Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. There you will find answers to common questions, details about your plan, and much more. PAI Email: sales@americanbenefitadministrators.com, American Benefit Administrators For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. 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. I respect a service team that does what they say theyre going to do with quality! For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. Fill out our Request for Proposal Form. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. AMA Insurance Agency, Inc. Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) Box 380844 PAI will not require that you repay the refund until PAI has concluded its review. 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. 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. . CareFirst contracts with Third Party Administrators to the Network claims product. Toll Free: 866.742.4900 ABA is committed and confident it will provide the same level of service. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. 1229 0 obj <> endobj 0 We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. Columbia, SC 29260. endstream endobj startxref If youre interested in improving your benefit plan and improving lives, drop us a line. 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. You would need to reimburse yourself and then pay your provider directly. Copyright 2016 AMA Insurance, 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 $5.2M Industry Insurance Is this data correct? Log in to your account to confirm your specific . AllCare Health Plan MRIPA N N/A Address - Some payers have multiple locations, but claims go to the same electronic location *Indicates claim is routed by paper. Its been my privilege to work with PAI for a couple decades now PAI has done a good job of making us feel like we are their only client. Box 8504 Mason, OH 45040-7111 Patient Last Name (Required) Patient First Name (Required) MI Birth Date (MM/DD/YYYY) - - Street Address City State Zip Code SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. 1.800.426.9786. Title Claims Contact. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. Cigna shares the administration of the plan with a third party. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. Access your online portal usingthis form. Claims paid under PSIP Program are subject to county audit. This is nothing new; however, this is a good time to remind everyone of the feature. 83 0 obj <> endobj P.O. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. Please use the form below to contact AMA Insurance. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. All rights reserved. Prior authorization varies from group to group. Please Be Advised. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k 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: 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. 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 . Electronically Electronic/Payor ID: 50114. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. 3333 Hesper Road Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. PAI P.O. 1 (800) 244-6224. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. . Medical Claims. 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 View Map, Employee BenefitManagement Services PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . Media Relations Contact. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. Box 855 Arnold, MD 21012 American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. 2018 Zenith American Solutions, Inc. All Rights Reserved. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. 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) Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. We will quickly get back to you with the information you need. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. %PDF-1.6 % 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 2023 American Benefits Group. M-F All Rights Reserved. Zenith Insurance Company Several payers that DO receive claims electronically have been placed on this list for having poor services available. Birmingham, AL 35238, 2023 American Benefit Administrators. For general inquiries or to file a claim, visit our Submitting a Claim page. 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 The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. P.O. o Each card also includes the paper and electronic claims submission addresses. 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 Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. 0 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. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; PO Box 182223. If you are a participating CompNet provider seeking to manage addresses and . This field is for validation purposes and should be left unchanged. Employees. 152 0 obj <>stream Changes made will not be reflected on all impacted systems for up to 2 business days. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. 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. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. If you use the EDGE portal, additional login information can be found on theEDGE Hub. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. 24 hours a day, 365 days a year. For further information, please contact the precertification number located on the members identification card. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. %PDF-1.6 % hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C Box 6927 Phonee: 718-625-6300. We are proud to offer our own unique Claims processing and Benefit administration solutions. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Please contact the TPA with questions on these topics. Attention: Refund Analyst 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. About Us; Contact; Helpful Links; Online Forms; Coordination of . Provider Address Change Fax an updated W-9 to (803) 264-9089 HCP Login. For general assistance, please call your Client Services representative or your Customer Care team. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. Fax: 406-652-5380. Fax an updated W-9 to (803) 264-9089 endstream endobj 1230 0 obj <. New User?Please click here to register. Chattanooga, TN 37422-7223. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. Chicago, IL 60680-4104. Participant Inquiries: cobra@americanbenefitadministrators.com 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. 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. We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. Phone: 800-777-3575 By Mail Sana Benefits Claims P.O. 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 Please forward your refund repayments to: 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 Also, customers and vendors may be requested to provide electronic payment options for invoices. To request reimbursement, please complete and sign the itemized claim form. Corporate Headquarters. 2009-2023 Zenith Insurance Company. Hours: 7:00 a.m. 6:00 p.m CST. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. This team was incredibly patient, kind, and helpful. Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. American Plan Administrators - Contact us. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. %%EOF Participant Support:support@americanbenefitadministrators.com As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. 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. (888) 505-7724 updates@sbmamec.com If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. 2022 Employee Benefit Management Services, LLC. Box 1558 Notice of Privacy. 1200 WILSHIRE BLVD-5TH FLOOR. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. 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. Box 9055 2023 Planned Administrators Inc. All rights reserved. 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 You will receive a response within 2 business days. endstream endobj startxref Take control of your benefits. 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. AMERICAN INSURANCE ADMINISTRATORS. 6:00 a.m. 8:00 p.m. MST, Corporate Office Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. Helping You Provide The Best Possible Care. 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. The cost of healthcare continues to grow at an unsustainable pace. Benefits administration is a difficult, increasingly complex business. Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson Its almost here! 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. Its not easy to accomplish but it has been my experience and I am very grateful.". For assistance with portal registration or portal password assistance, please call 877-777-0031. 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 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. Home; About; Advantages; Solutions/Services; Resources; Contact us You will need an Employer ID when you register. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address 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. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM 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. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 Driving Directions. As a health care provider, you are an integral part of our team. PO Box 804238 I was very impressed with American Benefits Group after separation from my employer. Contact the Customer Service number on the member ID card if you need assistance. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. Try taking a look at our Frequently Asked Questions page.
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