(Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . 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 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. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Corporate Headquarters. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. 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. Hours: 7:00 a.m. 6:00 p.m CST. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. For assistance with portal registration or portal password assistance, please call 877-777-0031. ABA is committed and confident it will provide the same level of service. endstream endobj startxref 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 1.800.426.9786. The new PAI provider portal is going live. We appreciate hearing from you. All Rights Reserved. . 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 Zenith Insurance Company Also, customers and vendors may be requested to provide electronic payment options for invoices. 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. 1200 WILSHIRE BLVD-5TH FLOOR. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. 2023 American Benefits Group. 1-800-303-5242. Changes made will not be reflected on all impacted systems for up to 2 business days. Please use the form below to contact AMA Insurance. 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. 1268 0 obj <>stream We will quickly get back to you with the information you need. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. 3333 Hesper Road 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. 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: Employees. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday 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. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. 83 0 obj <> endobj Home; About; Advantages; Solutions/Services; Resources; Contact us 2023 Planned Administrators Inc. All rights reserved. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. American Plan Administrators. Copyright 2016 AMA Insurance, Inc. All rights reserved. Its almost here! There are two easy ways to submit claims to Sana. 6:00 a.m. 8:00 p.m. MST, Corporate Office American Plan Administrators - Contact us. d '7y[ f| m x06w a>g PO Box 804238 Register at launch to take advantage of the enhanced functionality launch date will be announced soon. 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. Toll Free: 866.742.4900 American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Phonee: 718-625-6300. For general assistance, please call your Client Services representative or your Customer Care team. Columbia, SC 29260. If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. 2022 Employee Benefit Management Services, LLC. Benefits administration is a difficult, increasingly complex business. P.O. View Map, Employee BenefitManagement Services Van Nuys, CA 91409-9055, Other States: As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. 1 (800) 244-6224. Take control of your benefits. First American Financial Corporation 1 First American Way Santa Ana, California 92707. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK Box 380844 We offer a state-of-the art member portal to help you make the most of your health benefits. Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. 24 hours a day, 365 days a year. AMERICAN INSURANCE ADMINISTRATORS. PO Box 182223. megamenu1. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. Phone Number. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . About Us; Contact; Helpful Links; Online Forms; Coordination of . 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. Access the link below for easy-to-use claim filing. Log in to your account to confirm your specific . Medical Claims. Need answers now? (888) 505-7724 updates@sbmamec.com hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C P.O. Receiving illegal calls claiming to be from American Benefits Group? Please contact the TPA with questions on these topics. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. Phone: 800-777-3575 By Mail Sana Benefits Claims P.O. 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 Please forward your refund repayments to: PAI Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. 0 0 You would need to reimburse yourself and then pay your provider directly. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. 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. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. We are proud to offer our own unique Claims processing and Benefit administration solutions. As may vary by group, please call the phone number listed on the member ID card. Several payers that DO receive claims electronically have been placed on this list for having poor services available. Toll Free: 866.742.4900 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. Media Relations Contact. 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. Cigna. 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. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. %%EOF 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. The cost of healthcare continues to grow at an unsustainable pace. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Its almost here! PAI will not require that you repay the refund until PAI has concluded its review. AMA Insurance Agency, Inc. These tools focus on quality and ensuring the best possible end result for each and every user. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. Staff Photography by Jessica Marie Photography Inc. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. 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. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. Title Claims Contact. PAI P.O. Please Be Advised. 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 Notice of Privacy. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. Login to your account. The team uses PMI standards and project management tools along with IT industry best practices. 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? The original entity of Zenith American Solutions has been in business since 1944. 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 I respect a service team that does what they say theyre going to do with quality! Or you can request a meeting on a specific topic, CLICK HERE to schedule. December 2020. 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 Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. I was very impressed with American Benefits Group after separation from my employer. 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. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Need answers now? For further information, please contact the precertification number located on the members identification card. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. Cigna. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. 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. Its not easy to accomplish but it has been my experience and I am very grateful.". Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. 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 152 0 obj <>stream 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 PRAC Bulletin. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. 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 Participant Support:support@americanbenefitadministrators.com Birmingham, AL 35238, 2023 American Benefit Administrators. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. Try taking a look at our Frequently Asked Questions page. This is nothing new; however, this is a good time to remind everyone of the feature. New User?Please click here to register. Chicago, IL 60680-4104. If youre interested in improving your benefit plan and improving lives, drop us a line. Helping You Provide The Best Possible Care. Chattanooga, TN 37422-7223. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; If you are a participating CompNet provider seeking to manage addresses and . 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 This team was incredibly patient, kind, and helpful. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. To request reimbursement, please complete and sign the itemized claim form. PAI will not require that you repay the refund until PAI has concluded its review. Billings MT 59102 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 . 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. Zenith Insurance Company The new PAI provider portal is going live. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. Prior authorization varies from group to group. 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. 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. Email: sales@americanbenefitadministrators.com, American Benefit Administrators 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. For general inquiries or to file a claim, visit our Submitting a Claim page. o Each card also includes the paper and electronic claims submission addresses. 1229 0 obj <> endobj endstream endobj startxref Fax: 406-652-5380. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k (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. Employees. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC Provider Address Change Fax an updated W-9 to (803) 264-9089 LOS ANGELES, CA 90017-1906. Claims paid under PSIP Program are subject to county audit. %PDF-1.6 % Fax an updated W-9 to (803) 264-9089 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. Access your online portal usingthis form. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account.
Assured Partners Employee Handbook, Articles A