Fax an updated W-9 to (803) 264-9089 Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. The original entity of Zenith American Solutions has been in business since 1944. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; 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. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. 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. There you will find answers to common questions, details about your plan, and much more. Need answers now? Box 380844 As a health care provider, you are an integral part of our team. 2023 American Benefits Group. Employees. 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. 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 Need answers now? PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us Several payers that DO receive claims electronically have been placed on this list for having poor services available. The new PAI provider portal is going live. 152 0 obj <>stream The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. We offer a state-of-the art member portal to help you make the most of your health benefits. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. We appreciate hearing from you. The team uses PMI standards and project management tools along with IT industry best practices. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. Toll Free: 866.742.4900 Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. (888) 505-7724 updates@sbmamec.com Toll Free: 718-834-1256. endstream endobj startxref Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. American Plan Administrators. 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 Notice of Privacy. Driving Directions. 1-800-303-5242. 2018 Zenith American Solutions, Inc. All Rights Reserved. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. 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. 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. Van Nuys, CA 91409-9055, Other States: Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. Participant Inquiries: cobra@americanbenefitadministrators.com To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. View Map, Employee BenefitManagement Services I was very impressed with American Benefits Group after separation from my employer. 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: 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. Access your online portal usingthis form. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. This field is for validation purposes and should be left unchanged. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC This team is diligent and kind. Contact; Log In; Hit enter to search or ESC to close. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . 7:00 a.m. 8:00 p.m. MST, Monday-Thursday The new PAI provider portal is going live. All rights reserved. 2022 Employee Benefit Management Services, LLC. 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. Prior authorization varies from group to group. Zenith Insurance Company EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. Columbia, SC 29260. Please use the form below to contact AMA Insurance. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. P.O. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. PSIP Reimbursement Rates for 2020/ . Please contact the TPA with questions on these topics. 2023 Planned Administrators Inc. All rights reserved. %%EOF PAI P.O. 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. Phone Number. 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. Benefits administration is a difficult, increasingly complex business. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. New User?Please click here to register. %PDF-1.6 % You will receive a response within 2 business days. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday 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. 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. Please Be Advised. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM Try taking a look at our Frequently Asked Questions page. 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? 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 . 0 support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. Staff Photography by Jessica Marie Photography Inc. Title Claims Contact. . They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. The cost of healthcare continues to grow at an unsustainable pace. 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) Zenith Insurance Company 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. Login to your account. 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 may vary by group, please call the phone number listed on the member ID card. The original entity of Zenith American Solutions has been in business since 1944. We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. *Out-of-network form submission deadlines may vary by plan. Chattanooga, TN 37422-7223. Hours: 7:00 a.m. 6:00 p.m CST. Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. 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. AMA Insurance Agency, Inc. 1.800.426.9786. 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 Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. Its almost here! If you are a participating CompNet provider seeking to manage addresses and . 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. Access the link below for easy-to-use claim filing. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. HCP Login. Toll Free: 866.742.4900 Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. Receiving illegal calls claiming to be from American Benefits Group? 0 Corporate Headquarters. 1 (800) 244-6224. Electronically Electronic/Payor ID: 50114. You would need to reimburse yourself and then pay your provider directly. Cigna shares the administration of the plan with a third party. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 AMERICAN INSURANCE ADMINISTRATORS. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. 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. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. 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. SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. 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 Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson Box 855 Arnold, MD 21012 By Mail Sana Benefits Claims P.O. endstream endobj 1230 0 obj <. 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. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. Claims paid under PSIP Program are subject to county audit. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. To request reimbursement, please complete and sign the itemized claim form. 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 Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. PO Box 804238 We are proud to offer our own unique Claims processing and Benefit administration solutions. 1200 WILSHIRE BLVD-5TH FLOOR. First American Financial Corporation 1 First American Way Santa Ana, California 92707. Please forward your refund repayments to: The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Copyright 2016 AMA Insurance, Inc. All rights reserved. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: megamenu1. 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. 18 Heyward St. Brooklyn, NY 11249. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. For general inquiries or to file a claim, visit our Submitting a Claim page. P.O. Also, customers and vendors may be requested to provide electronic payment options for invoices. P.O. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. Provider Address Change Fax an updated W-9 to (803) 264-9089 I respect a service team that does what they say theyre going to do with quality! Its almost here! 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. 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. Log in to your account to confirm your specific . 2009-2023 Zenith Insurance Company. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. 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 6:00 a.m. 8:00 p.m. MST, Corporate Office If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. 1229 0 obj <> endobj PAI P.O. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Fax: 406-652-5380. We will quickly get back to you with the information you need. 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. Email: sales@americanbenefitadministrators.com, American Benefit 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 d '7y[ f| m x06w a>g All Rights Reserved. 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 CignaPayerSolutions@cigna.com or call 1 (888) 284-6851.
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