american plan administrators claim mailing address

Columbia, SC 29260. 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. 6:00 a.m. 8:00 p.m. MST, Corporate Office LOS ANGELES, CA 90017-1906. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. Zenith Insurance Company Contact; Log In; Hit enter to search or ESC to close. 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 1 (800) 244-6224. Corporate Headquarters. This is nothing new; however, this is a good time to remind everyone of the feature. For general inquiries or to file a claim, visit our Submitting a Claim page. The new PAI provider portal is going live. 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. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. 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. Box 380844 This team was incredibly patient, kind, and helpful. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. For further information, please contact the precertification number located on the members identification card. 0 Please Be Advised. 152 0 obj <>stream 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 meets the requirements and is authorized to administer business in all 50 states and serves all group markets. 1-800-303-5242. 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. Box 9055 We offer a state-of-the art member portal to help you make the most of your health benefits. 24 hours a day, 365 days a year. I respect a service team that does what they say theyre going to do with quality! 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. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. If you are a participating CompNet provider seeking to manage addresses and . 2009-2023 Zenith Insurance Company. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. Toll Free: 866.742.4900 By Mail Sana Benefits Claims P.O. If you use the EDGE portal, additional login information can be found on theEDGE Hub. 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: 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 Copyright 2016 AMA Insurance, Inc. All rights reserved. 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 Van Nuys, CA 91409-9055, Other States: As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Medical Claims. Several payers that DO receive claims electronically have been placed on this list for having poor services available. Also, customers and vendors may be requested to provide electronic payment options for invoices. Access the link below for easy-to-use claim filing. 1229 0 obj <> endobj The cost of healthcare continues to grow at an unsustainable pace. Receiving illegal calls claiming to be from American Benefits Group? Take control of your benefits. Preferred Network Arrangements. Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson Chattanooga, TN 37422-7223. 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. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK For assistance with portal registration or portal password assistance, please call 877-777-0031. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us Log in to your account to confirm your specific . Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: The original entity of Zenith American Solutions has been in business since 1944. Media Relations Contact. The original entity of Zenith American Solutions has been in business since 1944. 3333 Hesper Road Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. Please use the form below to contact AMA Insurance. 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) 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. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. American Plan Administrators - Contact us. 1.800.426.9786. Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. endstream endobj 1230 0 obj <. 0 83 0 obj <> endobj (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. Changes made will not be reflected on all impacted systems for up to 2 business days. Box 1558 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. The new PAI provider portal is going live. %PDF-1.6 % If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. First American Financial Corporation 1 First American Way Santa Ana, California 92707. 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 PO Box 182223. AMA Insurance Agency, Inc. If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. Phonee: 718-625-6300. 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. 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 Hours: 7:00 a.m. 6:00 p.m CST. 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 M-F Access your online portal usingthis form. Fill out our Request for Proposal Form. Prior authorization varies from group to group. You will receive a response within 2 business days. Title Claims Contact. Phone Number. 1268 0 obj <>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. We are proud to offer our own unique Claims processing and Benefit administration solutions. 2023 Planned Administrators Inc. All rights reserved. To request reimbursement, please complete and sign the itemized claim form. You would need to reimburse yourself and then pay your provider directly. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. %%EOF %%EOF Chicago, IL 60680-4104. 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. 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 We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. o Each card also includes the paper and electronic claims submission addresses. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: There are two easy ways to submit claims to Sana. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address Email: sales@americanbenefitadministrators.com, American Benefit Administrators Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit 2022 Employee Benefit Management Services, LLC. PO Box 804238 Cigna. Try taking a look at our Frequently Asked Questions page. This team is diligent and kind. You will need an Employer ID when you register. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. Or you can request a meeting on a specific topic, CLICK HERE to schedule. Login to your account. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday 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. Helping You Provide The Best Possible Care. 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 . I was very impressed with American Benefits Group after separation from my employer. Try taking a look at our. 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. As a health care provider, you are an integral part of our team. Home; About; Advantages; Solutions/Services; Resources; Contact us You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. Notice of Privacy. December 2020. 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 Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. 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. Box 6927 Staff Photography by Jessica Marie Photography Inc. PAI Its almost here! The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Need answers now? Register at launch to take advantage of the enhanced functionality launch date will be announced soon. PAI will not require that you repay the refund until PAI has concluded its review. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. 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. 18 Heyward St. Brooklyn, NY 11249. HCP Login. (888) 505-7724 updates@sbmamec.com Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. Zenith Insurance Company Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Employees. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. . 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 2023 American Benefits Group. 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. 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 We will quickly get back to you with the information you need. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. Electronically Electronic/Payor ID: 50114. . Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. We appreciate hearing from you. 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. 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. 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 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 PRAC Bulletin. Employees. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Driving Directions. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. CareFirst contracts with Third Party Administrators to the Network claims product. Billings MT 59102 Register at launch to take advantage of the enhanced functionality launch date will be announced soon. These tools focus on quality and ensuring the best possible end result for each and every user. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. Phone: 800-777-3575 d '7y[ f| m x06w a>g There you will find answers to common questions, details about your plan, and much more. Fax: 406-652-5380. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. PAI will not require that you repay the refund until PAI has concluded its review. AMERICAN INSURANCE ADMINISTRATORS. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. Participant Inquiries: cobra@americanbenefitadministrators.com Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. megamenu1. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. Its not easy to accomplish but it has been my experience and I am very grateful.". Birmingham, AL 35238, 2023 American Benefit Administrators. About Us; Contact; Helpful Links; Online Forms; Coordination of . Benefits administration is a difficult, increasingly complex business. 1200 WILSHIRE BLVD-5TH FLOOR. SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. American Plan Administrators. endstream endobj startxref 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. 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. Contact the Customer Service number on the member ID card if you need assistance. New User?Please click here to register. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k This field is for validation purposes and should be left unchanged. The team uses PMI standards and project management tools along with IT industry best practices. As may vary by group, please call the phone number listed on the member ID card. endstream endobj startxref Provider Address Change Fax an updated W-9 to (803) 264-9089 %PDF-1.6 % Box 855 Arnold, MD 21012 Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; 2018 Zenith American Solutions, Inc. All Rights Reserved. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. 2023 Planned Administrators Inc. All rights reserved. P.O. 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 Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. 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. All Rights Reserved. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. Cigna shares the administration of the plan with a third party. Participant Support:support@americanbenefitadministrators.com Need answers now? As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. 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 $5.2M Industry Insurance Is this data correct? All rights reserved. Cigna. *Out-of-network form submission deadlines may vary by plan. Fax an updated W-9 to (803) 264-9089 P.O. Attention: Refund Analyst Business Profile American Plan Adminstrators Health Savings Administrators Contact Information 18 Heyward Street Brooklyn, NY 11249-9210 Visit Website Email this Business (718) 625-6300. When you incur a reimbursable expense and are ready to file a claim you can do one of the following: Securely Email: claims@amben.com - sendsecure.amben.com. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. Please refer to the members identification card to determine the applicable network. General Liability Notice of Occurrence/Claim, Glossary of Health Coverage & Medical Terms, Self Funded Health Benefit Administration, Property and Casualty Administrative Services, Non-Discrimination Statement and Foreign Language Access, CAA Transparency in Coverage + Machine Readable Files, Your Rights and Protections Against Surprise Medical Bills. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C PAI P.O. P.O. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability.

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