PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. 6:00 a.m. 8:00 p.m. MST, Corporate Office Or you can request a meeting on a specific topic, CLICK HERE to schedule. Welcome to American Plan Administrators Submitthe request via email to PAI Provider Maintenance at [email protected]. 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. Email: [email protected], American Benefit Administrators 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. PAI will not require that you repay the refund until PAI has concluded its review. 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. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. Home - Zenith American 0 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. 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. Cigna. If you use the EDGE portal, additional login information can be found on theEDGE Hub. Title Claims Contact. Its almost here! 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. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. Please refer to the members identification card to determine the applicable network. 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. Try taking a look at our. Phone: 800-777-3575 This team is diligent and kind. Please forward your refund repayments to: If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. Helping You Provide The Best Possible Care. PSIP Reimbursement Rates for 2020/ . Please contact the TPA with questions on these topics. Planned Administrators Inc. (PAI) This team was incredibly patient, kind, and helpful. PDF Payer Connection Payer List 3333 Hesper Road Providers - Group Administrators Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. Zenith Insurance Company *Out-of-network form submission deadlines may vary by plan. Chicago, IL 60680-4104. Box 6927 View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC CHCP - Resources - Active Accounts - Cigna Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. There you will find answers to common questions, details about your plan, and much more. Birmingham, AL 35238, 2023 American Benefit Administrators. %%EOF Provider Address Change Fax an updated W-9 to (803) 264-9089 1200 WILSHIRE BLVD-5TH FLOOR. Its almost here! Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. Fax an updated W-9 to (803) 264-9089 7:00 a.m. 8:00 p.m. MST, Monday-Thursday 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. P.O. Participant Inquiries: [email protected] Box 9055 Several payers that DO receive claims electronically have been placed on this list for having poor services available. 2018 Zenith American Solutions, Inc. All Rights Reserved. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. North America Administrators - Lucent Health We are proud to offer our own unique Claims processing and Benefit administration solutions. Zenith Insurance Company For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. american plan administrators claim mailing address Home; About; Advantages; Solutions/Services; Resources; Contact us If you are a participating CompNet provider seeking to manage addresses and . megamenu1. CareFirst contracts with Third Party Administrators to the Network claims product. [email protected], [email protected]. PAI will not require that you repay the refund until PAI has concluded its review. Prior authorization varies from group to group. 1-800-303-5242. Contact Us For Information on Benefit Plan Administration | EBMS 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 company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. Contact the Customer Service number on the member ID card if you need assistance. Medical Claims. Log in to your account to confirm your specific . endstream endobj startxref We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at [email protected]. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. Access the link below for easy-to-use claim filing. 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. We will quickly get back to you with the information you need. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. Toll Free: 718-834-1256. Electronically Electronic/Payor ID: 50114. Contact Us - American Benefit Administrators Employees. PRAC Bulletin. Claims paid under PSIP Program are subject to county audit. M-F Email: Login to your Secure Online Access portal and click on Contact Us Benefit Account Administration: Claims Submittal: [email protected] (claims can also be submitted online via the secure portal or Mobile App) PAI SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address As may vary by group, please call the phone number listed on the member ID card. This is nothing new; however, this is a good time to remind everyone of the feature. Receiving illegal calls claiming to be from American Benefits Group? AMA Insurance Agency, Inc. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday 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 Participant Support:[email protected] Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. The new PAI provider portal is going live. 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*$9waOuoA5D=#9|(4 As a health care provider, you are an integral part of our team. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Provider Claim Submission to APWU Health Plan - apwuhp.com Also, customers and vendors may be requested to provide electronic payment options for invoices. 1.800.426.9786. Access your online portal usingthis form. 1 (800) 244-6224. Billings MT 59102 For general inquiries or to file a claim, visit our Submitting a Claim page. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . Claim Number Email Date of Service Phone Your Message Additional Contact Information Phone 1-888-627-5880 Business Hours 8 am - 5 pm CT, Monday - Friday Email AMA Insurance [email protected] Claims Mailing Address AMA Insurance Agency, Inc. PO Box 804238 Chicago, IL 60680-4104 Its been my privilege to work with PAI for a couple decades now PAI has done a good job of making us feel like we are their only client. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k All rights reserved. