152 0 obj <>stream Contact the Customer Service number on the member ID card if you need assistance. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. 2023 Planned Administrators Inc. All rights reserved. Attention: Refund Analyst Medical Claims. I was very impressed with American Benefits Group after separation from my employer. M-F 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. 2009-2023 Zenith Insurance Company. %%EOF 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. 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 0 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? We appreciate hearing from you. Prior authorization varies from group to group. 18 Heyward St. Brooklyn, NY 11249. For further information, please contact the precertification number located on the members identification card. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. 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. 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. 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. Toll Free: 866.742.4900 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. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit Notice of Privacy. Take control of your benefits. Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. 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. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. PAI will not require that you repay the refund until PAI has concluded its review. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. PO Box 182223. Employees. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. Email: sales@americanbenefitadministrators.com, American Benefit Administrators For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. American Plan Administrators. 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. 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 EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. Zenith Insurance Company endstream endobj startxref 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 Columbia, SC 29260. As may vary by group, please call the phone number listed on the member ID card. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Need answers now? Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. Try taking a look at our. The new PAI provider portal is going live. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. 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. Billings MT 59102 EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. 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. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. Driving Directions. Box 6927 Toll Free: 866.742.4900 (888) 505-7724 updates@sbmamec.com 1 (800) 244-6224. If you use the EDGE portal, additional login information can be found on theEDGE Hub. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. As a health care provider, you are an integral part of our team. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: Helping You Provide The Best Possible Care. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. 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 Frequently Asked Questions page. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. Box 855 Arnold, MD 21012 The original entity of Zenith American Solutions has been in business since 1944. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 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. Several payers that DO receive claims electronically have been placed on this list for having poor services available. 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 We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k Participant Support:support@americanbenefitadministrators.com There are two easy ways to submit claims to Sana. Media Relations Contact. 1-800-303-5242. . By Mail Sana Benefits Claims P.O. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. We are proud to offer our own unique Claims processing and Benefit administration solutions. 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. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C 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 Title Claims Contact. PSIP Reimbursement Rates for 2020/ . Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. AMA Insurance Agency, Inc. CareFirst contracts with Third Party Administrators to the Network claims product. 2022 Employee Benefit Management Services, LLC. Please use the form below to contact AMA Insurance. All rights reserved. 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: We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. You will receive a response within 2 business days. 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 6:00 a.m. 8:00 p.m. MST, Corporate Office P.O. Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) endstream endobj startxref The new PAI provider portal is going live. P.O. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. We offer a state-of-the art member portal to help you make the most of your health benefits. 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 company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. All Rights Reserved. Copyright 2016 AMA Insurance, Inc. All rights reserved. Electronically Electronic/Payor ID: 50114. There you will find answers to common questions, details about your plan, and much more. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: Please Be Advised. 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 megamenu1. Claims paid under PSIP Program are subject to county audit. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. 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 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) We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. AMERICAN INSURANCE ADMINISTRATORS. 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 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 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. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; You would need to reimburse yourself and then pay your provider directly. This field is for validation purposes and should be left unchanged. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. Phone: 800-777-3575 PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. 2023 American Benefits Group. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. 83 0 obj <> endobj Chattanooga, TN 37422-7223. Please contact the TPA with questions on these topics. MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. Preferred Network Arrangements. If youre interested in improving your benefit plan and improving lives, drop us a line. Phonee: 718-625-6300. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. New User?Please click here to register. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK I respect a service team that does what they say theyre going to do with quality! 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. 3333 Hesper Road 1.800.426.9786. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC Fax an updated W-9 to (803) 264-9089 *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. 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. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. Box 1558 %PDF-1.6 % Log in to your account to confirm your specific . To request reimbursement, please complete and sign the itemized claim form. First American Financial Corporation 1 First American Way Santa Ana, California 92707. Fax: 406-652-5380. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . P.O. We will quickly get back to you with the information you need. 1229 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. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. 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. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. 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. Its almost here! Box 380844 For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. 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 have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. PRAC Bulletin. 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. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. Its not easy to accomplish but it has been my experience and I am very grateful.". Hours: 7:00 a.m. 6:00 p.m CST. This is nothing new; however, this is a good time to remind everyone of the feature. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. %%EOF Register at launch to take advantage of the enhanced functionality launch date will be announced soon. PO Box 804238 d '7y[ f| m x06w a>g 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 Corporate Headquarters. P.O. 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 Benefits administration is a difficult, increasingly complex business. 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 This team was incredibly patient, kind, and helpful. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday Access your online portal usingthis form. PAI Staff Photography by Jessica Marie Photography Inc. 1200 WILSHIRE BLVD-5TH FLOOR. Fill out our Request for Proposal Form. *Out-of-network form submission deadlines may vary by plan. Chicago, IL 60680-4104. 1268 0 obj <>stream Cigna. 2018 Zenith American Solutions, Inc. All Rights Reserved. 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 . 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. Need answers now? PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us About Us; Contact; Helpful Links; Online Forms; Coordination of . 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. December 2020. Provider Address Change Fax an updated W-9 to (803) 264-9089 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.
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