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6:00 a.m. 8:00 p.m. MST, Corporate Office 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 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. Need answers now? 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. LOS ANGELES, CA 90017-1906. 1 (800) 244-6224. Fax: 406-652-5380. 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. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. If you use the EDGE portal, additional login information can be found on theEDGE Hub. Copyright 2016 AMA Insurance, Inc. All rights reserved. M-F 1.800.426.9786. For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. Dental Claims. 152 0 obj <>stream Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit 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 PAI Benefits administration is a difficult, increasingly complex business. For assistance with portal registration or portal password assistance, please call 877-777-0031. 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. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. Employees. Billings MT 59102 Several payers that DO receive claims electronically have been placed on this list for having poor services available. Electronically Electronic/Payor ID: 50114. Its almost here! ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK Cigna shares the administration of the plan with a third party. Corporate Headquarters. Access the link below for easy-to-use claim filing. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. For general inquiries or to file a claim, visit our Submitting a Claim page. We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 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 d '7y[ f| m x06w a>g P.O. 1200 WILSHIRE BLVD-5TH FLOOR. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. The cost of healthcare continues to grow at an unsustainable pace. Contact the Customer Service number on the member ID card if you need assistance. Toll Free: 718-834-1256. %PDF-1.6 % Home; About; Advantages; Solutions/Services; Resources; Contact us PAI P.O. 3333 Hesper Road Fax an updated W-9 to (803) 264-9089 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. 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. Box 9055 The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. Notice of Privacy. . EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. 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 Hours: 7:00 a.m. 6:00 p.m CST. PAI will not require that you repay the refund until PAI has concluded its review. For general assistance, please call your Client Services representative or your Customer Care team. Helping You Provide The Best Possible Care. We will quickly get back to you with the information you need. Log in to your account to confirm your specific . Register at launch to take advantage of the enhanced functionality launch date will be announced soon. SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. 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 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. We are proud to offer our own unique Claims processing and Benefit administration solutions. endstream endobj 1230 0 obj <. 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. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. %PDF-1.6 % If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. 2022 Employee Benefit Management Services, LLC. Receiving illegal calls claiming to be from American Benefits Group? 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. 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. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. American Plan Administrators - Contact us. Birmingham, AL 35238, 2023 American Benefit Administrators. %%EOF 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. 18 Heyward St. Brooklyn, NY 11249. Fill out our Request for Proposal Form. PO Box 804238 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. Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. endstream endobj startxref EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. The new PAI provider portal is going live. American Plan Administrators. To request reimbursement, please complete and sign the itemized claim form. Login to your account. This team is diligent and kind. 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: Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. There are two easy ways to submit claims to Sana. This team was incredibly patient, kind, and helpful. Changes made will not be reflected on all impacted systems for up to 2 business days. December 2020. Provider Address Change Fax an updated W-9 to (803) 264-9089 Preferred Network Arrangements. Title Claims Contact. CareFirst contracts with Third Party Administrators to the Network claims product. Cigna. 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. 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 PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Participant Support:support@americanbenefitadministrators.com *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. If youre interested in improving your benefit plan and improving lives, drop us a line. Please forward your refund repayments to: This field is for validation purposes and should be left unchanged. 2023 Planned Administrators Inc. All rights reserved. Employees. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. Access your online portal usingthis form. 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? PSIP Reimbursement Rates for 2020/ . American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. As a health care provider, you are an integral part of our team. P.O. Chicago, IL 60680-4104. Also, customers and vendors may be requested to provide electronic payment options for invoices. 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. P.O. 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 EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. Media Relations Contact. There you will find answers to common questions, details about your plan, and much more. Its not easy to accomplish but it has been my experience and I am very grateful.". 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. Toll Free: 866.742.4900 The team uses PMI standards and project management tools along with IT industry best practices. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. You will need an Employer ID when you register. Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) These tools focus on quality and ensuring the best possible end result for each and every user. Take control of your benefits. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. 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. Phonee: 718-625-6300. Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . Try taking a look at our Frequently Asked Questions page. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. I respect a service team that does what they say theyre going to do with quality! 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. 0 The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. We appreciate hearing from you. Phone: 800-777-3575 Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. 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. 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 This is nothing new; however, this is a good time to remind everyone of the feature. Try taking a look at our. 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) Van Nuys, CA 91409-9055, Other States: 2023 American Benefits Group. 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. 1268 0 obj <>stream By Mail Sana Benefits Claims P.O. megamenu1. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. You would need to reimburse yourself and then pay your provider directly. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. Its almost here! Toll Free: 866.742.4900 The original entity of Zenith American Solutions has been in business since 1944. View Map, Employee BenefitManagement Services Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. We offer a state-of-the art member portal to help you make the most of your health benefits. You will receive a response within 2 business days. The original entity of Zenith American Solutions has been in business since 1944. 1229 0 obj <> endobj Attention: Refund Analyst Contact; Log In; Hit enter to search or ESC to close. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. Driving Directions. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 Email: sales@americanbenefitadministrators.com, American Benefit Administrators Phone Number. MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; %%EOF The new PAI provider portal is going live. PAI will not require that you repay the refund until PAI has concluded its review. *Out-of-network form submission deadlines may vary by plan. endstream endobj startxref Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. o Each card also includes the paper and electronic claims submission addresses. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: 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 0 Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: Please use the form below to contact AMA Insurance. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. 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 For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. 2009-2023 Zenith Insurance Company. 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 Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. Box 380844 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. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. 24 hours a day, 365 days a year. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. 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. 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 1-800-303-5242. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . Please refer to the members identification card to determine the applicable network. New User?Please click here to register. ABA is committed and confident it will provide the same level of service. . 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 Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. HCP Login. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. Chattanooga, TN 37422-7223. Box 6927 Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 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 Staff Photography by Jessica Marie Photography Inc. Prior authorization varies from group to group. 2023 Planned Administrators Inc. All rights reserved. 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? support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. 2018 Zenith American Solutions, Inc. All Rights Reserved. If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. 83 0 obj <> endobj Zenith Insurance Company 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. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. (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.