About Us; Contact; Helpful Links; Online Forms; Coordination of . Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: Benefits administration is a difficult, increasingly complex business. megamenu1. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. 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. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Please forward your refund repayments to: ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK 6:00 a.m. 8:00 p.m. MST, Corporate Office Receiving illegal calls claiming to be from American Benefits Group? Columbia, SC 29260. 0
We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. 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. If youre interested in improving your benefit plan and improving lives, drop us a line. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. View Map, Employee BenefitManagement Services Birmingham, AL 35238, 2023 American Benefit Administrators. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. 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. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. Copyright 2016 AMA Insurance, Inc. All rights reserved. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. 2023 Planned Administrators Inc. All rights reserved. The original entity of Zenith American Solutions has been in business since 1944. Its almost here! If you are a participating CompNet provider seeking to manage addresses and . Access the link below for easy-to-use claim filing. PAI
AMA Insurance Agency, Inc. For general assistance, please call your Client Services representative or your Customer Care team. If you use the EDGE portal, additional login information can be found on theEDGE Hub. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. 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. Preferred Network Arrangements. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. By Mail Sana Benefits Claims P.O. 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. d
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m x06w a>g Attention: Refund Analyst Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM 7:00 a.m. 8:00 p.m. MST, Monday-Thursday . Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. 2023 Planned Administrators Inc. All rights reserved. This is nothing new; however, this is a good time to remind everyone of the feature. First American Financial Corporation 1 First American Way Santa Ana, California 92707. endstream
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1200 WILSHIRE BLVD-5TH FLOOR. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. For general inquiries or to file a claim, visit our Submitting a Claim page. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. All Rights Reserved. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. 152 0 obj
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SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. PAI P.O. Box 380844 Try taking a look at our Frequently Asked Questions page. Box 6927 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. Billings MT 59102 Cigna. Corporate Headquarters. All rights reserved. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. Several payers that DO receive claims electronically have been placed on this list for having poor services available. For assistance with portal registration or portal password assistance, please call 877-777-0031. Chattanooga, TN 37422-7223. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k
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. 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. Need answers now? 1254 0 obj
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This team was incredibly patient, kind, and helpful. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. 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? Media Relations Contact. Fax: 406-652-5380. Contact; Log In; Hit enter to search or ESC to close. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. 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. 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 contact the TPA with questions on these topics. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. 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: PRAC Bulletin. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. Please refer to the members identification card to determine the applicable network. Box 855 Arnold, MD 21012 The new PAI provider portal is going live. Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson This team is diligent and kind. mZbqEm2dU1 (RtzEowwz{nZ/L++P@,*,&yiPQ9{KYp*GiERa&pS0\,fta1 kptdt
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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 American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. 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. (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. I respect a service team that does what they say theyre going to do with quality! 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. 0
PO Box 182223. Phonee: 718-625-6300. o Each card also includes the paper and electronic claims submission addresses. Electronically Electronic/Payor ID: 50114. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. 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. Toll Free: 718-834-1256. Please Be Advised. 1229 0 obj
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Van Nuys, CA 91409-9055, Other States: 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 The team uses PMI standards and project management tools along with IT industry best practices. There are two easy ways to submit claims to Sana. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. 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. 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. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. Its not easy to accomplish but it has been my experience and I am very grateful.". Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . Take control of your benefits. %%EOF
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 . You would need to reimburse yourself and then pay your provider directly. Chicago, IL 60680-4104. You will receive a response within 2 business days. HCP Login. I was very impressed with American Benefits Group after separation from my employer. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. 2018 Zenith American Solutions, Inc. All Rights Reserved. Participant Inquiries: cobra@americanbenefitadministrators.com Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . hYkO+-*T}B1ha4.$&&v,~SU $g )_xULXI0e21kF&W#q?JNOdilQ1&hWg
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Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. You will need an Employer ID when you register. 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. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday 18 Heyward St. Brooklyn, NY 11249. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. Medical Claims. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Prior authorization varies from group to group. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. Phone: 800-777-3575 Please use the form below to contact AMA Insurance. 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. We offer a state-of-the art member portal to help you make the most of your health benefits. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us 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) Toll Free: 866.742.4900 Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. Its almost here! Register at launch to take advantage of the enhanced functionality launch date will be announced soon. The cost of healthcare continues to grow at an unsustainable pace. (888) 505-7724 updates@sbmamec.com 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. 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. Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. 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. %PDF-1.6
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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. Try taking a look at our. . Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. endstream
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<. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit We appreciate hearing from you. Zenith Insurance Company View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. Notice of Privacy. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. 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 As a health care provider, you are an integral part of our team. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. Box 9055 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. Hours: 7:00 a.m. 6:00 p.m CST. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. Log in to your account to confirm your specific . Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. New User?Please click here to register. 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 1-800-303-5242. P.O. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . M-F American Plan Administrators - Contact us. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. 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