of the providers where appropriate. If a duplicate payment is received by ACS, the payment is automatically sent back. If a refund is formally requested due to overpayment of a claim, ACS will review the details and refund the appropriate amount.
