Medical Claims. Home; About; Advantages; Solutions/Services; Resources; Contact us . endstream endobj startxref %%EOF Planned Administrators Inc. (PAI) Title Claims Contact. For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. Phonee: 718-625-6300. 2023 American Benefits Group. American Plan Adminstrators | Better Business Bureau Profile I respect a service team that does what they say theyre going to do with quality! Billings MT 59102 Contact Us | First American 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. 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. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. 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 Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Chicago, IL 60680-4104. American Plan Administrators - Overview, News & Competitors - ZoomInfo PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; About Us; Contact; Helpful Links; Online Forms; Coordination of . Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. Media Relations Contact. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. 152 0 obj <>stream Fill out our Request for Proposal Form. Preferred Network Arrangements. 1 (800) 244-6224. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday Register at launch to take advantage of the enhanced functionality launch date will be announced soon. American Plan Administrators. We offer a state-of-the art member portal to help you make the most of your health benefits. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. 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. Please forward your refund repayments to: remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. d '7y[ f| m x06w a>g Provider Contacts and Billing Information - TheZenith Corporate Headquarters. We will quickly get back to you with the information you need. Access your online portal usingthis form. 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 PDF VISION OUT-OF-NETWORK CLAIM FORM Claim submissions made easy Cigna. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. 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. Or you can request a meeting on a specific topic, CLICK HERE to schedule. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. The original entity of Zenith American Solutions has been in business since 1944. Log in to your account to confirm your specific . Box 1558 SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. View Map, Employee BenefitManagement Services 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 Try taking a look at our. You would need to reimburse yourself and then pay your provider directly. This is nothing new; however, this is a good time to remind everyone of the feature. If you are a participating CompNet provider seeking to manage addresses and . 1200 WILSHIRE BLVD-5TH FLOOR. The team uses PMI standards and project management tools along with IT industry best practices. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: Contact Us | AMA Insurance Provider Portal View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC Take control of your benefits. 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. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. PAI will not require that you repay the refund until PAI has concluded its review. 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 may vary by group, please call the phone number listed on the member ID card. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. Box 855 Arnold, MD 21012 The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Submitting a Claim - Sana Benefits PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. 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 How To File A Claim - American Benefits Group - amben.com 7:00 a.m. 8:00 p.m. MST, Monday-Thursday Welcome to American Plan Administrators Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit 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 $5.2M Industry Insurance Is this data correct? Whether you are a two-person startup group, a 30,000-employee enterprise, a public school system or a labor union, we have products and services that can meet your population needs and group priorities. This field is for validation purposes and should be left unchanged. 1268 0 obj <>stream Please use the form below to contact AMA Insurance. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C There you will find answers to common questions, details about your plan, and much more. If you use the EDGE portal, additional login information can be found on theEDGE Hub. Box 380844 ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. LOS ANGELES, CA 90017-1906. American Insurance Administrators . Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. Receiving illegal calls claiming to be from American Benefits Group? Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. 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 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 MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. Attention: Refund Analyst Columbia, SC 29260. Providers | Planned Administrators Inc. (PAI) Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. HCP Login. PAI will not require that you repay the refund until PAI has concluded its review. The cost of healthcare continues to grow at an unsustainable pace. Zenith Insurance Company PAI Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. Providers | EBPA Benefits administration is a difficult, increasingly complex business. Van Nuys, CA 91409-9055, Other States: 2022 Employee Benefit Management Services, LLC. 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. 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. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. PRAC Bulletin. To request reimbursement, please complete and sign the itemized claim form. Phone: 800-777-3575 The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. 6:00 a.m. 8:00 p.m. MST, Corporate Office You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. AMA Insurance Agency, Inc. Its almost here! You will need an Employer ID when you register. 1.800.426.9786. P.O. All Rights Reserved. Fax an updated W-9 to (803) 264-9089 The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM 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. 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. 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 Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. 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. %PDF-1.6 % As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. Electronically Electronic/Payor ID: 50114. Please Be Advised. ABA is committed and confident it will provide the same level of service. Email: sales@americanbenefitadministrators.com, American Benefit Administrators North America Administrators - Lucent Health 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. Contact; Log In; Hit enter to search or ESC to close. Box 9055 The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. *Out-of-network form submission deadlines may vary by plan. Changes made will not be reflected on all impacted systems for up to 2 business days. 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. 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. PDF Network Prefix List - CareFirst Provider Contact the Customer Service number on the member ID card if you need assistance. Please refer to the members identification card to determine the applicable network. The new PAI provider portal is going live. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. We appreciate hearing from you. Please contact the TPA with questions on these topics. The new PAI provider portal is going live. American Plan Administrators - Contact us Providers - Group Administrators 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. As a health care provider, you are an integral part of our team. Hours: 7:00 a.m. 6:00 p.m CST. Contact Us | Customer Service | Cigna PDF Cigna Payer Solutions Active Accounts Update - MemberClicks These tools focus on quality and ensuring the best possible end result for each and every user. %PDF-1.6 % Fax: 406-652-5380. Staff Photography by Jessica Marie Photography Inc. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. 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 Contact | American Insurance Administrators Access the link below for easy-to-use claim filing. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. (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. You will receive a response within 2 business days. Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) megamenu1. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. Its not easy to accomplish but it has been my experience and I am very grateful.". First American Financial Corporation 1 First American Way Santa Ana, California 92707. 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