american plan administrators claim mailing address

PAI P.O. Take control of your benefits. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. There you will find answers to common questions, details about your plan, and much more. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. We are proud to offer our own unique Claims processing and Benefit administration solutions. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. Preferred Network Arrangements. 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 provider, take advantage ofour round- the- clockonline resourcesand secure portal. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . Toll Free: 718-834-1256. Try taking a look at our. AMA Insurance Agency, Inc. I was very impressed with American Benefits Group after separation from my employer. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. Box 6927 We offer a state-of-the art member portal to help you make the most of your health benefits. 152 0 obj <>stream Zenith Insurance Company CareFirst contracts with Third Party Administrators to the Network claims product. (888) 505-7724 updates@sbmamec.com PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. 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: 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 The team uses PMI standards and project management tools along with IT industry best practices. Notice of Privacy. American Plan Administrators - Contact us. 2023 Planned Administrators Inc. All rights reserved. The original entity of Zenith American Solutions has been in business since 1944. December 2020. The new PAI provider portal is going live. The original entity of Zenith American Solutions has been in business since 1944. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. endstream endobj startxref Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson All Rights Reserved. Fax: 406-652-5380. Access the link below for easy-to-use claim filing. 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. By Mail Sana Benefits Claims P.O. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. 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. . 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 Try taking a look at our Frequently Asked Questions page. 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 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. Login to your account. Phone Number. View Map, Employee BenefitManagement Services Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. All rights reserved. You would need to reimburse yourself and then pay your provider directly. 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. Its not easy to accomplish but it has been my experience and I am very grateful.". 0 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. These tools focus on quality and ensuring the best possible end result for each and every user. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. Changes made will not be reflected on all impacted systems for up to 2 business days. P.O. %%EOF 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 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. 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 Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. Box 9055 For further information, please contact the precertification number located on the members identification card. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Contact the Customer Service number on the member ID card if you need assistance. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Chicago, IL 60680-4104. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us Access your online portal usingthis form. M-F 3333 Hesper Road Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . PRAC Bulletin. 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. Box 380844 Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday %%EOF Email: sales@americanbenefitadministrators.com, American Benefit Administrators AMERICAN INSURANCE ADMINISTRATORS. Employees. o Each card also includes the paper and electronic claims submission addresses. Need answers now? 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. 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. 1-800-303-5242. Copyright 2016 AMA Insurance, Inc. All rights reserved. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. As may vary by group, please call the phone number listed on the member ID card. For general assistance, please call your Client Services representative or your Customer Care team. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. Media Relations Contact. Also, customers and vendors may be requested to provide electronic payment options for invoices. Medical Claims. Or you can request a meeting on a specific topic, CLICK HERE to schedule. Claims paid under PSIP Program are subject to county audit. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: Driving Directions. Employees. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. Phonee: 718-625-6300. Corporate Headquarters. This is nothing new; however, this is a good time to remind everyone of the feature. 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 support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. 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 will receive a response within 2 business days. Please contact the TPA with questions on these topics. ABA is committed and confident it will provide the same level of service. 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. You will need an Employer ID when you register. Box 855 Arnold, MD 21012 For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. 0 If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. Attention: Refund Analyst Log in to your account to confirm your specific . 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. We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. Please Be Advised. SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. This team was incredibly patient, kind, and helpful. Several payers that DO receive claims electronically have been placed on this list for having poor services available. LOS ANGELES, CA 90017-1906. Staff Photography by Jessica Marie Photography Inc. %PDF-1.6 % 2009-2023 Zenith Insurance Company. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. Fax an updated W-9 to (803) 264-9089 Toll Free: 866.742.4900 Prior authorization varies from group to group. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. Columbia, SC 29260. 18 Heyward St. Brooklyn, NY 11249. The new PAI provider portal is going live. Participant Inquiries: cobra@americanbenefitadministrators.com Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. 1268 0 obj <>stream Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. 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. First American Financial Corporation 1 First American Way Santa Ana, California 92707. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday Receiving illegal calls claiming to be from American Benefits Group? 2023 American Benefits Group. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C 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 PAI 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. Chattanooga, TN 37422-7223. For general inquiries or to file a claim, visit our Submitting a Claim page. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. Title Claims Contact. 1200 WILSHIRE BLVD-5TH FLOOR. 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 Home; About; Advantages; Solutions/Services; Resources; Contact us Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. We appreciate hearing from you. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. PAI will not require that you repay the refund until PAI has concluded its review. This field is for validation purposes and should be left unchanged. PSIP Reimbursement Rates for 2020/ . *Out-of-network form submission deadlines may vary by plan. There are two easy ways to submit claims to Sana. 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. New User?Please click here to register. 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) PO Box 182223. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. P.O. I respect a service team that does what they say theyre going to do with quality! For assistance with portal registration or portal password assistance, please call 877-777-0031. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. Box 1558 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. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. 2022 Employee Benefit Management Services, LLC. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. If youre interested in improving your benefit plan and improving lives, drop us a line. Cigna. About Us; Contact; Helpful Links; Online Forms; Coordination of . Toll Free: 866.742.4900 Cigna shares the administration of the plan with a third party. We will quickly get back to you with the information you need. 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. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. 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. Fill out our Request for Proposal Form. 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: Please refer to the members identification card to determine the applicable network. 1 (800) 244-6224. Dental Claims. endstream endobj 1230 0 obj <. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. 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. 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 6:00 a.m. 8:00 p.m. MST, Corporate Office 1.800.426.9786. 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 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 Electronically Electronic/Payor ID: 50114. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. As a health care provider, you are an integral part of our team.

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