37 Industrial Drive, Exeter, NH 03833 | 800-258-7298 | TTY Number Dial711, 46 Bowdoin Street, South Burlington, VT 05407-2365 | 800-525-8788 | TTY Number Dial711, Security & Terms of Use Chicago, IL 60680-4104. If you are a participating CompNet provider seeking to manage addresses and . Box 380844 Try taking a look at our Frequently Asked Questions page. Zenith Insurance Company Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. If you are a Medicare member, you may use the Out-Of-Network claim form or submit a written request with all information listed above and mail to: First American Admisinstrator, Inc. Att: OON Claims, PO Box 8504, Mason OH, 45040-7111. 2009-2023 Zenith Insurance Company. I respect a service team that does what they say theyre going to do with quality! remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address Home; About; Advantages; Solutions/Services; Resources; Contact us Fill out our Request for Proposal Form. American Benefits Group (ABG) Navigating the Road to Consumer Directed Healthcare 2.0, American Benefits Group (ABG) Upping the Benefits Administration Game, Login to your account and find the Main Menu (top left) choose, Enter your claim information, then either: Upload the receipts via the portal or fax it with supporting documentation to 877-723-0147, Reimbursements for completed eligible claims received in our office by noon on Fridays, typically will be processed and checks sent the following Tuesday (during our busy time your reimbursement may be processed the following week), Claims Submission Including Receipt Upload. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. ABA is committed and confident it will provide the same level of service. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. endstream endobj startxref Need answers now? 2023 Planned Administrators Inc. All rights reserved. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . You will receive a response within 2 business days. The cost of healthcare continues to grow at an unsustainable pace. Cigna. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. American Plan Administrators. All Rights Reserved. Helping You Provide The Best Possible Care. 1-800-303-5242. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. *Out-of-network form submission deadlines may vary by plan. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. Locations: For a full list of Zenith American Solutions office locations: Click Here Corporate Headquarters: Zenith American Solutions, Inc. Two Harbor Place 302 Knights Run Avenue, Suite 1100 Tampa, FL 33602 (813) 666-6900 Changes made will not be reflected on all impacted systems for up to 2 business days. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Education Campaigns for HSA and Health FSA, Caution: Fradulent Calls Impersonating American Benefits Group, Health Reimbursement Arrangements Answers, How To File A Claim - Spanish (download PDF), How To Add/Edit Direct Deposit Information. Dental Claim Form; Medical Claim Form; Vision Claim Form; 953 American Lane, Suite 100 Schaumburg, IL 60173 Phone: (847) 519-1880 Toll-Free: (800) 323-1683 contactus@groupadministrators.com . Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. We will quickly get back to you with the information you need. Box 8504 Mason, OH 45040-7111 Patient Last Name (Required) Patient First Name (Required) MI Birth Date (MM/DD/YYYY) - - Street Address City State Zip Code To learn more about our customized solutions: If you are a Participant, Employer, Trustee or Provider: For questions concerning your online portal, including login information, please email. PO Box 182223. Box 6927 Columbia, SC 29260 Provider's Refund Request Right of Appeal If you receive a request for refund, you have the right to an appeal, if you do so within 30 days of the refund request. You will need an Employer ID when you register. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. This is nothing new; however, this is a good time to remind everyone of the feature. Claims paid under PSIP Program are subject to county audit. 1200 WILSHIRE BLVD-5TH FLOOR. PAI Claim Number Email Date of Service Phone Your Message Additional Contact Information Phone 1-888-627-5880 Business Hours 8 am - 5 pm CT, Monday - Friday Email AMA Insurance claims@amainsure.com Claims Mailing Address AMA Insurance Agency, Inc. PO Box 804238 Chicago, IL 60680-4104 American Plan Administrators - Contact us. 119 0 obj <>/Filter/FlateDecode/ID[<38C6DB5AA9170743B09053647D1A6BD2>]/Index[83 70]/Info 82 0 R/Length 156/Prev 301728/Root 84 0 R/Size 153/Type/XRef/W[1 3 1]>>stream Benefits administration is a difficult, increasingly complex business. As a TPA, Zenith American Solutions must keep up with the technology trends and innovations to continue providing best-in-class services to our clients and their members. If youre interested in improving your benefit plan and improving lives, drop us a line. If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. Box 9055 Please forward your refund repayments to: We appreciate hearing from you. Our combined focus is providing the technologies, services, systems and support methodology to self-funded benefit plans so they get the solutions they need for increasingly complex regulatory changes and cost effective solutions. Fax: 406-652-5380. Please use the form below to contact AMA Insurance. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. 