If youre interested in improving your benefit plan and improving lives, drop us a line. Cigna. 0 Fax an updated W-9 to (803) 264-9089 All Rights Reserved. Fill out our Request for Proposal Form. Login to your account. We are proud to offer our own unique Claims processing and Benefit administration solutions. 2009-2023 Zenith Insurance Company. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address 1 (800) 244-6224. New User?Please click here to register. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.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. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson Log in to your account to confirm your specific . 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. 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. Or you can request a meeting on a specific topic, CLICK HERE to schedule. You would need to reimburse yourself and then pay your provider directly. Cigna shares the administration of the plan with a third party. This is nothing new; however, this is a good time to remind everyone of the feature. 2023 Planned Administrators Inc. All rights reserved. Media Relations Contact. 1-800-303-5242. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us 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 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 %PDF-1.6 % P.O. M-F As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. CareFirst contracts with Third Party Administrators to the Network claims product. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. HCP Login. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. This team is diligent and kind. 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! The original entity of Zenith American Solutions has been in business since 1944. . For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. Cigna. 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. 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 American Plan Administrators. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. 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. Contact; Log In; Hit enter to search or ESC to close. 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. o Each card also includes the paper and electronic claims submission addresses. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. P.O. 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. Changes made will not be reflected on all impacted systems for up to 2 business days. Electronically Electronic/Payor ID: 50114. Title Claims Contact. The team uses PMI standards and project management tools along with IT industry best practices. The new PAI provider portal is going live. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. Home; About; Advantages; Solutions/Services; Resources; Contact us Corporate Headquarters. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C Zenith Insurance Company If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. There are two easy ways to submit claims to Sana. By Mail Sana Benefits Claims P.O. 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 Columbia, SC 29260. d '7y[ f| m x06w a>g PAI will not require that you repay the refund until PAI has concluded its review. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Employees. The cost of healthcare continues to grow at an unsustainable pace. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. P.O. Access your online portal usingthis form. If you are a participating CompNet provider seeking to manage addresses and . 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 Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM You will need an Employer ID when you register. 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. 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. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. This team was incredibly patient, kind, and helpful. 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 Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. Notice of Privacy. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: You will receive a response within 2 business days. Driving Directions. 1268 0 obj <>stream ABA is committed and confident it will provide the same level of service. All rights reserved. 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. Need answers now? PO Box 804238 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. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. 24 hours a day, 365 days a year. 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. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. 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. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. 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 Fax: 406-652-5380. Participant Inquiries: cobra@americanbenefitadministrators.com SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. %PDF-1.6 % 2018 Zenith American Solutions, Inc. All Rights Reserved. Its almost here! We will quickly get back to you with the information you need. Dental Claims. 1.800.426.9786. %%EOF Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. Several payers that DO receive claims electronically have been placed on this list for having poor services available. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. 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 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. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; Access the link below for easy-to-use claim filing. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k 83 0 obj <> endobj endstream endobj startxref Zenith Insurance Company For further information, please contact the precertification number located on the members identification card. Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. 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) Please use the form below to contact AMA Insurance. Please contact the TPA with questions on these topics. Phone Number. 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? Employees. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. 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. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday PAI will not require that you repay the refund until PAI has concluded its review. 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 Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. 3333 Hesper Road 6:00 a.m. 8:00 p.m. MST, Corporate Office (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . For assistance with portal registration or portal password assistance, please call 877-777-0031. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK Receiving illegal calls claiming to be from American Benefits Group? There you will find answers to common questions, details about your plan, and much more. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Attention: Refund Analyst megamenu1. . Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. 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. Take control of your benefits. %%EOF Box 380844 Staff Photography by Jessica Marie Photography Inc. 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. We appreciate hearing from you. PO Box 182223. Please refer to the members identification card to determine the applicable network. P.O. 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: We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. The original entity of Zenith American Solutions has been in business since 1944. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. I was very impressed with American Benefits Group after separation from my employer. 2022 Employee Benefit Management Services, LLC. December 2020. 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. Box 6927 Claims paid under PSIP Program are subject to county audit. Please Be Advised. This field is for validation purposes and should be left unchanged. 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. Prior authorization varies from group to group. Toll Free: 718-834-1256. 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. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 7:00 a.m. 8:00 p.m. MST, Monday-Thursday As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. Phonee: 718-625-6300. Its not easy to accomplish but it has been my experience and I am very grateful.". View Map, Employee BenefitManagement Services For general assistance, please call your Client Services representative or your Customer Care team. 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 Hours: 7:00 a.m. 6:00 p.m CST. 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. endstream endobj startxref Medical Claims. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. AMERICAN INSURANCE ADMINISTRATORS. Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) (888) 505-7724 updates@sbmamec.com *Out-of-network form submission deadlines may vary by plan. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. 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.