Providers | Planned Administrators Inc. (PAI) 2023 Planned Administrators Inc. All rights reserved. Try taking a look at our Frequently Asked Questions page. Changes made will not be reflected on all impacted systems for up to 2 business days. 83 0 obj <> endobj Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. These tools focus on quality and ensuring the best possible end result for each and every user. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. 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 Cigna shares the administration of the plan with a third party. 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 First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday 1268 0 obj <>stream Access the link below for easy-to-use claim filing. PAI will not require that you repay the refund until PAI has concluded its review. You would need to reimburse yourself and then pay your provider directly. 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? Box 380844 As may vary by group, please call the phone number listed on the member ID card. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. Out of network claims - EyeMed Vision Benefits The original entity of Zenith American Solutions has been in business since 1944. 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 original entity of Zenith American Solutions has been in business since 1944. CareFirst contracts with Third Party Administrators to the Network claims product. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. There are two easy ways to submit claims to Sana. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. 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. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. Birmingham, AL 35238, 2023 American Benefit Administrators. Or you can request a meeting on a specific topic, CLICK HERE to schedule. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM Box 6927 Toll Free: 866.742.4900 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. HCP Login. Several payers that DO receive claims electronically have been placed on this list for having poor services available. 2009-2023 Zenith Insurance Company. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. 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 Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson North America Administrators - Lucent Health Provider Address Change Fax an updated W-9 to (803) 264-9089 For further information, please contact the precertification number located on the members identification card. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK Benefits administration is a difficult, increasingly complex business. Notice of Privacy. 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 PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. (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. There you will find answers to common questions, details about your plan, and much more. CHCP - Resources - Active Accounts - Cigna d '7y[ f| m x06w a>g o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. 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. PDF VISION OUT-OF-NETWORK CLAIM FORM Claim submissions made easy Its not easy to accomplish but it has been my experience and I am very grateful.". American Insurance Administrators Login to your account. Home - Zenith American *Out-of-network form submission deadlines may vary by plan. Copyright 2016 AMA Insurance, Inc. All rights reserved. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. 1229 0 obj <> endobj Try taking a look at our. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; Please use the form below to contact AMA Insurance. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. This team was incredibly patient, kind, and helpful. Zenith Insurance Company 1-800-303-5242. %%EOF If youre interested in improving your benefit plan and improving lives, drop us a line. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. 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. Need answers now? Register at launch to take advantage of the enhanced functionality launch date will be announced soon. View Map, Employee BenefitManagement Services Hours: 7:00 a.m. 6:00 p.m CST. AMA Insurance Agency, Inc. 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. 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. o Each card also includes the paper and electronic claims submission addresses. Chicago, IL 60680-4104. 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: PO Box 804238 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. December 2020. Cigna. Contact Us | AMA Insurance Provider Portal 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. P.O. P.O. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. This is nothing new; however, this is a good time to remind everyone of the feature. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. Toll Free: 866.742.4900 Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. New User?Please click here to register. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k Phonee: 718-625-6300. Phone: 800-777-3575 I was very impressed with American Benefits Group after separation from my employer. P.O. We will quickly get back to you with the information you need. 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. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. Access your online portal usingthis form. If you are a participating CompNet provider seeking to manage addresses and . 18 Heyward St. Brooklyn, NY 11249. ABA is committed and confident it will provide the same level of service. Medical Claims. If you use the EDGE portal, additional login information can be found on theEDGE Hub. 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. Toll Free: 718-834-1256. Helping You Provide The Best Possible Care. 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. Chattanooga, TN 37422-7223. 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. Please refer to the members identification card to determine the applicable network. %PDF-1.6 % Box 855 Arnold, MD 21012 The cost of healthcare continues to grow at an unsustainable pace. 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. PDF Payer Connection Payer List Participant Inquiries: cobra@americanbenefitadministrators.com Take control of your benefits. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. Need answers now? The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. About Us; Contact; Helpful Links; Online Forms; Coordination of . Fax an updated W-9 to (803) 264-9089 *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. The new PAI provider portal is going live. 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. PDF Network Prefix List - CareFirst Provider 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. Zenith Insurance Company Employees. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. PSIP Reimbursement Rates for 2020/ . Title Claims Contact. Welcome to American Plan Administrators endstream endobj 1230 0 obj <. For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. 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. American Plan Administrators - Overview, News & Competitors - ZoomInfo Van Nuys, CA 91409-9055, Other States: 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. endstream endobj startxref This field is for validation purposes and should be left unchanged. 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. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC Contact the Customer Service number on the member ID card if you need assistance. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. Box 9055 Providers | EBPA Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. Email: sales@americanbenefitadministrators.com, American Benefit Administrators 2022 Employee Benefit Management Services, LLC. 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*$9waOuoA5D=#9|(4 Both American Benefit Plan Administrators and Zenith Administrators were strong TPAs prior to the merger, but by combining resources, best practices and scale, the new organization is even stronger and better than before. PRAC Bulletin. Also, customers and vendors may be requested to provide electronic payment options for invoices. LOS ANGELES, CA 90017-1906. To request reimbursement, please complete and sign the itemized claim form. Log in to your account to confirm your specific . We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. Media Relations Contact. All Rights Reserved. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C Contact; Log In; Hit enter to search or ESC to close. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. %PDF-1.6 % Contact Us For Information on Benefit Plan Administration | EBMS Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . First American Financial Corporation 1 First American Way Santa Ana, California 92707. Please forward your refund repayments to: All rights reserved. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. For assistance with portal registration or portal password assistance, please call 877-777-0031. Participant Support:support@americanbenefitadministrators.com If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. Billings MT 59102 Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. 2023 American Benefits Group. We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. american plan administrators claim mailing address 1.800.426.9786. (888) 505-7724 updates@sbmamec.com For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. PDF Cigna Payer Solutions Active Accounts Update - MemberClicks SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. Submitting a Claim - Sana Benefits Dental Claims. 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 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. 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. Columbia, SC 29260. Planned Administrators Inc. (PAI) Providers - Group Administrators The team uses PMI standards and project management tools along with IT industry best practices. 0 How To File A Claim - American Benefits Group - amben.com Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. 1 (800) 244-6224. 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 EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. . 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. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575