2023 Planned Administrators Inc. All rights reserved. Title Claims Contact. Please contact our Provider Relations team at 800-440-5020 (option 3) or by email at providergroup@thezenith.com if you need: Help with finding network physicians or ancillary service providers; Information about our pharmacy benefit management program and other Zenith programs HCP Login. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. Access your online portal usingthis form. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. AMERICAN INSURANCE ADMINISTRATORS. Both American Benefit Plan Administrators and Zenith Administrators were strong TPAs prior to the merger, but by combining resources, best practices and scale, the new organization is even stronger and better than before. The new PAI provider portal is going live. Van Nuys, CA 91409-9055, Other States: Try taking a look at our. Medical Claims. New User?Please click here to register. Contact the Customer Service number on the member ID card if you need assistance. PAI will not require that you repay the refund until PAI has concluded its review. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. Columbia, SC 29260. mZbqEm2dU1 (RtzEowwz{nZ/L++P@,*,&yiPQ9{KYp*GiERa&pS0\,fta1 kptdt 5P#ld[j u4wf;6qpB'Du` C0k&P"78-|;se}[bH&n )f[X2d%?%MQ.#G4ytT"5',i{+Y"+rR]Kk\EA%[X@-F FGlKZ"J8?qpZ?c8GH6*yl'yGw'fk uV{Q"U&!cq=%ib[#h9AH%D"zIA r+OhN#Ztu(O1\\!.irrZ>X_.R-vac92G#ZX>]BR92j]Y;Lu 152 0 obj <>stream Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. There you will find answers to common questions, details about your plan, and much more. Fax an updated W-9 to (803) 264-9089 Access the link below for easy-to-use claim filing. AMA Insurance Agency, Inc. This field is for validation purposes and should be left unchanged. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. 83 0 obj <> endobj Its not easy to accomplish but it has been my experience and I am very grateful.". 3333 Hesper Road Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. (888) 505-7724 updates@sbmamec.com 1268 0 obj <>stream Business Profile American Plan Adminstrators Health Savings Administrators Contact Information 18 Heyward Street Brooklyn, NY 11249-9210 Visit Website Email this Business (718) 625-6300. Or you can request a meeting on a specific topic, CLICK HERE to schedule. PSIP Reimbursement Rates for 2020/ . PAI P.O. Toll Free: 866.742.4900 megamenu1. For assistance with portal registration or portal password assistance, please call 877-777-0031. endstream endobj 1230 0 obj <. Take control of your benefits. Cigna shares the administration of the plan with a third party. Chattanooga, TN 37422-7223. Media Relations Contact. First American Financial Corporation 1 First American Way Santa Ana, California 92707. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 Receiving illegal calls claiming to be from American Benefits Group? PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. M-F Email: Login to your Secure Online Access portal and click on Contact Us Benefit Account Administration: Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) This team was incredibly patient, kind, and helpful. When I would call, I would reach an individual very quickly and they were always very willing to help and get on the phone with me when I called some of the carriers who were not reflecting my coverage. . Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson 1254 0 obj <>/Filter/FlateDecode/ID[]/Index[1229 40]/Info 1228 0 R/Length 122/Prev 219460/Root 1230 0 R/Size 1269/Type/XRef/W[1 3 1]>>stream P.O. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. hYkO+-*T}B1ha4.$&&v,~SU $g )_xULXI0e21kF&W#q?JNOdilQ1&hWg Jst#nrmMLK{f)g667(8zjdpy'83>AyNG@y}W (e?99gayXXrzOOgLk gE7yWM~NaV{a(YSUGwL0f1h6o8^qgNP\4z!n81Ves|\H{kjbBGem>)GW~[4OpW2C3lWp&zgMIj]E6U __N[O&3_], Y+2-K>..SJ-3aRidtjMK2qT9}QCHAuVf&Iw*SFi*$9waOuoA5D=#9|(4 Zenith American Solutions has invested in a world class PMO (Project Management Office) that works to ensure each new implementation, enhancement, or change is managed to ensure a quality on time delivery. Get tools and flyers to share with your clients Dental Network Together, we can build a solution that's right for your clients For more information, email CignaPayerSolutions@cigna.com or call 1 (888) 284-6851. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. For general inquiries or to file a claim, visit our Submitting a Claim page. %PDF-1.6 % Preferred Network Arrangements. PRAC Bulletin. Participant Support:support@americanbenefitadministrators.com Types of services that generally require precertification: *Any drugs, services, treatment or supplies that the managed care medical staff for PAI determines, with appropriate consultation, to be experimental, investigational or unproven are not covered services. 2023 American Benefits Group. Box 6927 For general assistance, please call your Client Services representative or your Customer Care team. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. P.O. Phone Number. Toll Free: 718-834-1256. Prior authorization varies from group to group. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. PO Box 804238 Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. Please contact our Provider Relations team at 800-440-5020 (option 3) or by email at providergroup@thezenith.com if you need: Submit bills, reports, and other medically-related correspondence by mail or fax: California: Box 1558 P.O. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. Phone: 800-777-3575 Hours: 7:00 a.m. 6:00 p.m CST. LOS ANGELES, CA 90017-1906. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: Driving Directions. