american plan administrators claim mailing address

Fax: 406-652-5380. While some groups require prior authorization for all of these services, others may require prior authorization for more or less than the procedures specified below. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. P.O. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . Toll Free: 718-834-1256. We offer a state-of-the art member portal to help you make the most of your health benefits. Toll Free: 866.742.4900 0 SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. 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 %%EOF For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. 2023 Planned Administrators Inc. All rights reserved. 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. Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. Fill out our Request for Proposal Form. megamenu1. The cost of healthcare continues to grow at an unsustainable pace. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. Toll Free: 866.742.4900 We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. All Rights Reserved. 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. HCP Login. Phonee: 718-625-6300. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. 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. Copyright 2016 AMA Insurance, Inc. All rights reserved. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. Driving Directions. Enter your claim information, then either: Upload the receipts via the portal or fax it with supporting documentation to 877-723-0147 File a Claim Online using the ABG Smart Mobile App for smart phones and tablets Find out more about our mobile app Securely Email: claims@amben.com - sendsecure.amben.com The Reimbursements Process December 2020. Access the link below for easy-to-use claim filing. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us 2009-2023 Zenith Insurance Company. 24 hours a day, 365 days a year. 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 PAI will not require that you repay the refund until PAI has concluded its review. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. (888) 505-7724 updates@sbmamec.com 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. 1-800-303-5242. Chattanooga, TN 37422-7223. (1) Allegiance Benefit Plan Management is responsible for administering various aspects of this patient's plan, which may include claim processing, utilization management or eligibility verification. We are proud to offer our own unique Claims processing and Benefit administration solutions. View Map, Employee BenefitManagement Services P.O. Prior authorization varies from group to group. Box 6927 Its not easy to accomplish but it has been my experience and I am very grateful.". Media Relations Contact. 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. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. AMERICAN INSURANCE ADMINISTRATORS. P.O. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. 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, Behavioral health services, including substance abuse treatment, Durable medical equipment (DME) over a specified dollar amount (varies), Investigational or experimental procedures*, Procedures considered cosmetic in nature, such as blepheroplasty, reduction mammoplasty or TMJ, A one-time notification when a member is initiating outpatientchemotherapy or radiation therapy. I was very impressed with the questions that they asked and their follow through with carriers in what could otherwise have been a very frustrating situation working with insurance companies. 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. 152 0 obj <>stream Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. 2022 Employee Benefit Management Services, LLC. 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 Cigna. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. New User?Please click here to register. Need answers now? PAI will not require that you repay the refund until PAI has concluded its review. We will quickly get back to you with the information you need. By Mail Sana Benefits Claims P.O. 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. There you will find answers to common questions, details about your plan, and much more. Changes made will not be reflected on all impacted systems for up to 2 business days. When you incur a reimbursable expense and are ready to file a claim you can do one of the following: Securely Email: claims@amben.com - sendsecure.amben.com. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK PAI P.O. PRAC Bulletin. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. %%EOF 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 Contact the Customer Service number on the member ID card if you need assistance. AMA Insurance Agency, Inc. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. The original entity of Zenith American Solutions has been in business since 1944. . PAI 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 . Please use the form below to contact AMA Insurance. For further information, please contact the precertification number located on the members identification card. The original entity of Zenith American Solutions has been in business since 1944. Van Nuys, CA 91409-9055, Other States: If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. 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. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Employees. 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 We appreciate hearing from you. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. Claims paid under PSIP Program are subject to county audit. Corporate Headquarters. PSIP Reimbursement Rates for 2020/ . Notice of Privacy. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. American Plan Administrators. If you are a participating CompNet provider seeking to manage addresses and . Please refer to the members identification card to determine the applicable network. Dental Claims. Preferred Network Arrangements. 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) 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 Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson I was very impressed with American Benefits Group after separation from my employer. Box 9055 The new PAI provider portal is going live. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. Cigna shares the administration of the plan with a third party. Provider Address Change Fax an updated W-9 to (803) 264-9089 Attention: Refund Analyst 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. 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. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. Please contact the TPA with questions on these topics. 3333 Hesper Road Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. 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. Need answers now? remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address First American Financial Corporation 1 First American Way Santa Ana, California 92707. Box 380844 Staff Photography by Jessica Marie Photography Inc. Login to your account. 