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1268 0 obj <>stream Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. American Plan Administrators - Contact us Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. These tools focus on quality and ensuring the best possible end result for each and every user. Participant Inquiries: cobra@americanbenefitadministrators.com Participant Support:support@americanbenefitadministrators.com This field is for validation purposes and should be left unchanged. You will receive a response within 2 business days. . Home; About; Advantages; Solutions/Services; Resources; Contact us 152 0 obj <>stream SBMA Benefits endstream endobj 1230 0 obj <. CareFirst contracts with Third Party Administrators to the Network claims product. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. Fill out our Request for Proposal Form. 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. Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. Out of network claims - EyeMed Vision Benefits Preferred Network Arrangements. 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 As a health care provider, you are an integral part of our team. 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. Phone Number. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. 24 hours a day, 365 days a year. Phonee: 718-625-6300. The new PAI provider portal is going live. Login to your account. 1-800-303-5242. Benefits administration is a difficult, increasingly complex business. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. Welcome to American Plan Administrators Providers | EBPA 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. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. Try taking a look at our. We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. The new PAI provider portal is going live. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. About Us; Contact; Helpful Links; Online Forms; Coordination of . Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. CHCP - Resources - Active Accounts - Cigna Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM Toll Free: 718-834-1256. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. %PDF-1.6 % ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. You will need an Employer ID when you register. Toll Free: 866.742.4900 Box 380844 0 For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. 1 (800) 244-6224. 1229 0 obj <> endobj For further information, please contact the precertification number located on the members identification card. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Its almost here! 1200 WILSHIRE BLVD-5TH FLOOR. . As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Staff Photography by Jessica Marie Photography Inc. 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? 3333 Hesper Road Electronically Electronic/Payor ID: 50114. American Plan Administrators. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. 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. Provider Address Change Fax an updated W-9 to (803) 264-9089 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 . Provider Contacts and Billing Information - TheZenith 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. 18 Heyward St. Brooklyn, NY 11249. PAI P.O. 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 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 Columbia, SC 29260. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. 6:00 a.m. 8:00 p.m. MST, Corporate Office 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) 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 Cigna shares the administration of the plan with a third party. Fax: 406-652-5380. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. (888) 505-7724 updates@sbmamec.com Please contact the TPA with questions on these topics. PDF VISION OUT-OF-NETWORK CLAIM FORM Claim submissions made easy Contact Us - American Benefit Administrators P.O. Submitting a Claim - Sana Benefits 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. Toll Free: 866.742.4900 This is nothing new; however, this is a good time to remind everyone of the feature. 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. PSIP Reimbursement Rates for 2020/ . Phone: 800-777-3575 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: Receiving illegal calls claiming to be from American Benefits Group? Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. 1.800.426.9786. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . All rights reserved. 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 Cigna Payer Solutions Active Accounts Update - MemberClicks The original entity of Zenith American Solutions has been in business since 1944. View Map, Employee BenefitManagement Services American Insurance Administrators 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. December 2020. Box 6927 o Each card also includes the paper and electronic claims submission addresses. Access the link below for easy-to-use claim filing. american plan administrators claim mailing address For general inquiries or to file a claim, visit our Submitting a Claim page. Box 855 Arnold, MD 21012 megamenu1. AMA Insurance Agency, Inc. Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson 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. Contact; Log In; Hit enter to search or ESC to close. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. For general assistance, please call your Client Services representative or your Customer Care team. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. 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 182223. MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. Medical Claims. 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. As may vary by group, please call the phone number listed on the member ID card. Employees. Zenith Insurance Company 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. *Out-of-network form submission deadlines may vary by plan. 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. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit PRAC Bulletin. 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. AMERICAN INSURANCE ADMINISTRATORS. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 Chattanooga, TN 37422-7223. Birmingham, AL 35238, 2023 American Benefit Administrators. 2023 Planned Administrators Inc. All rights reserved. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. First American Financial Corporation 1 First American Way Santa Ana, California 92707. Dental Claims. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us Title Claims Contact. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. For assistance with portal registration or portal password assistance, please call 877-777-0031. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. P.O. Box 9055 Contact Us For Information on Benefit Plan Administration | EBMS 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. Notice of Privacy. 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 Providers | Planned Administrators Inc. (PAI) Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. Corporate Headquarters. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. P.O. 2009-2023 Zenith Insurance Company. 2022 Employee Benefit Management Services, LLC. 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. 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. PAI will not require that you repay the refund until PAI has concluded its review. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. 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. Please refer to the members identification card to determine the applicable network. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. PO Box 804238 Employees. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. Fax an updated W-9 to (803) 264-9089 Its not easy to accomplish but it has been my experience and I am very grateful.". Planned Administrators Inc. (PAI) 7:00 a.m. 8:00 p.m. MST, Monday-Thursday PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. Claims paid under PSIP Program are subject to county audit. Log in to your account to confirm your specific . New User?Please click here to register. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. This team was incredibly patient, kind, and helpful. 83 0 obj <> endobj Contact Us | First American We offer a state-of-the art member portal to help you make the most of your health benefits. Contact Us | Customer Service | Cigna Cigna. Box 1558 ABA is committed and confident it will provide the same level of service. Home - Zenith American American Plan Administrators - Contact us. Providers - Group Administrators (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. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. American Plan Administrators - Overview, News & Competitors - ZoomInfo Also, customers and vendors may be requested to provide electronic payment options for invoices. HCP Login. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. American Plan Adminstrators | Better Business Bureau Profile 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 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. Contact the Customer Service number on the member ID card if you need assistance. Access your online portal usingthis form. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. 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. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. 0 To request reimbursement, please complete and sign the itemized claim form. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. Billings MT 59102 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.