Provider Address Change Fax an updated W-9 to (803) 264-9089 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) 7:00 a.m. 8:00 p.m. MST, Monday-Thursday 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. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK endstream endobj startxref hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C American Plan Administrators - Overview, News & Competitors - ZoomInfo Providers | Planned Administrators Inc. (PAI) Box 380844 Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. PDF Payer Connection Payer List 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. Columbia, SC 29260. (888) 505-7724 updates@sbmamec.com Staff Photography by Jessica Marie Photography Inc. Toll Free: 866.742.4900 Access your online portal usingthis form. Title Claims Contact. 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. 1200 WILSHIRE BLVD-5TH FLOOR. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. Cigna. PDF Network Prefix List - CareFirst Provider MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. %PDF-1.6 % Phone: 800-777-3575 All rights reserved. 18 Heyward St. Brooklyn, NY 11249. Customized Solutions for Third Party Administrators | Cigna 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 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. %%EOF Also, customers and vendors may be requested to provide electronic payment options for invoices. Please forward your refund repayments to: 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. Chattanooga, TN 37422-7223. Notice of Privacy. 2023 Planned Administrators Inc. All rights reserved. For general assistance, please call your Client Services representative or your Customer Care team. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC 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 Welcome to American Plan Administrators Fax: 406-652-5380. First American Financial Corporation 1 First American Way Santa Ana, California 92707. 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. The team uses PMI standards and project management tools along with IT industry best practices. PSIP Reimbursement Rates for 2020/ . Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: Medical Claims. 83 0 obj <> endobj Contact Us For Information on Benefit Plan Administration | EBMS I was very impressed with American Benefits Group after separation from my employer. 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 CareFirst contracts with Third Party Administrators to the Network claims product. 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. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. 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. Try taking a look at our. HCP Login. 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 Its not easy to accomplish but it has been my experience and I am very grateful.". ABA is committed and confident it will provide the same level of service. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. 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. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. Phone Number. We appreciate hearing from you. Contact the Customer Service number on the member ID card if you need assistance. 1268 0 obj <>stream EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. Electronically Electronic/Payor ID: 50114. All Rights Reserved. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. 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. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. endstream endobj 1230 0 obj <. Van Nuys, CA 91409-9055, Other States: Email: sales@americanbenefitadministrators.com, American Benefit Administrators 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: PO Box 182223. Contact Us - American Benefit Administrators PAI P.O. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. The cost of healthcare continues to grow at an unsustainable pace. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address . AMERICAN INSURANCE ADMINISTRATORS. Please Be Advised. For further information, please contact the precertification number located on the members identification card. 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 You would need to reimburse yourself and then pay your provider directly. Home; About; Advantages; Solutions/Services; Resources; Contact us Driving Directions. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. Provider Contacts and Billing Information - TheZenith Need answers now? 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 Box 6927 megamenu1. This team is diligent and kind. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. 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 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. Please contact the TPA with questions on these topics. 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 Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. %PDF-1.6 % Access the link below for easy-to-use claim filing. 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. Claims paid under PSIP Program are subject to county audit. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; PO Box 804238 Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. 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 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 Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. This is nothing new; however, this is a good time to remind everyone of the feature. 1-800-303-5242. You will need an Employer ID when you register. Providers - Group Administrators Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. 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. If youre interested in improving your benefit plan and improving lives, drop us a line. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. 2009-2023 Zenith Insurance Company. P.O. 1 (800) 244-6224. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us This field is for validation purposes and should be left unchanged. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. Contact Us | Customer Service | Cigna Benefits administration is a difficult, increasingly complex business. 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. d '7y[ f| m x06w a>g There you will find answers to common questions, details about your plan, and much more. Zenith Insurance Company PAI General Assistance - Zenith American Media Relations Contact. 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. Changes made will not be reflected on all impacted systems for up to 2 business days. You will receive a response within 2 business days. We are proud to offer our own unique Claims processing and Benefit administration solutions. New User?Please click here to register. The original entity of Zenith American Solutions has been in business since 1944. 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 refer to the members identification card to determine the applicable network. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. P.O. Phonee: 718-625-6300. Contact Us | First American American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. %%EOF CHCP - Resources - Active Accounts - Cigna 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. American Plan Administrators - Contact us. Contact Us | AMA Insurance Provider Portal Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. These tools focus on quality and ensuring the best possible end result for each and every user. Contact | American Insurance Administrators Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. We will quickly get back to you with the information you need. (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. 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. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. Participant Support:support@americanbenefitadministrators.com Home - Zenith American 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 strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. Submitting a Claim - Sana Benefits To request reimbursement, please complete and sign the itemized claim form. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. If you use the EDGE portal, additional login information can be found on theEDGE Hub. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. Planned Administrators Inc. (PAI) As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. Fax an updated W-9 to (803) 264-9089 Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments.