AMA Insurance Agency, Inc. New User?Please click here to register. Participant Inquiries: cobra@americanbenefitadministrators.com Several payers that DO receive claims electronically have been placed on this list for having poor services available. Hours: 7:00 a.m. 6:00 p.m CST. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK PSIP Reimbursement Rates for 2020/ . Submitting a Claim - Sana Benefits Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. Phone: 800-777-3575 Benefits administration is a difficult, increasingly complex business. Please contact the TPA with questions on these topics. LOS ANGELES, CA 90017-1906. 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. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. 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 Contact | American Insurance Administrators Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Provider Claim Submission to APWU Health Plan - apwuhp.com Providers | EBPA Providers - Group Administrators Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. American Plan Adminstrators | Better Business Bureau Profile 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? American Plan Administrators - Overview, News & Competitors - ZoomInfo Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . 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. 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 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 Contact Us | AMA Insurance Provider Portal . Email: sales@americanbenefitadministrators.com, American Benefit Administrators Electronically Electronic/Payor ID: 50114. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Provider Address Change Fax an updated W-9 to (803) 264-9089 Register at launch to take advantage of the enhanced functionality launch date will be announced soon. By Mail Sana Benefits Claims P.O. Contact the Customer Service number on the member ID card if you need assistance. Cigna. *Out-of-network form submission deadlines may vary by plan. Out of network claims - EyeMed Vision Benefits 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. About Us; Contact; Helpful Links; Online Forms; Coordination of . 83 0 obj <> endobj Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. 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. 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. Contact; Log In; Hit enter to search or ESC to close. 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. P.O. We will quickly get back to you with the information you need. This team is diligent and kind. Toll Free: 718-834-1256. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Access your online portal usingthis form. 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. All rights reserved. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. Its not easy to accomplish but it has been my experience and I am very grateful.". Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. For assistance with portal registration or portal password assistance, please call 877-777-0031. 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: 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. . Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM 1 (800) 244-6224. The new PAI provider portal is going live. Contact Us For Information on Benefit Plan Administration | EBMS Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. 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. 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 CHCP - Resources - Active Accounts - Cigna First American Financial Corporation 1 First American Way Santa Ana, California 92707. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. If youre interested in improving your benefit plan and improving lives, drop us a line. megamenu1. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. 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 PAI P.O. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. endstream endobj 1230 0 obj <. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. This team was incredibly patient, kind, and helpful. Receiving illegal calls claiming to be from American Benefits Group? Phone Number. For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. This field is for validation purposes and should be left unchanged. Fax an updated W-9 to (803) 264-9089 Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: We are proud to offer our own unique Claims processing and Benefit administration solutions. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. Fill out our Request for Proposal Form. 3333 Hesper Road For further information, please contact the precertification number located on the members identification card. 18 Heyward St. Brooklyn, NY 11249. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. The original entity of Zenith American Solutions has been in business since 1944. 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. Phonee: 718-625-6300. Need answers now? 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 P.O. Notice of Privacy. 0 Birmingham, AL 35238, 2023 American Benefit Administrators. Try taking a look at our. Media Relations Contact. Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) CareFirst contracts with Third Party Administrators to the Network claims product. Staff Photography by Jessica Marie Photography Inc. Home; About; Advantages; Solutions/Services; Resources; Contact us M-F 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. 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. The cost of healthcare continues to grow at an unsustainable pace. 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. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. Helping You Provide The Best Possible Care. 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. 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 . Employees. Customized Solutions for Third Party Administrators | Cigna Box 1558 View Map, Employee BenefitManagement Services There you will find answers to common questions, details about your plan, and much more. Please refer to the members identification card to determine the applicable network. 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. Attention: Refund Analyst hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k Fax: 406-652-5380. Chattanooga, TN 37422-7223. For general inquiries or to file a claim, visit our Submitting a Claim page. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. endstream endobj startxref 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. I was very impressed with American Benefits Group after separation from my employer. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. Preferred Network Arrangements. Chicago, IL 60680-4104. There are two easy ways to submit claims to Sana. Box 6927 PDF Cigna Payer Solutions Active Accounts Update - MemberClicks Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. If you use the EDGE portal, additional login information can be found on theEDGE Hub. 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 Box 9055 %%EOF Cigna. Providers | Planned Administrators Inc. (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. o Each card also includes the paper and electronic claims submission addresses. Please use the form below to contact AMA Insurance. Corporate Headquarters. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. As a health care provider, you are an integral part of our team. (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. Medical Claims. Copyright 2016 AMA Insurance, Inc. All rights reserved. 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. Home - Zenith American You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 24 hours a day, 365 days a year. We offer a state-of-the art member portal to help you make the most of your health benefits. Toll Free: 866.742.4900 american plan administrators claim mailing address Columbia, SC 29260. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. 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 The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. This is nothing new; however, this is a good time to remind everyone of the feature. You would need to reimburse yourself and then pay your provider directly. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C The team uses PMI standards and project management tools along with IT industry best practices. Planned Administrators Inc. (PAI) Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: The original entity of Zenith American Solutions has been in business since 1944. Please forward your refund repayments to: View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. 1200 WILSHIRE BLVD-5TH FLOOR. Provider Contacts and Billing Information - TheZenith (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. Dental Claims. Prior authorization varies from group to group. PRAC Bulletin. Need answers now? Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. Access the link below for easy-to-use claim filing. We appreciate hearing from you. 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. (888) 505-7724 updates@sbmamec.com All Rights Reserved. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday PDF Payer Connection Payer List 1268 0 obj <>stream Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. 2023 American Benefits Group. 152 0 obj <>stream %%EOF 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 How To File A Claim - American Benefits Group - amben.com 2022 Employee Benefit Management Services, LLC. 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. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. Driving Directions. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday 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 PAI will not require that you repay the refund until PAI has concluded its review. Also, customers and vendors may be requested to provide electronic payment options for invoices. As may vary by group, please call the phone number listed on the member ID card. 1-800-303-5242. American Plan Administrators - Contact us. Log in to your account to confirm your specific . HCP Login. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. Welcome to American Plan Administrators I respect a service team that does what they say theyre going to do with quality! 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. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. 6:00 a.m. 8:00 p.m. MST, Corporate Office For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. Please Be Advised. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC 2023 Planned Administrators Inc. All rights reserved. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit 0 You will need an Employer ID when you register. Or you can request a meeting on a specific topic, CLICK HERE to schedule. Take control of your benefits. Participant Support:support@americanbenefitadministrators.com 2023 Planned Administrators Inc. All rights reserved. Zenith Insurance Company Login to your account. 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 Billings MT 59102 American Plan Administrators. To request reimbursement, please complete and sign the itemized claim form. 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. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. North America Administrators - Lucent Health d '7y[ f| m x06w a>g PDF VISION OUT-OF-NETWORK CLAIM FORM Claim submissions made easy