Zenith Insurance Company Toll Free: 866.742.4900 PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Zenith Insurance Company American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Electronically Electronic/Payor ID: 50114. Please use the form below to contact AMA Insurance. 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 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. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . Please refer to the members identification card to determine the applicable network. Log in to your account to confirm your specific . Contact Us | First American Claims paid under PSIP Program are subject to county audit. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. Chicago, IL 60680-4104. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 If you are a participating CompNet provider seeking to manage addresses and . Participant Inquiries: cobra@americanbenefitadministrators.com 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. Home - Zenith American Hours: 7:00 a.m. 6:00 p.m CST. AMA Insurance Agency, Inc. Cigna. You would need to reimburse yourself and then pay your provider directly. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit 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. There are two easy ways to submit claims to Sana. Customized Solutions for Third Party Administrators | Cigna 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. All Rights Reserved. Also, customers and vendors may be requested to provide electronic payment options for invoices. 18 Heyward St. Brooklyn, NY 11249. Contact the Customer Service number on the member ID card if you need assistance. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. To request reimbursement, please complete and sign the itemized claim form. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. Box 9055 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. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. Corporate Headquarters. %PDF-1.6 % Box 380844 For general inquiries or to file a claim, visit our Submitting a Claim page. Contact | American Insurance Administrators Access your online portal usingthis 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. Dental Claims. 2023 Planned Administrators Inc. All rights reserved. Providers - Group Administrators 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 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 PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us Changes made will not be reflected on all impacted systems for up to 2 business days. M-F Email: sales@americanbenefitadministrators.com, American Benefit Administrators 6:00 a.m. 8:00 p.m. MST, Corporate Office If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. Benefits administration is a difficult, increasingly complex business. 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. 2023 Planned Administrators Inc. All rights reserved. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: Toll Free: 866.742.4900 Columbia, SC 29260. The cost of healthcare continues to grow at an unsustainable pace. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. 1229 0 obj <> endobj Provider Address Change Fax an updated W-9 to (803) 264-9089 support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. View Map, Employee BenefitManagement Services 1-800-303-5242. Its almost here! 24 hours a day, 365 days a year. Providers | Planned Administrators Inc. (PAI) Participant Support:support@americanbenefitadministrators.com PAI Attention: Refund Analyst For further information, please contact the precertification number located on the members identification card. Medical Claims. Login to your account. 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. d '7y[ f| m x06w a>g For assistance with portal registration or portal password assistance, please call 877-777-0031. P.O. MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday PAI will not require that you repay the refund until PAI has concluded its review. megamenu1. PDF VISION OUT-OF-NETWORK CLAIM FORM Claim submissions made easy PDF Payer Connection Payer List 1200 WILSHIRE BLVD-5TH FLOOR. 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. . Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. New User?Please click here to register. PAI P.O. This field is for validation purposes and should be left unchanged. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. 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? This is nothing new; however, this is a good time to remind everyone of the feature. 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. As a health care provider, you are an integral part of our team. 1 (800) 244-6224. I was very impressed with American Benefits Group after separation from my employer. Contact; Log In; Hit enter to search or ESC to close. endstream endobj startxref CHCP - Resources - Active Accounts - Cigna Employees. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday Contact Us | Customer Service | Cigna Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. About Us; Contact; Helpful Links; Online Forms; Coordination of . Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. American Plan Administrators. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. Fax an updated W-9 to (803) 264-9089 Birmingham, AL 35238, 2023 American Benefit Administrators. Driving Directions. The team uses PMI standards and project management tools along with IT industry best practices. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. (888) 505-7724 updates@sbmamec.com If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. We are proud to offer our own unique Claims processing and Benefit administration solutions. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. Media Relations Contact. SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. 2018 Zenith American Solutions, Inc. All Rights Reserved. This team is diligent and kind. Submitting a Claim - Sana Benefits P.O. 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 Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM 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. American Plan Administrators - Contact us. These tools focus on quality and ensuring the best possible end result for each and every user. American Insurance Administrators 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 Try taking a look at our. %%EOF 3333 Hesper Road 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. Fax: 406-652-5380. North America Administrators - Lucent Health All rights reserved. There you will find answers to common questions, details about your plan, and much more. We will quickly get back to you with the information you need. December 2020. Phonee: 718-625-6300. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. 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|(4 152 0 obj <>stream Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; P.O. Title Claims Contact. American Plan Administrators - Contact us Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) PO Box 182223. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. 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: Providers | EBPA We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. Cigna. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Contact Us - American Benefit Administrators 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. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. 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 . American Plan Administrators - Overview, News & Competitors - ZoomInfo Our online tools will give you all the information access you need to utilize patients health benefits to support their care. If youre interested in improving your benefit plan and improving lives, drop us a line. Cigna shares the administration of the plan with a third party. Or you can request a meeting on a specific topic, CLICK HERE to schedule. As may vary by group, please call the phone number listed on the member ID card. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address (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. Staff Photography by Jessica Marie Photography Inc. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. How To File A Claim - American Benefits Group - amben.com PAI will not require that you repay the refund until PAI has concluded its review. 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. By Mail Sana Benefits Claims P.O. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. endstream endobj startxref 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. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k 0 We offer a state-of-the art member portal to help you make the most of your health benefits. 2023 American Benefits Group. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. o Each card also includes the paper and electronic claims submission addresses. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. 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. Please Be Advised. Phone: 800-777-3575 Box 6927 Provider Claim Submission to APWU Health Plan - apwuhp.com I respect a service team that does what they say theyre going to do with quality! Prior authorization varies from group to group. 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. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. 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 You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. 0 Van Nuys, CA 91409-9055, Other States: 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 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. Phone Number. 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. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C SBMA Benefits Fill out our Request for Proposal Form. Contact Us For Information on Benefit Plan Administration | EBMS Billings MT 59102 Copyright 2016 AMA Insurance, Inc. All rights reserved. Contact Us | AMA Insurance Provider Portal Box 855 Arnold, MD 21012 The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. Notice of Privacy. Please contact the TPA with questions on these topics. 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) Try taking a look at our Frequently Asked Questions page. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. For general assistance, please call your Client Services representative or your Customer Care team. General Assistance - Zenith American Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. 1268 0 obj <>stream Toll Free: 718-834-1256. 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. Helping You Provide The Best Possible Care. You will need an Employer ID when you register. Please forward your refund repayments to: Take control of your benefits. CareFirst contracts with Third Party Administrators to the Network claims product. Provider Contacts and Billing Information - TheZenith 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. This team was incredibly patient, kind, and helpful. The new PAI provider portal is going live. 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 PO Box 804238 Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK If you use the EDGE portal, additional login information can be found on theEDGE Hub. PDF Network Prefix List - CareFirst Provider 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. 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. ABA is committed and confident it will provide the same level of service. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Receiving illegal calls claiming to be from American Benefits Group? LOS ANGELES, CA 90017-1906. PRAC Bulletin. 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. PSIP Reimbursement Rates for 2020/ . Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com.