american plan administrators claim mailing address american plan administrators claim mailing address

These tools focus on quality and ensuring the best possible end result for each and every user. 1.800.426.9786. For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. Also, customers and vendors may be requested to provide electronic payment options for invoices. I respect a service team that does what they say theyre going to do with quality! We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. 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 Take control of your benefits. For general assistance, please call your Client Services representative or your Customer Care team. PSIP Reimbursement Rates for 2020/ . Title Claims Contact. To request reimbursement, please complete and sign the itemized claim form. 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. Provider Address Change Fax an updated W-9 to (803) 264-9089 Please Be Advised. View Map, Employee BenefitManagement Services 1 (800) 244-6224. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. Need answers now? 2018 Zenith American Solutions, Inc. All Rights Reserved. Chattanooga, TN 37422-7223. Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . This is nothing new; however, this is a good time to remind everyone of the feature. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. Benefits administration is a difficult, increasingly complex business. megamenu1. If you are a participating CompNet provider seeking to manage addresses and . 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) 18 Heyward St. Brooklyn, NY 11249. Toll Free: 718-834-1256. 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. Columbia, SC 29260. 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. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. CareFirst contracts with Third Party Administrators to the Network claims product. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address PO Box 804238 Cigna shares the administration of the plan with a third party. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; The original entity of Zenith American Solutions has been in business since 1944. The team uses PMI standards and project management tools along with IT industry best practices. Access the link below for easy-to-use claim filing. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. P.O. endstream endobj startxref Hours: 7:00 a.m. 6:00 p.m CST. Box 1558 If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. Phone Number. 2009-2023 Zenith Insurance Company. Its almost here! Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. Contact the Customer Service number on the member ID card if you need assistance. 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. 6:00 a.m. 8:00 p.m. MST, Corporate Office Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. There are two easy ways to submit claims to Sana. 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 83 0 obj <> endobj Attention: Refund Analyst The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. 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. Medical Claims. 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. Staff Photography by Jessica Marie Photography Inc. Please refer to the members identification card to determine the applicable network. 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. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday 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 As a health care provider, you are an integral part of our team. We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. 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. 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: There you will find answers to common questions, details about your plan, and much more. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. Contact; Log In; Hit enter to search or ESC to close. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. Corporate Headquarters. . 1-800-303-5242. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. %%EOF If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. Van Nuys, CA 91409-9055, Other States: . EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. Receiving illegal calls claiming to be from American Benefits Group? 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. 2023 American Benefits Group. endstream endobj startxref 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 Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. Zenith Insurance Company 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 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. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators 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. Please contact the TPA with questions on these topics. AMERICAN INSURANCE ADMINISTRATORS. 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. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 Cigna. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. P.O. Billings MT 59102 Several payers that DO receive claims electronically have been placed on this list for having poor services available. Login to your account. 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. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday Toll Free: 866.742.4900 %PDF-1.6 % Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. Employees. Home; About; Advantages; Solutions/Services; Resources; Contact us Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. This team is diligent and kind. 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. The new PAI provider portal is going live. 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 Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: If youre interested in improving your benefit plan and improving lives, drop us a line. Try taking a look at our. 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. *Out-of-network form submission deadlines may vary by plan. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. Fill out our Request for Proposal Form. 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. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. Phonee: 718-625-6300. You would need to reimburse yourself and then pay your provider directly. d '7y[ f| m x06w a>g Zenith Insurance Company View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. LOS ANGELES, CA 90017-1906. 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. endstream endobj 1230 0 obj <. All Rights Reserved. P.O. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. The cost of healthcare continues to grow at an unsustainable pace. Electronically Electronic/Payor ID: 50114. Access your online portal usingthis form. New User?Please click here to register. Try taking a look at our Frequently Asked Questions page. Please use the form below to contact AMA Insurance. Its almost here! We appreciate hearing from you. Notice of Privacy. Box 6927 Driving Directions. You will need an Employer ID when you register. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. Participant Support:support@americanbenefitadministrators.com Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. 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. 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. 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. We will quickly get back to you with the information you need. 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 Claims paid under PSIP Program are subject to county audit. Fax an updated W-9 to (803) 264-9089 Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. 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. %PDF-1.6 % M-F I was very impressed with American Benefits Group after separation from my employer. (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. Changes made will not be reflected on all impacted systems for up to 2 business days. Email: sales@americanbenefitadministrators.com, American Benefit Administrators Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. P.O. PAI P.O. The original entity of Zenith American Solutions has been in business since 1944. You will receive a response within 2 business days. Phone: 800-777-3575 Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . 1229 0 obj <> endobj 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? Or you can request a meeting on a specific topic, CLICK HERE to schedule. Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. 24 hours a day, 365 days a year. PAI AMA Insurance Agency, Inc. Dental Claims. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. First American Financial Corporation 1 First American Way Santa Ana, California 92707. This field is for validation purposes and should be left unchanged. Media Relations Contact. Toll Free: 866.742.4900 Box 380844 Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Helping You Provide The Best Possible Care. 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. 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 . This team was incredibly patient, kind, and helpful. 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. 0 HCP Login. PAI will not require that you repay the refund until PAI has concluded its review. 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 Fax: 406-652-5380. Birmingham, AL 35238, 2023 American Benefit Administrators. Copyright 2016 AMA Insurance, Inc. All rights reserved. PO Box 182223. Participant Inquiries: cobra@americanbenefitadministrators.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. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM 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. We are proud to offer our own unique Claims processing and Benefit administration solutions. Prior authorization varies from group to group. 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.