American Plan Administrators. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. 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? *Out-of-network form submission deadlines may vary by plan. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. 2023 Planned Administrators Inc. All rights reserved. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: Its almost here! %%EOF 7:00 a.m. 8:00 p.m. MST, Monday-Thursday PO Box 182223. Contact the Customer Service number on the member ID card if you need assistance. Prior authorization varies from group to group. %PDF-1.6 % View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. To request reimbursement, please complete and sign the itemized claim 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. 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 Fax an updated W-9 to (803) 264-9089 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. As a health care provider, you are an integral part of our team. December 2020. Try taking a look at our Frequently Asked Questions page. %%EOF We offer a state-of-the art member portal to help you make the most of your health benefits. megamenu1. o Each card also includes the paper and electronic claims submission addresses. 1 (800) 244-6224. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday P.O. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK I was very impressed with American Benefits Group after separation from my employer. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. Its almost here! The new PAI provider portal is going live. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. American Plan Administrators - Contact us. The new PAI provider portal is going live. 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, 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. Chicago, IL 60680-4104. 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. 1.800.426.9786. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . Attention: Refund Analyst endstream endobj startxref Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. Employees. 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. Login to your account. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Box 1558 The original entity of Zenith American Solutions has been in business since 1944. 2022 Employee Benefit Management Services, LLC. Need answers now? Access your online portal usingthis form. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) Changes made will not be reflected on all impacted systems for up to 2 business days. Please contact the TPA with questions on these topics. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. 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. AMA Insurance Agency, Inc. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. Birmingham, AL 35238, 2023 American Benefit Administrators. For further information, please contact the precertification number located on the members identification card. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. If you use the EDGE portal, additional login information can be found on theEDGE Hub. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. ABA is committed and confident it will provide the same level of service. There you will find answers to common questions, details about your plan, and much more. 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 Billings MT 59102 PAI will not require that you repay the refund until PAI has concluded its review. Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . Corporate Headquarters. All Rights Reserved. 83 0 obj <> endobj Access the link below for easy-to-use claim filing. 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) First American Financial Corporation 1 First American Way Santa Ana, California 92707. Box 380844 PAI P.O. As may vary by group, please call the phone number listed on the member ID card. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. 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: We are proud to offer our own unique Claims processing and Benefit administration solutions. P.O. Fax: 406-652-5380. 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. If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. 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. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. For assistance with portal registration or portal password assistance, please call 877-777-0031. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. Cigna shares the administration of the plan with a third party. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. Please use the form below to contact AMA Insurance. Log in to your account to confirm your specific . PSIP Reimbursement Rates for 2020/ . HCP Login. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. View Map, Employee BenefitManagement Services Phone Number. All rights reserved. This is nothing new; however, this is a good time to remind everyone of the feature. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. This field is for validation purposes and should be left unchanged. Zenith Insurance Company Participant Support:support@americanbenefitadministrators.com Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. 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. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. Its not easy to accomplish but it has been my experience and I am very grateful.". 0 support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. If youre interested in improving your benefit plan and improving lives, drop us a line. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. P.O. The cost of healthcare continues to grow at an unsustainable pace. LOS ANGELES, CA 90017-1906. 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. Box 855 Arnold, MD 21012 %PDF-1.6 % This team is diligent and kind. For general assistance, please call your Client Services representative or your Customer Care team. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. Toll Free: 866.742.4900 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 By Mail Sana Benefits Claims P.O. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. Home; About; Advantages; Solutions/Services; Resources; Contact us endstream endobj startxref Take control of your benefits. P.O. 152 0 obj <>stream Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; 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. Staff Photography by Jessica Marie Photography Inc. The team uses PMI standards and project management tools along with IT industry best practices. 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. M-F CareFirst contracts with Third Party Administrators to the Network claims product. 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. You will need an Employer ID when you register. Helping You Provide The Best Possible Care. Cigna. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. Copyright 2016 AMA Insurance, Inc. All rights reserved. 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. Medical Claims. I respect a service team that does what they say theyre going to do with quality! This team was incredibly patient, kind, and helpful. 2009-2023 Zenith Insurance Company. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. Also, customers and vendors may be requested to provide electronic payment options for invoices. Phonee: 718-625-6300. . Chattanooga, TN 37422-7223. You would need to reimburse yourself and then pay your provider directly. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. 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. 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. Phone: 800-777-3575 The original entity of Zenith American Solutions has been in business since 1944. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. PAI will not require that you repay the refund until PAI has concluded its review. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM 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 Contact; Log In; Hit enter to search or ESC to close. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC We appreciate hearing from you. We will quickly get back to you with the information you need. Preferred Network Arrangements. 2018 Zenith American Solutions, Inc. All Rights Reserved. Or you can request a meeting on a specific topic, CLICK HERE to schedule. Toll Free: 718-834-1256. 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 PO Box 804238 Provider Address Change 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. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Media Relations Contact. 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 1268 0 obj <>stream 18 Heyward St. Brooklyn, NY 11249. Receiving illegal calls claiming to be from American Benefits Group? 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. 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. Box 9055 For general inquiries or to file a claim, visit our Submitting a Claim page. Notice of Privacy. Try taking a look at our. Van Nuys, CA 91409-9055, Other States: For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. 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. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. 3333 Hesper Road You will receive a response within 2 business days. d '7y[ f| m x06w a>g endstream endobj 1230 0 obj <. 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*$9waOuoA5D=#9|(4 To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. Several payers that DO receive claims electronically have been placed on this list for having poor services available. If you are a participating CompNet provider seeking to manage addresses and . Our online tools will give you all the information access you need to utilize patients health benefits to support their care. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k 1229 0 obj <> endobj New User?Please click here to register. 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. AMERICAN INSURANCE ADMINISTRATORS. Please refer to the members identification card to determine the applicable network. Email: sales@americanbenefitadministrators.com, American Benefit Administrators About Us; Contact; Helpful Links; Online Forms; Coordination of . We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. Title Claims Contact. Please Be Advised. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. Claims paid under PSIP Program are subject to county audit. 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 .

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