Form Name Change

ACN Group is changing the name of the "Notification Form" to "Patient Summary Form." The reason for this form name change is the term "notification" has taken on many different meanings since ACN first began to use this term in the late 1990s. This name change will more clearly distinguish the ACN utilization review process from "notification" processes of other entities. 

The contents of the form have not changed; only the name at the top of the form has changed.  The form submission process and requirements remain the same and are described in the Plan Summary for each health plan or program.  

While ACN Group will continue to process forms labeled "Notification Form" for the next several months we encourage you to obtain a copy of the "Patient Summary Form" at www.acnprovider.com and to begin using this form immediately. Subsequent communications will describe when use of the "Patient Summary Form" will be required and the "Notification Form" will no longer be accepted.