For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday Medical Claims. %PDF-1.6 % This is nothing new; however, this is a good time to remind everyone of the feature. Providers - Group Administrators Toll Free: 866.742.4900 PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us Employees. PDF VISION OUT-OF-NETWORK CLAIM FORM Claim submissions made easy Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. Claims paid under PSIP Program are subject to county audit. 83 0 obj <> endobj We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. How To File A Claim - American Benefits Group - amben.com . 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. Phonee: 718-625-6300. 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. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 Toll Free: 866.742.4900 o Each card also includes the paper and electronic claims submission addresses. Welcome to American Plan Administrators December 2020. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . You will receive a response within 2 business days. 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. Its almost here! Columbia, SC 29260. Access the link below for easy-to-use claim filing. M-F SBMA Benefits Login to your account. (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. 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. Box 9055 Cigna shares the administration of the plan with a third party. CHCP - Resources - Active Accounts - Cigna Driving Directions. Contact Us | First American For further information, please contact the precertification number located on the members identification card. Its almost here! 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 Employees. P.O. Corporate Headquarters. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. There you will find answers to common questions, details about your plan, and much more. ABA is committed and confident it will provide the same level of service. 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. The cost of healthcare continues to grow at an unsustainable pace. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. Chattanooga, TN 37422-7223. If you use the EDGE portal, additional login information can be found on theEDGE Hub. 1 (800) 244-6224. Providers | Planned Administrators Inc. (PAI) Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. For general inquiries or to file a claim, visit our Submitting a Claim page. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. 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. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. 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. 6:00 a.m. 8:00 p.m. MST, Corporate Office 2009-2023 Zenith Insurance Company. 0 152 0 obj <>stream P.O. Chicago, IL 60680-4104. 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. 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 About Us; Contact; Helpful Links; Online Forms; Coordination of . American Plan Administrators - Overview, News & Competitors - ZoomInfo PAI P.O. MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. Contact Us - American Benefit Administrators Please Be Advised. Birmingham, AL 35238, 2023 American Benefit Administrators. If youre interested in improving your benefit plan and improving lives, drop us a line. Try taking a look at our. Contact Us | AMA Insurance Provider Portal 3333 Hesper Road Home; About; Advantages; Solutions/Services; Resources; Contact us Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. Electronically Electronic/Payor ID: 50114. All rights reserved. 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 Benefits administration is a difficult, increasingly complex business. The new PAI provider portal is going live. I respect a service team that does what they say theyre going to do with quality! PO Box 182223. 1-800-303-5242. P.O. 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. 1229 0 obj <> endobj For general assistance, please call your Client Services representative or your Customer Care team. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. 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. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. Phone: 800-777-3575 1268 0 obj <>stream 18 Heyward St. Brooklyn, NY 11249. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; 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 We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. Cigna. Providers | EBPA %PDF-1.6 % Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. Please forward your refund repayments to: Participant Support:support@americanbenefitadministrators.com Take control of your benefits. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK 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: Fill out our Request for Proposal Form. Also, customers and vendors may be requested to provide electronic payment options for invoices. 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. Contact | American Insurance Administrators endstream endobj startxref Need answers now? You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. As a health care provider, you are an integral part of our team. american plan administrators claim mailing address Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Its not easy to accomplish but it has been my experience and I am very grateful.". d '7y[ f| m x06w a>g 1.800.426.9786. 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. 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. Home - Zenith American Out of network claims - EyeMed Vision Benefits Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. Submitting a Claim - Sana Benefits 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 . These tools focus on quality and ensuring the best possible end result for each and every user. 2023 Planned Administrators Inc. All rights reserved. 2023 American Benefits Group. Zenith Insurance Company American Plan Adminstrators | Better Business Bureau Profile Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. 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. Prior authorization varies from group to group. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. Box 1558 0 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. You would need to reimburse yourself and then pay your provider directly. megamenu1. This team was incredibly patient, kind, and helpful. This team is diligent and kind. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. Need answers now? 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 The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members.
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