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 2023 American Benefits Group. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. SBMA Benefits PDF Cigna Payer Solutions Active Accounts Update - MemberClicks Register at launch to take advantage of the enhanced functionality launch date will be announced soon. %%EOF
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. P.O. You will receive a response within 2 business days. Take control of your benefits. All rights reserved. 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. As may vary by group, please call the phone number listed on the member ID card. 2018 Zenith American Solutions, Inc. All Rights Reserved. The new PAI provider portal is going live. 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. CHCP - Resources - Active Accounts - Cigna PSIP Reimbursement Rates for 2020/ . PAI (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. Chattanooga, TN 37422-7223. AMERICAN INSURANCE ADMINISTRATORS. The team uses PMI standards and project management tools along with IT industry best practices. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM 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. How To File A Claim - American Benefits Group - amben.com 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. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . Contact; Log In; Hit enter to search or ESC to close. Title Claims Contact. Box 9055 This team was incredibly patient, kind, and helpful. To request reimbursement, please complete and sign the itemized claim form. PAI will not require that you repay the refund until PAI has concluded its review. Please refer to the members identification card to determine the applicable network. Its almost here! Access your online portal usingthis form. 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: Staff Photography by Jessica Marie Photography Inc. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. Cigna shares the administration of the plan with a third party. 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. mZbqEm2dU1 (RtzEowwz{nZ/L++P@,*,&yiPQ9{KYp*GiERa&pS0\,fta1 kptdt
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The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. Contact the Customer Service number on the member ID card if you need assistance. Phone Number. American Plan Administrators - Overview, News & Competitors - ZoomInfo 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. Media Relations Contact. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 0
Claims paid under PSIP Program are subject to county audit. Box 6927 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 need an Employer ID when you register. Changes made will not be reflected on all impacted systems for up to 2 business days. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. 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. This team is diligent and kind. 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) M-F Preferred Network Arrangements. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . Planned Administrators Inc. (PAI) The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. I respect a service team that does what they say theyre going to do with quality! endstream
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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? All Rights Reserved. For general inquiries or to file a claim, visit our Submitting a Claim page. Fax an updated W-9 to (803) 264-9089 Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit 83 0 obj
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2023 Planned Administrators Inc. All rights reserved. Its not easy to accomplish but it has been my experience and I am very grateful.". MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. Provider Contacts and Billing Information - TheZenith Please use the form below to contact AMA Insurance. There you will find answers to common questions, details about your plan, and much more. 1-800-303-5242. Columbia, SC 29260. If you use the EDGE portal, additional login information can be found on theEDGE Hub. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. 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. As a health care provider, you are an integral part of our team. Notice of Privacy. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1
Toll Free: 866.742.4900 Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. 0
First American Financial Corporation 1 First American Way Santa Ana, California 92707. Several payers that DO receive claims electronically have been placed on this list for having poor services available. There are two easy ways to submit claims to Sana. 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. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k
Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims 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. PAI will not require that you repay the refund until PAI has concluded its review. PO Box 804238 Please forward your refund repayments to: The original entity of Zenith American Solutions has been in business since 1944. We will quickly get back to you with the information you need. 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 PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us 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. Chicago, IL 60680-4104. Log in to your account to confirm your specific . remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address 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. Participant Inquiries: cobra@americanbenefitadministrators.com Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Cigna. hYkO+-*T}B1ha4.$&&v,~SU $g )_xULXI0e21kF&W#q?JNOdilQ1&hWg
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Providers | Planned Administrators Inc. (PAI) 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. 1.800.426.9786. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. PDF Network Prefix List - CareFirst Provider View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC Providers - Group Administrators Employees. 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. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. Customized Solutions for Third Party Administrators | Cigna They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. o Each card also includes the paper and electronic claims submission addresses. 152 0 obj
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*Out-of-network form submission deadlines may vary by plan. We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. megamenu1. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. Providers | EBPA As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. Provider Claim Submission to APWU Health Plan - apwuhp.com Employees. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. %PDF-1.6
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The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Phonee: 718-625-6300. 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
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Phone: 800-777-3575 Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Try taking a look at our Frequently Asked Questions page. 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. endstream
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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 submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. Electronically Electronic/Payor ID: 50114. Attention: Refund Analyst 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 HCP Login. Contact Us | First American Email: sales@americanbenefitadministrators.com, American Benefit Administrators 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. Zenith Insurance Company 7:00 a.m. 8:00 p.m. MST, Monday-Thursday View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. Its almost here! Please Be Advised. Submitting a Claim - Sana Benefits 18 Heyward St. Brooklyn, NY 11249. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. 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 Dental Claims. P.O. North America Administrators - Lucent Health 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 Birmingham, AL 35238, 2023 American Benefit Administrators. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: 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. American Plan Adminstrators | Better Business Bureau Profile For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Fill out our Request for Proposal Form. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. P.O. Toll Free: 866.742.4900 Also, customers and vendors may be requested to provide electronic payment options for invoices. If youre interested in improving your benefit plan and improving lives, drop us a line. These tools focus on quality and ensuring the best possible end result for each and every user. LOS ANGELES, CA 90017-1906. . o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. %%EOF
1 (800) 244-6224. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. Hours: 7:00 a.m. 6:00 p.m CST. american plan administrators claim mailing address This field is for validation purposes and should be left unchanged. Provider Address Change Fax an updated W-9 to (803) 264-9089 3333 Hesper Road For assistance with portal registration or portal password assistance, please call 877-777-0031. d
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m x06w a>g Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. General Assistance - Zenith American 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. Login to your account. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. 2009-2023 Zenith Insurance Company. If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. Billings MT 59102 Out of network claims - EyeMed Vision Benefits New User?Please click here to register. Box 855 Arnold, MD 21012 For further information, please contact the precertification number located on the members identification card. For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. endstream
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<. Home; About; Advantages; Solutions/Services; Resources; Contact us Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday Contact | American Insurance Administrators 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. Need answers now? Home - Zenith American 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 . We are proud to offer our own unique Claims processing and Benefit administration solutions. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. 119 0 obj
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The original entity of Zenith American Solutions has been in business since 1944. Prior authorization varies from group to group. 2023 Planned Administrators Inc. All rights reserved. I was very impressed with American Benefits Group after separation from my employer. American Plan Administrators. Benefits administration is a difficult, increasingly complex business. Medical Claims. About Us; Contact; Helpful Links; Online Forms; Coordination of . 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. Fax: 406-652-5380. (888) 505-7724 updates@sbmamec.com . Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. Driving Directions. Van Nuys, CA 91409-9055, Other States: Contact Us | AMA Insurance Provider Portal 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. PO Box 182223. 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. Box 1558 PDF VISION OUT-OF-NETWORK CLAIM FORM Claim submissions made easy
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