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. Email: sales@americanbenefitadministrators.com, American Benefit Administrators First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday To request reimbursement, please complete and sign the itemized claim form. Toll Free: 866.742.4900 Log in to your account to confirm your specific . By Mail Sana Benefits Claims P.O. As a health care provider, you are an integral part of our team. High Option APWU HP is primary payer All states and U.S. Virgin Islands CIGNA HealthCare PO Box 188004 Chattanooga, TN 37422 or Payer ID 62308 High Option APWU HP is primary payer U.S. Virgin Islands PAI will not require that you repay the refund until PAI has concluded its review. Please note that Credit Card receipts or cancelled checks are not valid documentation, Claims for personal hygiene items and cosmetics are not eligible expenses, Vitamins and supplements are not eligible without a doctors prescription, Massage therapy and weight-loss programs are only allowable to the extent that they are prescribed for a chronic condition or existing disease and supported by a doctors note submitted with the claim, We will keep doctors note on file but they must be renewed at the beginning of each plan year, Click here for a list of qualifying expenses. %%EOF To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. Billings MT 59102 As the largest Taft-Hartley third-party administrator in the United States, weve used our industry know-how and resources to develop leading-edge technologies for our own use, as well as for self-administered trust funds. Need answers now? 0 Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. Who is American Plan Administrators Headquarters 18 Heyward St, Brooklyn, New York, 11249, United States Phone Number (718) 625-6300 Website www.apatpa.com Revenue $5.2M Industry Insurance Is this data correct? We offer a state-of-the art member portal to help you make the most of your health benefits. The new PAI provider portal is going live. M-F The original entity of Zenith American Solutions has been in business since 1944. endstream endobj 84 0 obj <> endobj 85 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/TrimBox[9.0 9.0 621.0 801.0]/Type/Page>> endobj 86 0 obj <>stream To be complete, a claim must include a claim form that has been signed and dated by the account holder, and the following five pieces of information: Claims must be accompanied with receipts for the services rendered - for HRA claims an Explanation of Benefits (EOB) is required to show that the expense was applied to the insurance deductible. Several payers that DO receive claims electronically have been placed on this list for having poor services available. If your employer offers the ability to have reimbursements deposited to your bank account, you can set-up direct deposit by logging-in to your account, click Reimbursement Settings under the Claims tabwithin the WealthCare Portal. Birmingham, AL 35238, 2023 American Benefit Administrators. General Liability Notice of Occurrence/Claim, Glossary of Health Coverage & Medical Terms, Self Funded Health Benefit Administration, Property and Casualty Administrative Services, Non-Discrimination Statement and Foreign Language Access, CAA Transparency in Coverage + Machine Readable Files, Your Rights and Protections Against Surprise Medical Bills. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. Zenith Insurance Company AllCare Health Plan MRIPA N N/A Address - Some payers have multiple locations, but claims go to the same electronic location *Indicates claim is routed by paper. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit 1 (800) 244-6224. Notice of Privacy. Its been my privilege to work with PAI for a couple decades now PAI has done a good job of making us feel like we are their only client. Corporate Headquarters. PAI's preferred pharmacy benefit manager is OptumRx, a pharmacy care services company that creates smarter health care connections to help more than 65 million Americans realize improved care, lower costs, and a better overall experience. All rights reserved. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. 0 hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. 1.800.426.9786. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. Login to your account. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. Dental Claims. Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Electronically Electronic/Payor ID: 50114. 18 Heyward St. Brooklyn, NY 11249. Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. View Map, Employee BenefitManagement Services As the result, many self-administered Taft-Hartley trust funds and third-party administrators like Zenith American need easy-to-use, cost-effective, data-driven systems for a new era of administration. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. December 2020. There are two easy ways to submit claims to Sana. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: Its almost here! The team uses PMI standards and project management tools along with IT industry best practices. 2018 Zenith American Solutions, Inc. All Rights Reserved. The original entity of Zenith American Solutions has been in business since 1944. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. Participant Inquiries: cobra@americanbenefitadministrators.com 6:00 a.m. 8:00 p.m. MST, Corporate Office Staff Photography by Jessica Marie Photography Inc.
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