Take control of your benefits. Benefits administration is a difficult, increasingly complex business. Helping You Provide The Best Possible Care. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: Or you can request a meeting on a specific topic, CLICK HERE to schedule. 1200 WILSHIRE BLVD-5TH FLOOR. 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. 1-800-303-5242.
Contact | American Insurance Administrators All Rights Reserved. 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. 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: P.O. The original entity of Zenith American Solutions has been in business since 1944. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. The original entity of Zenith American Solutions has been in business since 1944. We appreciate hearing from you. Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) megamenu1. d
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m x06w a>g P.O. The cost of healthcare continues to grow at an unsustainable pace. Access the link below for easy-to-use claim filing. Need answers now? PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us Columbia, SC 29260. endstream
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I was very impressed with American Benefits Group after separation from my employer. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational.
Providers | Planned Administrators Inc. (PAI) Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. Fill out our Request for Proposal Form. M-F The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. American Plan Administrators - Contact us. 1268 0 obj
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PDF Payer Connection Payer List 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. Zenith Insurance Company American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Try taking a look at our Frequently Asked Questions page. The team uses PMI standards and project management tools along with IT industry best practices. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. December 2020. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. 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. Corporate Headquarters. Media Relations Contact. 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. endstream
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Please use the form below to contact AMA Insurance. 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
American Insurance Administrators 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 As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190.
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. PO Box 182223. 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. Chicago, IL 60680-4104. Participant Support:support@americanbenefitadministrators.com Prior authorization varies from group to group. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. 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 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.
Customized Solutions for Third Party Administrators | Cigna Chattanooga, TN 37422-7223. hb``` eaXm.;
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For general inquiries or to file a claim, visit our Submitting a Claim page. These tools focus on quality and ensuring the best possible end result for each and every user. Its almost here! Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. For further information, please contact the precertification number located on the members identification card. Toll Free: 866.742.4900 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) Employees. Log in to your account to confirm your specific . PAI will not require that you repay the refund until PAI has concluded its review.
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New User?Please click here to register. About Us; Contact; Helpful Links; Online Forms; Coordination of .
Contact Us | AMA Insurance Provider Portal If you use the EDGE portal, additional login information can be found on theEDGE Hub. %%EOF
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. For assistance with portal registration or portal password assistance, please call 877-777-0031. 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 forward your refund repayments to: Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. Staff Photography by Jessica Marie Photography Inc. 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. Cigna shares the administration of the plan with a third party. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address Email: sales@americanbenefitadministrators.com, American Benefit Administrators Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday
Contact Us For Information on Benefit Plan Administration | EBMS 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. 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 Box 9055 1229 0 obj
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Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. o Each card also includes the paper and electronic claims submission addresses. 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.
How To File A Claim - American Benefits Group - amben.com Toll Free: 866.742.4900 Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. There you will find answers to common questions, details about your plan, and much more. Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured .
American Plan Administrators - Contact us You will receive a response within 2 business days. PRAC Bulletin. endstream
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<. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . 24 hours a day, 365 days a year. Hours: 7:00 a.m. 6:00 p.m CST. Phone Number. Copyright 2016 AMA Insurance, Inc. All rights reserved. Its not easy to accomplish but it has been my experience and I am very grateful.". Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Cigna. Access your online portal usingthis form. hYkO+-*T}B1ha4.$&&v,~SU $g )_xULXI0e21kF&W#q?JNOdilQ1&hWg
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__N[O&3_], Y+2-K>..SJ-3aRidtjMK2qT9}QCHAuVf&Iw*SFi*$9waOuoA5D=#9|(4 Register at launch to take advantage of the enhanced functionality launch date will be announced soon. HCP Login. 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. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM
Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal.
Home - Zenith American 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. The new PAI provider portal is going live. . We are proud to offer our own unique Claims processing and Benefit administration solutions. Contact; Log In; Hit enter to search or ESC to close. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available.
SBMA Benefits SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. %PDF-1.6
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(888) 505-7724 updates@sbmamec.com
Submitting a Claim - Sana Benefits Toll Free: 718-834-1256.
PDF Network Prefix List - CareFirst Provider 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. The new PAI provider portal is going live. Need answers now? Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson 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. P.O. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. 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? Please contact the TPA with questions on these topics. 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. LOS ANGELES, CA 90017-1906. Title Claims Contact. Driving Directions. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. I respect a service team that does what they say theyre going to do with quality! Billings MT 59102 2023 Planned Administrators Inc. All rights reserved. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. 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. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Box 380844 Login to your account. 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. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document.
PDF VISION OUT-OF-NETWORK CLAIM FORM Claim submissions made easy Contact Us | First American Dental Claims. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC Fax an updated W-9 to (803) 264-9089 For general assistance, please call your Client Services representative or your Customer Care team. 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. CareFirst contracts with Third Party Administrators to the Network claims product. If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. To request reimbursement, please complete and sign the itemized claim form.
North America Administrators - Lucent Health 3333 Hesper Road Claims paid under PSIP Program are subject to county audit. 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. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. PAI By Mail Sana Benefits Claims P.O. 2023 American Benefits Group. Van Nuys, CA 91409-9055, Other States: Birmingham, AL 35238, 2023 American Benefit Administrators. This team was incredibly patient, kind, and helpful. 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.
General Assistance - Zenith American PAI P.O. We will quickly get back to you with the information you need. 2018 Zenith American Solutions, Inc. All Rights Reserved. %PDF-1.6
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Provider Address Change Fax an updated W-9 to (803) 264-9089 1 (800) 244-6224. 152 0 obj
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Participant Inquiries: cobra@americanbenefitadministrators.com
CHCP - Resources - Active Accounts - Cigna 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. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability.
Welcome to American Plan Administrators AMA Insurance Agency, Inc. Home; About; Advantages; Solutions/Services; Resources; Contact us
Provider Claim Submission to APWU Health Plan - apwuhp.com 7:00 a.m. 8:00 p.m. MST, Monday-Thursday If youre interested in improving your benefit plan and improving lives, drop us a line.
Provider Contacts and Billing Information - TheZenith Toll Free: 1.800.854.3643 Local: 1.714.250.3000. Fax: 406-652-5380. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. 6:00 a.m. 8:00 p.m. MST, Corporate Office We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination.
Phone: 800-777-3575 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 ABA is committed and confident it will provide the same level of service. 1.800.426.9786. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. We offer a state-of-the art member portal to help you make the most of your health benefits. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. Zenith Insurance Company 2023 Planned Administrators Inc. All rights reserved. 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.
3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 Contact the Customer Service number on the member ID card if you need assistance. 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. You will need an Employer ID when you register. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. 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.