Provide Insurance Information

Need Additional Assistance?

For assistance via email, please use our Contact form. You will receive a response within one business day.

If you prefer to speak to a customer service representative, please call 800-259-2222, Option 0. Our business office hours are Monday through Friday from 8:00 a.m. – 5:00 p.m. CST.

Acadian will accept and bill all insurance carriers on your behalf. Complete the form below to update or provide us with any new insurance information.

Patient Name *

Call Back Number *

Email *

Member Name

Acadian Customer Number

Member ID

Group Number

Plan Name

Plan Address

Apt, suite, etc.

Country

City

State

Zip code

Plan Phone Number

Person Submitting Information

Captcha *

reCAPTCHA is required.

Since 1971, Acadian’s highly skilled medics have provided compassionate care for more than five million patients with our reliable fleet of ground, helicopter and fixed-wing ambulances.

© 2020 Acadian Ambulance Service. All Rights Reserved. Site Usage Privacy Rights | Site Designed by Firefly Digital

Acadian is an Equal Opportunity Employer/Affirmative Action Employer. Employment is based solely upon one’s individual merit and qualifications directly related to professional competence. We do not discriminate on the basis of race, color, religion, national origin, veteran status, ancestry, pregnancy status, sex, age, marital status, disability, medical condition, sexual orientation, gender identity or any other characteristics protected by law. We will make reasonable accommodation to meet our obligations under the Americans with Disabilities Act (ADA) and state disability laws.

If you are an individual with a disability who needs accommodation or you are having difficulty using our website to apply for employment, please contact Human Resources at 1-800-259-3333.

Need Additional Assistance?

Since 1971, Acadian’s highly skilled medics have provided compassionate care for more than five million patients with our reliable fleet of ground, helicopter and fixed-wing ambulances.

Helpful Links

Contact Us

Follow Us