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C General Assistance - Zenith American PDF Network Prefix List - CareFirst Provider hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM P.O. 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. December 2020. Dental Claims. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. The new PAI provider portal is going live. P.O. I was very impressed with American Benefits Group after separation from my employer. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. Claims Submittal: [email protected] (claims can also be submitted online via the secure portal or Mobile App) 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 Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. 83 0 obj <> endobj 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 [email protected] or call 1 (888) 284-6851. If youre interested in improving your benefit plan and improving lives, drop us a line. 152 0 obj <>stream For assistance with portal registration or portal password assistance, please call 877-777-0031. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. Cigna. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. %PDF-1.6 % The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. Customized Solutions for Third Party Administrators | Cigna If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. Media Relations Contact. 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. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. PO Box 804238 Need answers now? 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. Need answers now? 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 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 AMERICAN INSURANCE ADMINISTRATORS. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. . 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. Contact; Log In; Hit enter to search or ESC to close. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. 2023 Planned Administrators Inc. All rights reserved. Chattanooga, TN 37422-7223. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: 24 hours a day, 365 days a year. 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 The original entity of Zenith American Solutions has been in business since 1944. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. HCP Login. PDF Cigna Payer Solutions Active Accounts Update - MemberClicks The team uses PMI standards and project management tools along with IT industry best practices. 18 Heyward St. Brooklyn, NY 11249. You will need an Employer ID when you register. endstream endobj startxref How To File A Claim - American Benefits Group - amben.com Columbia, SC 29260. Cigna shares the administration of the plan with a third party. Login to your account. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. Client/Employer Support:[email protected], COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson Attention: Refund Analyst MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. Please contact our Provider Relations team at 800-440-5020 (option 3) or by email at [email protected] if you need: Help with finding network physicians or ancillary service providers; Information about our pharmacy benefit management program and other Zenith programs Phonee: 718-625-6300. d '7y[ f| m x06w a>g 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. 1268 0 obj <>stream When you incur a reimbursable expense and are ready to file a claim you can do one of the following: Securely Email: [email protected] - sendsecure.amben.com. American Plan Administrators. o Each card also includes the paper and electronic claims submission addresses. Take control of your benefits. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. 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: [email protected] - sendsecure.amben.com The Reimbursements Process I respect a service team that does what they say theyre going to do with quality! . Its not easy to accomplish but it has been my experience and I am very grateful.". View Map, Employee BenefitManagement Services You would need to reimburse yourself and then pay your provider directly. Contact Us | AMA Insurance Provider Portal Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. First American Financial Corporation 1 First American Way Santa Ana, California 92707. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. 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. 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. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. Toll Free: 866.742.4900 American Insurance Administrators ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK Provider Contacts and Billing Information - TheZenith To request reimbursement, please complete and sign the itemized claim form. We appreciate hearing from you. 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 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 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. 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 The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Corporate Headquarters. Box 380844 *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. 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 [email protected] . hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. 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? 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. By Mail Sana Benefits Claims P.O. For general assistance, please call your Client Services representative or your Customer Care team. Try taking a look at our Frequently Asked Questions page. Contact | American Insurance Administrators There are two easy ways to submit claims to Sana. Providers | Planned Administrators Inc. (PAI) Toll Free: 866.742.4900 SBMA Benefits Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. Out of network claims - EyeMed Vision Benefits Changes made will not be reflected on all impacted systems for up to 2 business days. 2023 American Benefits Group. 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. Contact Us | First American Our online tools will give you all the information access you need to utilize patients health benefits to support their care. Benefits administration is a difficult, increasingly complex business. 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