american plan administrators claim mailing address american plan administrators claim mailing address

The team uses PMI standards and project management tools along with IT industry best practices. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. Title Claims Contact. Electronically Electronic/Payor ID: 50114. American Insurance Administrators o Each card also includes the paper and electronic claims submission addresses. %%EOF American Plan Administrators. Phone Number. Provider Address Change Fax an updated W-9 to (803) 264-9089 Home - Zenith American How To File A Claim - American Benefits Group - amben.com Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. Cigna. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. Birmingham, AL 35238, 2023 American Benefit Administrators. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. Media Relations Contact. 1 (800) 244-6224. Phone: 800-777-3575 You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. Contact Us | Customer Service | Cigna We will quickly get back to you with the information you need. PO Box 182223. (888) 505-7724 [email protected] Need answers now? Phonee: 718-625-6300. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. If you use the EDGE portal, additional login information can be found on theEDGE Hub. Cigna shares the administration of the plan with a third party. Access the link below for easy-to-use claim filing. 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. The original entity of Zenith American Solutions has been in business since 1944. 83 0 obj <> endobj Provider Claim Submission to APWU Health Plan - apwuhp.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. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. This field is for validation purposes and should be left unchanged. 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 For questions concerning your online portal, including login information, please email:[email protected]. Employees. . Participant Inquiries: [email protected] Helping You Provide The Best Possible Care. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. The cost of healthcare continues to grow at an unsustainable pace. Van Nuys, CA 91409-9055, Other States: Register at launch to take advantage of the enhanced functionality launch date will be announced soon. 2018 Zenith American Solutions, Inc. All Rights Reserved. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Benefits administration is a difficult, increasingly complex business. 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 If youre interested in improving your benefit plan and improving lives, drop us a line. Providers - Group Administrators *Out-of-network form submission deadlines may vary by plan. M-F 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 Providers | Planned Administrators Inc. (PAI) For general inquiries or to file a claim, visit our Submitting a Claim page. AMA Insurance Agency, Inc. P.O. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. These tools focus on quality and ensuring the best possible end result for each and every user. Welcome to American Plan Administrators Box 6927 Staff Photography by Jessica Marie Photography Inc. Receiving illegal calls claiming to be from American Benefits Group? EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. Zenith Insurance Company Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. Try taking a look at our. For general assistance, please call your Client Services representative or your Customer Care team. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us 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. Submitthe request via email to PAI Provider Maintenance at [email protected]. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Try taking a look at our Frequently Asked Questions page. %PDF-1.6 % Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; 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. Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . 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. 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. 2009-2023 Zenith Insurance Company. endstream endobj startxref Our online tools will give you all the information access you need to utilize patients health benefits to support their care. Or you can request a meeting on a specific topic, CLICK HERE to schedule. 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 o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. Medical Claims. 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. Employees. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: About Us; Contact; Helpful Links; Online Forms; Coordination of . PRAC Bulletin. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. Chattanooga, TN 37422-7223. Please Be Advised. Claims paid under PSIP Program are subject to county audit. Preferred Network Arrangements. [email protected], [email protected]. 2022 Employee Benefit Management Services, LLC. There are two easy ways to submit claims to Sana. 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. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C 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 [email protected] Claims Mailing Address AMA Insurance Agency, Inc. PO Box 804238 Chicago, IL 60680-4104 hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 6:00 a.m. 8:00 p.m. MST, Corporate Office 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. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. 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? Contact the Customer Service number on the member ID card if you need assistance. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. Attention: Refund Analyst PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. 152 0 obj <>stream Participant Support:[email protected] 1229 0 obj <> endobj Fax: 406-652-5380. Its almost here! American Plan Administrators - Overview, News & Competitors - ZoomInfo 24 hours a day, 365 days a year. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC 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 Several payers that DO receive claims electronically have been placed on this list for having poor services available. HCP Login. Please forward your refund repayments to: American Plan Administrators - Contact us. Client/Employer Support:[email protected], COBRA/Direct Billing Administration: We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. Its not easy to accomplish but it has been my experience and I am very grateful.". 2023 Planned Administrators Inc. All rights reserved. Notice of Privacy. Home; About; Advantages; Solutions/Services; Resources; Contact us Client/Employer Support:[email protected], COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson Contact | American Insurance Administrators PAI 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. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. Toll Free: 866.742.4900 Also, customers and vendors may be requested to provide electronic payment options for invoices. endstream endobj startxref Please contact the TPA with questions on these topics. Customized Solutions for Third Party Administrators | Cigna You will receive a response within 2 business days. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at [email protected]. P.O. American Plan Adminstrators | Better Business Bureau Profile Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. Box 1558 MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. PAI will not require that you repay the refund until PAI has concluded its review. SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. 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. 3333 Hesper Road You will need an Employer ID when you register. The new PAI provider portal is going live. We appreciate hearing from you. Out of network claims - EyeMed Vision Benefits The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. 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 [email protected] or call 1 (888) 284-6851. %%EOF Prior authorization varies from group to group. 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. December 2020. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK P.O. View Map, Employee BenefitManagement Services They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. Provider Contacts and Billing Information - TheZenith If you are a participating CompNet provider seeking to manage addresses and . Zenith Insurance Company Please refer to the members identification card to determine the applicable network. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. %PDF-1.6 % 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: [email protected] - sendsecure.amben.com The Reimbursements Process Contact Us - American Benefit Administrators Its almost here! 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 Contact Us For Information on Benefit Plan Administration | EBMS 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 P.O. To request reimbursement, please complete and sign the itemized claim form. General Assistance - Zenith American For assistance with portal registration or portal password assistance, please call 877-777-0031. Claims Submittal: [email protected] (claims can also be submitted online via the secure portal or Mobile App) Contact Us | AMA Insurance Provider Portal endstream endobj 1230 0 obj <. 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 [email protected] . 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. d '7y[ f| m x06w a>g If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. North America Administrators - Lucent Health SBMA Benefits Fill out our Request for Proposal Form. 0 Box 9055 Planned Administrators Inc. (PAI) 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. Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. PO Box 804238 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 Need answers now? . Corporate Headquarters. Log in to your account to confirm your specific . Dental Claims. PDF Cigna Payer Solutions Active Accounts Update - MemberClicks 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. When you incur a reimbursable expense and are ready to file a claim you can do one of the following: Securely Email: [email protected] - sendsecure.amben.com. PAI P.O. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. For further information, please contact the precertification number located on the members identification card. As a health care provider, you are an integral part of our team. 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. You would need to reimburse yourself and then pay your provider directly. american plan administrators claim mailing address AMERICAN INSURANCE ADMINISTRATORS. CHCP - Resources - Active Accounts - Cigna Contact; Log In; Hit enter to search or ESC to close. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. 1.800.426.9786. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k American Plan Administrators - Contact us Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. Hours: 7:00 a.m. 6:00 p.m CST. Copyright 2016 AMA Insurance, Inc. All rights reserved. PDF Network Prefix List - CareFirst Provider As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining .