american plan administrators claim mailing address

Chattanooga, TN 37422-7223. Claims paid under PSIP Program are subject to county audit. The cost of healthcare continues to grow at an unsustainable pace. Attention: Refund Analyst M-F 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 Be Advised. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. The original entity of Zenith American Solutions has been in business since 1944. December 2020. 2023 Planned Administrators Inc. All rights reserved. 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. 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? %%EOF I was very impressed with American Benefits Group after separation from my employer. Cigna. 1229 0 obj <> endobj 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. 2023 American Benefits Group. Toll Free: 866.742.4900 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 Phone Number. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. American Plan Administrators. Driving Directions. PAI will not require that you repay the refund until PAI has concluded its review. Toll Free: 866.742.4900 Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . Fax: 406-652-5380. %%EOF Need answers now? You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. Box 380844 View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. Dental Claims. endstream endobj startxref 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. Its almost here! PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Provider Address Change Fax an updated W-9 to (803) 264-9089 Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k 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 . Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. For assistance with portal registration or portal password assistance, please call 877-777-0031. Medical Claims. 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. Fill out our Request for Proposal Form. Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. 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. Or you can request a meeting on a specific topic, CLICK HERE to schedule. Chicago, IL 60680-4104. 18 Heyward St. Brooklyn, NY 11249. 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 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. 1268 0 obj <>stream Several payers that DO receive claims electronically have been placed on this list for having poor services available. About Us; Contact; Helpful Links; Online Forms; Coordination of . 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. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. Changes made will not be reflected on all impacted systems for up to 2 business days. Box 855 Arnold, MD 21012 The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. 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 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. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. %PDF-1.6 % 1-800-303-5242. Try taking a look at our Frequently Asked Questions page. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM Box 6927 Phone: 800-777-3575 Phonee: 718-625-6300. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. Also, customers and vendors may be requested to provide electronic payment options for invoices. Login to your account. The original entity of Zenith American Solutions has been in business since 1944. Billings MT 59102 Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) Take control of your benefits. First American Financial Corporation 1 First American Way Santa Ana, California 92707. 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. The new PAI provider portal is going live. *Out-of-network form submission deadlines may vary by plan. Box 9055 Employees. To request reimbursement, please complete and sign the itemized claim form. There you will find answers to common questions, details about your plan, and much more. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. This team was incredibly patient, kind, and helpful. If youre interested in improving your benefit plan and improving lives, drop us a line. Helping You Provide The Best Possible Care. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. 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) We offer a state-of-the art member portal to help you make the most of your health benefits. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. megamenu1. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. 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. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. Try taking a look at our. 152 0 obj <>stream 3333 Hesper Road 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. For general assistance, please call your Client Services representative or your Customer Care team. The team uses PMI standards and project management tools along with IT industry best practices. Contact; Log In; Hit enter to search or ESC to close. Copyright 2016 AMA Insurance, Inc. All rights reserved. PO Box 804238 Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson We appreciate hearing from you. By Mail Sana Benefits Claims P.O. Please forward your refund repayments to: Home; About; Advantages; Solutions/Services; Resources; Contact us 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. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. Log in to your account to confirm your specific . Contact the Customer Service number on the member ID card if you need assistance. Electronically Electronic/Payor ID: 50114. I respect a service team that does what they say theyre going to do with quality! As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. These tools focus on quality and ensuring the best possible end result for each and every user. If you are a participating CompNet provider seeking to manage addresses and . Register at launch to take advantage of the enhanced functionality launch date will be announced soon. CareFirst contracts with Third Party Administrators to the Network claims product. Zenith Insurance Company 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 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. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. Please refer to the members identification card to determine the applicable network. 1200 WILSHIRE BLVD-5TH FLOOR. (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. 2022 Employee Benefit Management Services, LLC. 2009-2023 Zenith Insurance Company. We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. Corporate Headquarters. 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. PAI d '7y[ f| m x06w a>g PAI will not require that you repay the refund until PAI has concluded its review. Notice of Privacy. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 As a health care provider, you are an integral part of our team. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C %PDF-1.6 % If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. PSIP Reimbursement Rates for 2020/ . Its not easy to accomplish but it has been my experience and I am very grateful.". 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 Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. The new PAI provider portal is going live. 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 Participant Support:support@americanbenefitadministrators.com (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . Preferred Network Arrangements. Staff Photography by Jessica Marie Photography Inc. endstream endobj startxref If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. Cigna shares the administration of the plan with a third party. Van Nuys, CA 91409-9055, Other States: Toll Free: 718-834-1256. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. This team is diligent and kind. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday 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. For further information, please contact the precertification number located on the members identification card. 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. 24 hours a day, 365 days a year. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. 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. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. 2018 Zenith American Solutions, Inc. All Rights Reserved. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. 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. 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 For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. Need answers now? Access the link below for easy-to-use claim filing. 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. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address 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. HCP Login. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. You would need to reimburse yourself and then pay your provider directly.

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