american plan administrators claim mailing address

Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. Please refer to the members identification card to determine the applicable network. 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. Attention: Refund Analyst New User?Please click here to register. Chattanooga, TN 37422-7223. PAI will not require that you repay the refund until PAI has concluded its review. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM 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 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. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday The team uses PMI standards and project management tools along with IT industry best practices. There you will find answers to common questions, details about your plan, and much more. ABA is committed and confident it will provide the same level of service. Cigna shares the administration of the plan with a third party. 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. . These tools focus on quality and ensuring the best possible end result for each and every user. 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. . PRAC Bulletin. 2023 Planned Administrators Inc. All rights reserved. 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. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC 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. PAI P.O. 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 Or you can request a meeting on a specific topic, CLICK HERE to schedule. If you use the EDGE portal, additional login information can be found on theEDGE Hub. PAI Box 1558 Helping You Provide The Best Possible Care. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. 1268 0 obj <>stream Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. Phone Number. The new PAI provider portal is going live. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. Driving Directions. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. 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. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. All rights reserved. Participant Inquiries: cobra@americanbenefitadministrators.com 1200 WILSHIRE BLVD-5TH FLOOR. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Receiving illegal calls claiming to be from American Benefits Group? 24 hours a day, 365 days a year. 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 If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. M-F remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address Also, customers and vendors may be requested to provide electronic payment options for invoices. As a health care provider, you are an integral part of our team. P.O. Changes made will not be reflected on all impacted systems for up to 2 business days. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: PO Box 804238 Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. American Plan Administrators. 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 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. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; Please use the form below to contact AMA Insurance. Phonee: 718-625-6300. AMERICAN INSURANCE ADMINISTRATORS. 2018 Zenith American Solutions, Inc. All Rights Reserved. Please Be Advised. LOS ANGELES, CA 90017-1906. P.O. 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. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. 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. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . Fill out our Request for Proposal Form. The original entity of Zenith American Solutions has been in business since 1944. I respect a service team that does what they say theyre going to do with quality! 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. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 For further information, please contact the precertification number located on the members identification card. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. You would need to reimburse yourself and then pay your provider directly. *Out-of-network form submission deadlines may vary by plan. Zenith Insurance Company 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. 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. P.O. Home; About; Advantages; Solutions/Services; Resources; Contact us 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 Email: sales@americanbenefitadministrators.com, American Benefit Administrators Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Chicago, IL 60680-4104. 0 83 0 obj <> endobj Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. Take control of your benefits. Toll Free: 718-834-1256. You will need an Employer ID when you register. 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 Hours: 7:00 a.m. 6:00 p.m CST. 1 (800) 244-6224. This field is for validation purposes and should be left unchanged. 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 To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. Cigna. AMA Insurance Agency, Inc. Preferred Network Arrangements. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. 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. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. We appreciate hearing from you. 2022 Employee Benefit Management Services, LLC. The new PAI provider portal is going live. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. P.O. 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. I was very impressed with American Benefits Group after separation from my employer. Billings MT 59102 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 You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. View Map, Employee BenefitManagement Services Login to your account. Corporate Headquarters. American Plan Administrators - Contact us. Columbia, SC 29260. 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. As may vary by group, please call the phone number listed on the member ID card. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. 1-800-303-5242. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. 2009-2023 Zenith Insurance Company. Please forward your refund repayments to: CareFirst contracts with Third Party Administrators to the Network claims product. Cigna. 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) d '7y[ f| m x06w a>g For general inquiries or to file a claim, visit our Submitting a Claim page. Its almost here! Need answers now? Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. Zenith Insurance Company The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday Benefits administration is a difficult, increasingly complex business. By Mail Sana Benefits Claims P.O. %%EOF 152 0 obj <>stream Medical Claims. Try taking a look at our Frequently Asked Questions page. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . We are proud to offer our own unique Claims processing and Benefit administration solutions. 18 Heyward St. Brooklyn, NY 11249. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 Toll Free: 866.742.4900 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. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C endstream endobj 1230 0 obj <. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK 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. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Its almost here! 1.800.426.9786. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. 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 . 6:00 a.m. 8:00 p.m. MST, Corporate Office Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. If you are a participating CompNet provider seeking to manage addresses and . %PDF-1.6 % 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. There are two easy ways to submit claims to Sana. Access the link below for easy-to-use claim filing. This team is diligent and kind. 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. You will receive a response within 2 business days. Notice of Privacy. %PDF-1.6 % December 2020. PO Box 182223. 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 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: Its not easy to accomplish but it has been my experience and I am very grateful.". Title Claims Contact. 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 strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. For assistance with portal registration or portal password assistance, please call 877-777-0031. 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. Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson (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. Box 380844 If youre interested in improving your benefit plan and improving lives, drop us a line. 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. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190.