2018 Zenith American Solutions, Inc. All Rights Reserved. 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 PAI Box 380844 ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday There you will find answers to common questions, details about your plan, and much more. This team is diligent and kind. 2009-2023 Zenith Insurance Company. As a health care provider, you are an integral part of our team. Fax an updated W-9 to (803) 264-9089 Participant Support:support@americanbenefitadministrators.com 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. Chicago, IL 60680-4104. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. Chattanooga, TN 37422-7223. Its not easy to accomplish but it has been my experience and I am very grateful.". LOS ANGELES, CA 90017-1906. Contact; Log In; Hit enter to search or ESC to close. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C 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. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. 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. There are two easy ways to submit claims to Sana. December 2020. 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. 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. 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. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. Staff Photography by Jessica Marie Photography Inc. Log in to your account to confirm your specific . Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. 1-800-303-5242. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. 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. Title Claims Contact. First American Financial Corporation 1 First American Way Santa Ana, California 92707. Contact the Customer Service number on the member ID card if you need assistance. 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. 2022 Employee Benefit Management Services, LLC. 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 questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. %%EOF CareFirst contracts with Third Party Administrators to the Network claims product. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. 2023 American Benefits Group. The original entity of Zenith American Solutions has been in business since 1944. Participant Inquiries: cobra@americanbenefitadministrators.com Phone Number. Phone: 800-777-3575 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: Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit Need answers now? If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. M-F View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC Toll Free: 1.800.854.3643 Local: 1.714.250.3000. Please refer to the members identification card to determine the applicable network. 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 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. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Benefits administration is a difficult, increasingly complex business. Claims paid under PSIP Program are subject to county audit. 0 SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. I was very impressed with American Benefits Group after separation from my employer. To request reimbursement, please complete and sign the itemized claim form. Fill out our Request for Proposal Form. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. Notice of Privacy. 0 As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. View Map, Employee BenefitManagement Services megamenu1. 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 Access the link below for easy-to-use claim filing. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. Box 855 Arnold, MD 21012 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. The team uses PMI standards and project management tools along with IT industry best practices. Several payers that DO receive claims electronically have been placed on this list for having poor services available. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address Preferred Network Arrangements. 2023 Planned Administrators Inc. All rights reserved. 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 We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. The new PAI provider portal is going live. 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. endstream endobj 1230 0 obj <. 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. 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 Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. %%EOF 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. Van Nuys, CA 91409-9055, Other States: Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. Corporate Headquarters. 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. 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 Cigna. 83 0 obj <> endobj You will need an Employer ID when you register. Its almost here! Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . PO Box 182223. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. Its almost here! . Electronically Electronic/Payor ID: 50114. PSIP Reimbursement Rates for 2020/ . MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. Also, customers and vendors may be requested to provide electronic payment options for invoices. Try taking a look at our Frequently Asked Questions page. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. For assistance with portal registration or portal password assistance, please call 877-777-0031. endstream endobj startxref Home; About; Advantages; Solutions/Services; Resources; Contact us Toll Free: 718-834-1256. For further information, please contact the precertification number located on the members identification card. These tools focus on quality and ensuring the best possible end result for each and every user. As may vary by group, please call the phone number listed on the member ID card. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . Email: sales@americanbenefitadministrators.com, American Benefit Administrators Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. %PDF-1.6 % Billings MT 59102 PAI P.O. 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 . Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. Please contact the TPA with questions on these topics. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: 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 American Plan Administrators - Contact us. 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 1.800.426.9786. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. (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. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. You will receive a response within 2 business days. Zenith Insurance Company This team was incredibly patient, kind, and helpful. You would need to reimburse yourself and then pay your provider directly. 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. Attention: Refund Analyst 24 hours a day, 365 days a year. HCP Login. 3333 Hesper Road hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 Login to your account. The cost of healthcare continues to grow at an unsustainable pace. d '7y[ f| m x06w a>g Or you can request a meeting on a specific topic, CLICK HERE to schedule. endstream endobj startxref PAI will not require that you repay the refund until PAI has concluded its review. Copyright 2016 AMA Insurance, Inc. All rights reserved. Zenith Insurance Company Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. 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. P.O. Need answers now? By Mail Sana Benefits Claims P.O. PRAC Bulletin. 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. 1 (800) 244-6224. I respect a service team that does what they say theyre going to do with quality! 18 Heyward St. Brooklyn, NY 11249. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. 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. . 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. 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. Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) 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 Toll Free: 866.742.4900 Cigna shares the administration of the plan with a third party. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. If you use the EDGE portal, additional login information can be found on theEDGE Hub. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. Please use the form below to contact AMA Insurance. 152 0 obj <>stream 7:00 a.m. 8:00 p.m. MST, Monday-Thursday Take control of your benefits. Columbia, SC 29260. If you are a participating CompNet provider seeking to manage addresses and . 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 $5.2M Industry Insurance Is this data correct? The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 We offer a state-of-the art member portal to help you make the most of your health benefits. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. Try taking a look at our. Cigna. 1268 0 obj <>stream Birmingham, AL 35238, 2023 American Benefit Administrators. 1200 WILSHIRE BLVD-5TH FLOOR. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. High Option APWU HP is primary payer All states and U.S. Virgin Islands CIGNA HealthCare PO Box 188004 Chattanooga, TN 37422 or Payer ID 62308 High Option APWU HP is primary payer U.S. Virgin Islands Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k This is nothing new; however, this is a good time to remind everyone of the feature. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. Driving Directions. PO Box 804238 Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools.