HCP Login. Phone: 800-777-3575 For assistance with portal registration or portal password assistance, please call 877-777-0031. There are two easy ways to submit claims to Sana. 2009-2023 Zenith Insurance Company. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; Provider Address Change Fax an updated W-9 to (803) 264-9089 All rights reserved. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. You will need an Employer ID when you register. ABA is committed and confident it will provide the same level of service. 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. PDF VISION OUT-OF-NETWORK CLAIM FORM Claim submissions made easy Also, customers and vendors may be requested to provide electronic payment options for invoices. 3333 Hesper Road 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. Providers | EBPA 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 . %PDF-1.6 % Fax: 406-652-5380. Hours: 7:00 a.m. 6:00 p.m CST. American Plan Administrators - Overview, News & Competitors - ZoomInfo 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. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK Home; About; Advantages; Solutions/Services; Resources; Contact us Contact the Customer Service number on the member ID card if you need assistance. Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. 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? Medical Claims. Toll Free: 718-834-1256. Employees. PDF Cigna Payer Solutions Active Accounts Update - MemberClicks 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. CHCP - Resources - Active Accounts - Cigna M-F We appreciate hearing from you. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. 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 As may vary by group, please call the phone number listed on the member ID card. You will receive a response within 2 business days. 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: They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. The new PAI provider portal is going live. 152 0 obj <>stream Its almost here! If you use the EDGE portal, additional login information can be found on theEDGE Hub. Phone Number. 2018 Zenith American Solutions, Inc. All Rights Reserved. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. Columbia, SC 29260. 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 Cigna shares the administration of the plan with a third party. As a health care provider, you are an integral part of our team. Contact Us | AMA Insurance Provider Portal 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. PO Box 804238 North America Administrators - Lucent Health Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit Box 380844 Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. If youre interested in improving your benefit plan and improving lives, drop us a line. Access the link below for easy-to-use claim filing. 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. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. 1229 0 obj <> endobj 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 1-800-303-5242. Welcome to American Plan Administrators 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. 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 Notice of Privacy. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. american plan administrators claim mailing address . Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. Dental Claims. Please refer to the members identification card to determine the applicable network. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. For general assistance, please call your Client Services representative or your Customer Care team. Media Relations Contact. Box 1558 This field is for validation purposes and should be left unchanged. MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. d '7y[ f| m x06w a>g The team uses PMI standards and project management tools along with IT industry best practices. Preferred Network Arrangements. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. 24 hours a day, 365 days a year. 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. %%EOF Box 6927 We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. American Plan Administrators - Contact us 7:00 a.m. 8:00 p.m. MST, Monday-Thursday Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: Zenith Insurance Company The original entity of Zenith American Solutions has been in business since 1944. Staff Photography by Jessica Marie Photography Inc. 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 The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. Copyright 2016 AMA Insurance, Inc. All rights reserved. *Out-of-network form submission deadlines may vary by plan. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. Contact Us | Customer Service | Cigna 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 For general inquiries or to file a claim, visit our Submitting a Claim page. 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 Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. AMERICAN INSURANCE ADMINISTRATORS. 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. New User?Please click here to register. Corporate Headquarters. Contact Us - American Benefit Administrators 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. 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. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. endstream endobj startxref We offer a state-of-the art member portal to help you make the most of your health benefits. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. We will quickly get back to you with the information you need. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. Fill out our Request for Proposal Form. Contact | American Insurance Administrators For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. 1.800.426.9786. There you will find answers to common questions, details about your plan, and much more. endstream endobj 1230 0 obj <. Need answers now? Van Nuys, CA 91409-9055, Other States: Participant Support:support@americanbenefitadministrators.com Changes made will not be reflected on all impacted systems for up to 2 business days. %%EOF For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. All Rights Reserved. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. I respect a service team that does what they say theyre going to do with quality! remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address PAI P.O. 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. 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. megamenu1. 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 2022 Employee Benefit Management Services, LLC. December 2020. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC 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. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. Provider Claim Submission to APWU Health Plan - apwuhp.com PO Box 182223. Access your online portal usingthis form. 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. If you are a participating CompNet provider seeking to manage addresses and . Its almost here! Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. AMA Insurance Agency, Inc. Attention: Refund Analyst About Us; Contact; Helpful Links; Online Forms; Coordination of . Or you can request a meeting on a specific topic, CLICK HERE to schedule. Please contact the TPA with questions on these topics. Try taking a look at our. American Plan Administrators. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. We are proud to offer our own unique Claims processing and Benefit administration solutions. 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. CareFirst contracts with Third Party Administrators to the Network claims product. Contact Us | First American o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. Toll Free: 866.742.4900 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 Out of network claims - EyeMed Vision Benefits PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. PAI will not require that you repay the refund until PAI has concluded its review. 2023 American Benefits Group. Phonee: 718-625-6300. (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. Please forward your refund repayments to: Driving Directions. Birmingham, AL 35238, 2023 American Benefit Administrators. Electronically Electronic/Payor ID: 50114. SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. 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. 2023 Planned Administrators Inc. All rights reserved. Submitting a Claim - Sana Benefits View Map, Employee BenefitManagement Services American Plan Adminstrators | Better Business Bureau Profile 6:00 a.m. 8:00 p.m. MST, Corporate Office Login to your account. The cost of healthcare continues to grow at an unsustainable pace. 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. PSIP Reimbursement Rates for 2020/ . P.O. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Zenith Insurance Company PAI will not require that you repay the refund until PAI has concluded its review. Contact Us For Information on Benefit Plan Administration | EBMS PDF Network Prefix List - CareFirst Provider Billings MT 59102 Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. You would need to reimburse yourself and then pay your provider directly. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. PDF Payer Connection Payer List 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. Planned Administrators Inc. (PAI) 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. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. These tools focus on quality and ensuring the best possible end result for each and every user. 1 (800) 244-6224. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . Its not easy to accomplish but it has been my experience and I am very grateful.". Contact; Log In; Hit enter to search or ESC to close. Claims paid under PSIP Program are subject to county audit. Several payers that DO receive claims electronically have been placed on this list for having poor services available. Receiving illegal calls claiming to be from American Benefits Group? Home - Zenith American endstream endobj startxref 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. 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. 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. Chattanooga, TN 37422-7223. General Assistance - Zenith American LOS ANGELES, CA 90017-1906. P.O. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. Fax an updated W-9 to (803) 264-9089 As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. The original entity of Zenith American Solutions has been in business since 1944. 18 Heyward St. Brooklyn, NY 11249. This team is diligent and kind. 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. Helping You Provide The Best Possible Care. 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. Customized Solutions for Third Party Administrators | Cigna To request reimbursement, please complete and sign the itemized claim form. If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. American Insurance Administrators Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. American Plan Administrators - Contact us. Benefits administration is a difficult, increasingly complex business. 0 . 2023 Planned Administrators Inc. All rights reserved. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . Chicago, IL 60680-4104. Providers | Planned Administrators Inc. (PAI) Title Claims Contact. Providers - Group Administrators P.O. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM %PDF-1.6 % Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. Participant Inquiries: cobra@americanbenefitadministrators.com Please use the form below to contact AMA Insurance. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. How To File A Claim - American Benefits Group - amben.com 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. 0 Log in to your account to confirm your specific . PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. Box 855 Arnold, MD 21012 Toll Free: 866.742.4900 Need answers now? P.O. 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 support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 By Mail Sana Benefits Claims P.O. Register at launch to take advantage of the enhanced functionality launch date will be announced soon.