For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. 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. 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. For general assistance, please call your Client Services representative or your Customer Care team. Zenith Insurance Company The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Zenith Insurance Company Employees. Access the link below for easy-to-use claim filing. Its almost here! 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. 3333 Hesper Road Columbia, SC 29260. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. 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. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. Notice of Privacy. 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 Preferred Network Arrangements. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. We appreciate hearing from you. 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. PO Box 804238 Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. If you use the EDGE portal, additional login information can be found on theEDGE Hub. Copyright 2016 AMA Insurance, Inc. All rights reserved. (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. This is nothing new; however, this is a good time to remind everyone of the feature. The original entity of Zenith American Solutions has been in business since 1944. Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson American Plan Administrators. PO Box 182223. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. Phone: 800-777-3575 Employees. 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: 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. Box 380844 Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. Cigna. Cigna shares the administration of the plan with a third party. We are proud to offer our own unique Claims processing and Benefit administration solutions. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. I respect a service team that does what they say theyre going to do with quality! 1229 0 obj <> endobj American Plan Administrators - Contact us. There you will find answers to common questions, details about your plan, and much more. First American Financial Corporation 1 First American Way Santa Ana, California 92707. Receiving illegal calls claiming to be from American Benefits Group? Phonee: 718-625-6300. *Out-of-network form submission deadlines may vary by plan. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. 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? Try taking a look at our Frequently Asked Questions page. %%EOF The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. These tools focus on quality and ensuring the best possible end result for each and every user. Fill out our Request for Proposal Form. 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 . Home; About; Advantages; Solutions/Services; Resources; Contact us P.O. 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. 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 Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. 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. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday Please Be Advised. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address %%EOF endstream endobj 1230 0 obj <. Van Nuys, CA 91409-9055, Other States: PRAC Bulletin. 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. PAI will not require that you repay the refund until PAI has concluded its review. We offer a state-of-the art member portal to help you make the most of your health benefits. Staff Photography by Jessica Marie Photography Inc. 0 Participant Support:support@americanbenefitadministrators.com You will receive a response within 2 business days. Email: sales@americanbenefitadministrators.com, American Benefit Administrators We will quickly get back to you with the information you need. MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. 1268 0 obj <>stream Its almost here! If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. HCP Login. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. Electronically Electronic/Payor ID: 50114. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k Billings MT 59102 The team uses PMI standards and project management tools along with IT industry best practices. Also, customers and vendors may be requested to provide electronic payment options for invoices. 1 (800) 244-6224. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. 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 PAI will not require that you repay the refund until PAI has concluded its review. Login to your account. Or you can request a meeting on a specific topic, CLICK HERE to schedule. Several payers that DO receive claims electronically have been placed on this list for having poor services available. endstream endobj startxref There are two easy ways to submit claims to Sana. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. P.O. You will need an Employer ID when you register. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. To request reimbursement, please complete and sign the itemized claim form. 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 Contact the Customer Service number on the member ID card if you need assistance. Participant Inquiries: cobra@americanbenefitadministrators.com Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: About Us; Contact; Helpful Links; Online Forms; Coordination of . 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 View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC 2023 American Benefits Group. AMA Insurance Agency, Inc. This field is for validation purposes and should be left unchanged. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 2009-2023 Zenith Insurance Company. 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. PSIP Reimbursement Rates for 2020/ . Prior authorization varies from group to group. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit (888) 505-7724 updates@sbmamec.com 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. For general inquiries or to file a claim, visit our Submitting a Claim page. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. AMERICAN INSURANCE ADMINISTRATORS. 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. View Map, Employee BenefitManagement Services Take control of your benefits. The new PAI provider portal is going live. Benefits administration is a difficult, increasingly complex business. 2018 Zenith American Solutions, Inc. All Rights Reserved. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. Please forward your refund repayments to: Medical Claims. Box 1558 Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday Claims paid under PSIP Program are subject to county audit. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. Attention: Refund Analyst 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. Log in to your account to confirm your specific . Cigna. CareFirst contracts with Third Party Administrators to the Network claims product. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Box 6927 Helping You Provide The Best Possible Care. The new PAI provider portal is going live. Please contact the TPA with questions on these topics. 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 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. 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. 18 Heyward St. Brooklyn, NY 11249. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. 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 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 team was incredibly patient, kind, and helpful. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. 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 SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. The original entity of Zenith American Solutions has been in business since 1944. This team is diligent and kind. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. 0 %PDF-1.6 % EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. Fax: 406-652-5380. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. Birmingham, AL 35238, 2023 American Benefit Administrators. ABA is committed and confident it will provide the same level of service. Changes made will not be reflected on all impacted systems for up to 2 business days. Hours: 7:00 a.m. 6:00 p.m CST. 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 As a health care provider, you are an integral part of our team. Provider Address Change Fax an updated W-9 to (803) 264-9089 Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. Toll Free: 718-834-1256. 2023 Planned Administrators Inc. All rights reserved. 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. LOS ANGELES, CA 90017-1906. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. 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) Corporate Headquarters. All rights reserved. Media Relations Contact. Toll Free: 866.742.4900 2023 Planned Administrators Inc. All rights reserved. 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. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: New User?Please click here to register. 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. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. 1.800.426.9786. We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. endstream endobj startxref d '7y[ f| m x06w a>g Fax an updated W-9 to (803) 264-9089 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 Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. 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 You would need to reimburse yourself and then pay your provider directly. 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. . Phone Number. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. 2022 Employee Benefit Management Services, LLC. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. 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. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. P.O. Need answers now? 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. All Rights Reserved. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. 1-800-303-5242. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . Try taking a look at our. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . P.O. PAI For further information, please contact the precertification number located on the members identification card. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. 152 0 obj <>stream If youre interested in improving your benefit plan and improving lives, drop us a line. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. 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 have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. Title Claims Contact. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. Box 855 Arnold, MD 21012 Please refer to the members identification card to determine the applicable network. Please use the form below to contact AMA Insurance. For assistance with portal registration or portal password assistance, please call 877-777-0031. . 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. December 2020. By Mail Sana Benefits Claims P.O. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; Chattanooga, TN 37422-7223. 6:00 a.m. 8:00 p.m. MST, Corporate Office PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. 1200 WILSHIRE BLVD-5TH FLOOR. 24 hours a day, 365 days a year. o Each card also includes the paper and electronic claims submission addresses. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. 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. Toll Free: 866.742.4900 M-F PAI P.O. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App)

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