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 TPA's prior to the merger, but by combining . Helping You Provide The Best Possible Care. 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 % Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. 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. 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. 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. PO Box 804238 P.O. As may vary by group, please call the phone number listed on the member ID card. Also, customers and vendors may be requested to provide electronic payment options for invoices. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Chicago, IL 60680-4104. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: 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 As a health care provider, you are an integral part of our team. endstream endobj 1230 0 obj <. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. Billings MT 59102 We are proud to offer our own unique Claims processing and Benefit administration solutions. HCP Login. Cigna shares the administration of the plan with a third party. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. There you will find answers to common questions, details about your plan, and much more. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC (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. megamenu1. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. 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 . 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. Receiving illegal calls claiming to be from American Benefits Group? Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. You will need an Employer ID when you register. 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. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. For further information, please contact the precertification number located on the members identification card. Its almost here! 6:00 a.m. 8:00 p.m. MST, Corporate Office 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. 18 Heyward St. Brooklyn, NY 11249. 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. o Each card also includes the paper and electronic claims submission addresses. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. Or you can request a meeting on a specific topic, CLICK HERE to schedule. Email: sales@americanbenefitadministrators.com, American Benefit Administrators 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) 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? Box 1558 3333 Hesper Road Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. Its almost here! P.O. 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. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK Access your online portal usingthis form. Preferred Network Arrangements. If you use the EDGE portal, additional login information can be found on theEDGE Hub. By Mail Sana Benefits Claims P.O. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. I was very impressed with American Benefits Group after separation from my employer. Contact; Log In; Hit enter to search or ESC to close. %%EOF 2023 Planned Administrators Inc. All rights reserved. December 2020. Please Be Advised. Staff Photography by Jessica Marie Photography Inc. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. 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. 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 MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. Toll Free: 866.742.4900 American Plan Administrators. CareFirst contracts with Third Party Administrators to the Network claims product. Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson Login to your account. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address LOS ANGELES, CA 90017-1906. *Out-of-network form submission deadlines may vary by plan. PAI will not require that you repay the refund until PAI has concluded its review. Fill out our Request for Proposal Form. Try taking a look at our Frequently Asked Questions page. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. Media Relations Contact. 2022 Employee Benefit Management Services, LLC. Toll Free: 718-834-1256. Cigna. 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. 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. This team is diligent and kind. The cost of healthcare continues to grow at an unsustainable pace. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 Van Nuys, CA 91409-9055, Other States: Title Claims Contact. New User?Please click here to register. View Map, Employee BenefitManagement Services Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) . Driving Directions. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. PRAC Bulletin. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. 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. We appreciate hearing from you. All rights reserved. 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. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. You would need to reimburse yourself and then pay your provider directly. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. Need answers now? Need answers now? American Plan Administrators - Contact us. 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 First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. 0 endstream endobj startxref AMERICAN INSURANCE ADMINISTRATORS. Home; About; Advantages; Solutions/Services; Resources; Contact us All Rights Reserved. I respect a service team that does what they say theyre going to do with quality! Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. For assistance with portal registration or portal password assistance, please call 877-777-0031. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. The new PAI provider portal is going live. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. Take control of your benefits. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. Provider Address Change Fax an updated W-9 to (803) 264-9089 Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. For general assistance, please call your Client Services representative or your Customer Care team. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 Cigna. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. 152 0 obj <>stream PO Box 182223. 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. 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. d '7y[ f| m x06w a>g 1.800.426.9786. 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. 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. First American Financial Corporation 1 First American Way Santa Ana, California 92707. 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: Phone: 800-777-3575 Changes made will not be reflected on all impacted systems for up to 2 business days. If youre interested in improving your benefit plan and improving lives, drop us a line. Electronically Electronic/Payor ID: 50114. 1229 0 obj <> endobj hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; 1268 0 obj <>stream The original entity of Zenith American Solutions has been in business since 1944. Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . Participant Inquiries: cobra@americanbenefitadministrators.com Benefits administration is a difficult, increasingly complex business. 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. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. 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 Access the link below for easy-to-use claim filing. We offer a state-of-the art member portal to help you make the most of your health benefits. 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. These tools focus on quality and ensuring the best possible end result for each and every user. 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 %PDF-1.6 % 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 hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k 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. Birmingham, AL 35238, 2023 American Benefit Administrators. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C 0 (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. 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. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. Fax: 406-652-5380. 2023 Planned Administrators Inc. All rights reserved. %%EOF 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 PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. Please forward your refund repayments to: Contact the Customer Service number on the member ID card if you need assistance. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. AMA Insurance Agency, Inc. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Copyright 2016 AMA Insurance, Inc. All rights reserved. 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. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members.

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