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. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. Zenith Insurance Company %PDF-1.6 % o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. American Plan Administrators - Contact us. All rights reserved. MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. LOS ANGELES, CA 90017-1906. Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. Birmingham, AL 35238, 2023 American Benefit Administrators. 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 receive a response within 2 business days. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC Please forward your refund repayments to: 18 Heyward St. Brooklyn, NY 11249. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. Benefits administration is a difficult, increasingly complex business. 1200 WILSHIRE BLVD-5TH FLOOR. 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 endstream endobj startxref Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. If you use the EDGE portal, additional login information can be found on theEDGE Hub. Or you can request a meeting on a specific topic, CLICK HERE to schedule. 1 (800) 244-6224. 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. This field is for validation purposes and should be left unchanged. Box 1558 Our online tools will give you all the information access you need to utilize patients health benefits to support their care. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Zenith Insurance Company 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 2018 Zenith American Solutions, Inc. All Rights Reserved. endstream endobj 1230 0 obj <. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday Phone Number. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. 1268 0 obj <>stream You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. Its almost here! Participant Inquiries: cobra@americanbenefitadministrators.com For general assistance, please call your Client Services representative or your Customer Care team. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. Take control of your benefits. 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. If youre interested in improving your benefit plan and improving lives, drop us a line. Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) PO Box 804238 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 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. o Each card also includes the paper and electronic claims submission addresses. You would need to reimburse yourself and then pay your provider directly. 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 Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. There are two easy ways to submit claims to Sana. 2023 American Benefits Group. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit This is nothing new; however, this is a good time to remind everyone of the feature. M-F As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Billings MT 59102 For assistance with portal registration or portal password assistance, please call 877-777-0031. 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. 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. . 2023 Planned Administrators Inc. All rights reserved. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C The team uses PMI standards and project management tools along with IT industry best practices. Try taking a look at our Frequently Asked Questions page. As may vary by group, please call the phone number listed on the member ID card. Several payers that DO receive claims electronically have been placed on this list for having poor services available. Access your online portal usingthis form. PO Box 182223. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. 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. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. endstream endobj startxref View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. 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. d '7y[ f| m x06w a>g P.O. Receiving illegal calls claiming to be from American Benefits Group? %PDF-1.6 % The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. 6:00 a.m. 8:00 p.m. MST, Corporate Office You will need an Employer ID when you register. Participant Support:support@americanbenefitadministrators.com Phone: 800-777-3575 Hours: 7:00 a.m. 6:00 p.m CST. Chicago, IL 60680-4104. Columbia, SC 29260. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. 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 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 The new PAI provider portal is going live. Try taking a look at our. Log in to your account to confirm your specific . CareFirst contracts with Third Party Administrators to the Network claims product. 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. As a health care provider, you are an integral part of our team. Contact; Log In; Hit enter to search or ESC to close. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. These tools focus on quality and ensuring the best possible end result for each and every user. I respect a service team that does what they say theyre going to do with quality! Whether you are a two-person startup group, a 30,000-employee enterprise, a public school system or a labor union, we have products and services that can meet your population needs and group priorities. ABA is committed and confident it will provide the same level of service. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. Also, customers and vendors may be requested to provide electronic payment options for invoices. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Cigna. Fax an updated W-9 to (803) 264-9089 Box 855 Arnold, MD 21012 Home; About; Advantages; Solutions/Services; Resources; Contact us Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. Please Be Advised. 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. 1.800.426.9786. Electronically Electronic/Payor ID: 50114. Medical Claims. This team is diligent and kind. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: 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. 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: For general inquiries or to file a claim, visit our Submitting a Claim page. About Us; Contact; Helpful Links; Online Forms; Coordination of . 1229 0 obj <> endobj 83 0 obj <> endobj Helping You Provide The Best Possible Care. Employees. Title Claims Contact. This team was incredibly patient, kind, and helpful. 0 Email: sales@americanbenefitadministrators.com, American Benefit Administrators hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k To request reimbursement, please complete and sign the itemized claim form. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. *Out-of-network form submission deadlines may vary by plan. 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? Its almost here!