The new PAI provider portal is going live. 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 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 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. 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 If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. 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 . 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. We will quickly get back to you with the information you need. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Notice of Privacy. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 PSIP Reimbursement Rates for 2020/ . 1 (800) 244-6224. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. Cigna. About Us; Contact; Helpful Links; Online Forms; Coordination of . EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. This field is for validation purposes and should be left unchanged. Staff Photography by Jessica Marie Photography Inc. If you use the EDGE portal, additional login information can be found on theEDGE Hub. Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . Toll Free: 1.800.854.3643 Local: 1.714.250.3000. Please forward your refund repayments to: 24 hours a day, 365 days a year. Login to your account. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Contact the Customer Service number on the member ID card if you need assistance. You will receive a response within 2 business days. Participant Support:support@americanbenefitadministrators.com %PDF-1.6 % Phone Number. Copyright 2016 AMA Insurance, Inc. All rights reserved. Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson Need answers now? PAI P.O. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address 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. 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. 2023 Planned Administrators Inc. All rights reserved. For general inquiries or to file a claim, visit our Submitting a Claim page. Chattanooga, TN 37422-7223. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. Box 1558 Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. 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. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM P.O. 2009-2023 Zenith Insurance Company. Toll Free: 718-834-1256. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. M-F 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. %%EOF New User?Please click here to register. HCP Login. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. Phonee: 718-625-6300. 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. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. 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. 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. 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. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k Log in to your account to confirm your specific . 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. 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. Electronically Electronic/Payor ID: 50114. Please refer to the members identification card to determine the applicable network. 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 1268 0 obj <>stream Media Relations Contact. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. 83 0 obj <> endobj 0 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 megamenu1. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. To request reimbursement, please complete and sign the itemized claim form. Zenith Insurance Company 1-800-303-5242. For further information, please contact the precertification number located on the members identification card. Box 9055 Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. Toll Free: 866.742.4900 . Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. Columbia, SC 29260. By Mail Sana Benefits Claims P.O. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. Preferred Network Arrangements. 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. Try taking a look at our Frequently Asked Questions page. Chicago, IL 60680-4104. o Each card also includes the paper and electronic claims submission addresses. 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 There you will find answers to common questions, details about your plan, and much more. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. Participant Inquiries: cobra@americanbenefitadministrators.com If youre interested in improving your benefit plan and improving lives, drop us a line. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. 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. We appreciate hearing from you. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . Our online tools will give you all the information access you need to utilize patients health benefits to support their care. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. 6:00 a.m. 8:00 p.m. MST, Corporate Office Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. 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 P.O. Hours: 7:00 a.m. 6:00 p.m CST. 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. 1.800.426.9786. Birmingham, AL 35238, 2023 American Benefit Administrators. P.O. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. Or you can request a meeting on a specific topic, CLICK HERE to schedule. Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. The cost of healthcare continues to grow at an unsustainable pace. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. Employees. There are two easy ways to submit claims to Sana. *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. We offer a state-of-the art member portal to help you make the most of your health benefits. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. PRAC Bulletin. 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. 0 Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit The team uses PMI standards and project management tools along with IT industry best practices. Try taking a look at our. 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 $5.2M Industry Insurance Is this data correct? Get tools and flyers to share with your clients Dental Network Together, we can build a solution that's right for your clients For more information, email CignaPayerSolutions@cigna.com or call 1 (888) 284-6851. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. These tools focus on quality and ensuring the best possible end result for each and every user. The original entity of Zenith American Solutions has been in business since 1944. Medical Claims. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C 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. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. All rights reserved. The original entity of Zenith American Solutions has been in business since 1944. (888) 505-7724 updates@sbmamec.com 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. 152 0 obj <>stream View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC I was very impressed with American Benefits Group after separation from my employer. 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 Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. Corporate Headquarters. First American Financial Corporation 1 First American Way Santa Ana, California 92707. 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) For general assistance, please call your Client Services representative or your Customer Care team. 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. Driving Directions. 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. 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 Cigna shares the administration of the plan with a third party. Box 6927 Fax an updated W-9 to (803) 264-9089 American Plan Administrators - Contact us. %%EOF If you are a participating CompNet provider seeking to manage addresses and . ABA is committed and confident it will provide the same level of service. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. PAI will not require that you repay the refund until PAI has concluded its review. endstream endobj startxref Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. Home; About; Advantages; Solutions/Services; Resources; Contact us Access your online portal usingthis form. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. Employees. Box 855 Arnold, MD 21012 Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: (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. Its almost here! 1229 0 obj <> endobj Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. Benefits administration is a difficult, increasingly complex business. 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. We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. Helping You Provide The Best Possible Care. Its almost here! 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 Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) PAI I respect a service team that does what they say theyre going to do with quality! AMERICAN INSURANCE ADMINISTRATORS. endstream endobj 1230 0 obj <. PO Box 804238 You would need to reimburse yourself and then pay your provider directly. Box 380844 P.O. 2022 Employee Benefit Management Services, LLC. Need answers now? Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. Billings MT 59102 Also, customers and vendors may be requested to provide electronic payment options for invoices. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK 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. The new PAI provider portal is going live. 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 You will need an Employer ID when you register. Receiving illegal calls claiming to be from American Benefits Group? Van Nuys, CA 91409-9055, Other States: 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: Toll Free: 866.742.4900 Take control of your benefits. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . American Plan Administrators. 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.