0 Box 1558 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 Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. Employees. 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. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. 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. 152 0 obj <>stream P.O. There are two easy ways to submit claims to Sana. o Each card also includes the paper and electronic claims submission addresses. Fax an updated W-9 to (803) 264-9089 Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. 6:00 a.m. 8:00 p.m. MST, Corporate Office Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. 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. Please contact the TPA with questions on these topics. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Box 380844 For further information, please contact the precertification number located on the members identification card. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. 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. The original entity of Zenith American Solutions has been in business since 1944. Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. %%EOF This field is for validation purposes and should be left unchanged. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. Toll Free: 866.742.4900 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 . CareFirst contracts with Third Party Administrators to the Network claims product. 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. Please use the form below to contact AMA Insurance. 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) The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. All Rights Reserved. LOS ANGELES, CA 90017-1906. You will receive a response within 2 business days. AMA Insurance Agency, Inc. SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. Changes made will not be reflected on all impacted systems for up to 2 business days. PAI HCP Login. By Mail Sana Benefits Claims P.O. endstream endobj startxref Log in to your account to confirm your specific . PAI P.O. Or you can request a meeting on a specific topic, CLICK HERE to schedule. 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 For general assistance, please call your Client Services representative or your Customer Care team. 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 hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address We offer a state-of-the art member portal to help you make the most of your health benefits. 2009-2023 Zenith Insurance Company. Toll Free: 866.742.4900 ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK 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. M-F For assistance with portal registration or portal password assistance, please call 877-777-0031. American Plan Administrators. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. Phonee: 718-625-6300. We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. Box 6927 Access your online portal usingthis form. Medical Claims. Cigna. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. *Out-of-network form submission deadlines may vary by plan. 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. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. 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? View Map, Employee BenefitManagement Services If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. Staff Photography by Jessica Marie Photography Inc. You would need to reimburse yourself and then pay your provider directly. megamenu1. We are proud to offer our own unique Claims processing and Benefit administration solutions. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. endstream endobj 1230 0 obj <. 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'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. Van Nuys, CA 91409-9055, Other States: Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. 2022 Employee Benefit Management Services, LLC. For general inquiries or to file a claim, visit our Submitting a Claim page. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: Try taking a look at our Frequently Asked Questions page. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM 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. 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. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . Access the link below for easy-to-use claim filing. 0 PO Box 182223. New User?Please click here to register. 3333 Hesper Road 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. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. 1200 WILSHIRE BLVD-5TH FLOOR. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. 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 P.O. Cigna shares the administration of the plan with a third party. Home; About; Advantages; Solutions/Services; Resources; Contact us Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. You will need an Employer ID when you register. Cigna. PSIP Reimbursement Rates for 2020/ . 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. 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. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. This is nothing new; however, this is a good time to remind everyone of the feature. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. 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*$9waOuoA5D=#9|(4 Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. As the result, many self-administered Taft-Hartley trust funds and third-party administrators like Zenith American need easy-to-use, cost-effective, data-driven systems for a new era of administration. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C Attention: Refund Analyst Its not easy to accomplish but it has been my experience and I am very grateful.". The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. 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 Corporate Headquarters. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday Its almost here! As may vary by group, please call the phone number listed on the member ID card. 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 Our online tools will give you all the information access you need to utilize patients health benefits to support their care. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. December 2020. 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. MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. American Plan Administrators - Contact us. Zenith Insurance Company d '7y[ f| m x06w a>g 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 View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. . Phone Number. Toll Free: 718-834-1256. 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. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. %PDF-1.6 % The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. Copyright 2016 AMA Insurance, Inc. All rights reserved. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 I was very impressed with American Benefits Group after separation from my employer. Title Claims Contact. (888) 505-7724 updates@sbmamec.com Several payers that DO receive claims electronically have been placed on this list for having poor services available. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. 2023 American Benefits Group. Driving Directions. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. 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. Zenith Insurance Company For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: P.O. If youre interested in improving your benefit plan and improving lives, drop us a line. 1229 0 obj <> endobj 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 endstream endobj startxref We appreciate hearing from you. 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. 1-800-303-5242. Try taking a look at our. Email: sales@americanbenefitadministrators.com, American Benefit Administrators Login to your account. Please forward your refund repayments to: Take control of your benefits. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson About Us; Contact; Helpful Links; Online Forms; Coordination of . Benefits administration is a difficult, increasingly complex business. Media Relations Contact. Prior authorization varies from group to group. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. 2023 Planned Administrators Inc. All rights reserved. We will quickly get back to you with the information you need. Electronically Electronic/Payor ID: 50114. Notice of Privacy. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Also, customers and vendors may be requested to provide electronic payment options for invoices. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. Please Be Advised. 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. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. 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. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. This team was incredibly patient, kind, and helpful. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC Claims paid under PSIP Program are subject to county audit. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 Employees. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. As a health care provider, you are an integral part of our team. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. All rights reserved. Box 855 Arnold, MD 21012 hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k 24 hours a day, 365 days a year. The team uses PMI standards and project management tools along with IT industry best practices. Please refer to the members identification card to determine the applicable network. Preferred Network Arrangements. Its almost here!
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