Need answers now? Driving Directions. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. PAI Please contact the TPA with questions on these topics. %PDF-1.6 % If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. 6:00 a.m. 8:00 p.m. MST, Corporate Office Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. About Us; Contact; Helpful Links; Online Forms; Coordination of . To request reimbursement, please complete and sign the itemized claim form. 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. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 Several payers that DO receive claims electronically have been placed on this list for having poor services available. 1.800.426.9786. Please refer to the members identification card to determine the applicable network. 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 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 Or you can request a meeting on a specific topic, CLICK HERE to schedule. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. 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. Hours: 7:00 a.m. 6:00 p.m CST. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. 1 (800) 244-6224. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. We are proud to offer our own unique Claims processing and Benefit administration solutions. 2023 Planned Administrators Inc. All rights reserved. This team was incredibly patient, kind, and helpful. We appreciate hearing from you. Columbia, SC 29260. 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. Birmingham, AL 35238, 2023 American Benefit Administrators. 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. All rights reserved. Provider Address Change Fax an updated W-9 to (803) 264-9089 Attention: Refund Analyst Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. 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. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. 3333 Hesper Road Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. 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. AMERICAN INSURANCE ADMINISTRATORS. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: Cigna. Fill out our Request for Proposal Form. American Plan Administrators. Title Claims Contact. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. 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 Log in to your account to confirm your specific . American Plan Administrators - Contact us. First American Financial Corporation 1 First American Way Santa Ana, California 92707. Corporate Headquarters. 0 ABA is committed and confident it will provide the same level of service. (888) 505-7724 updates@sbmamec.com 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. %%EOF endstream endobj 1230 0 obj <. Chattanooga, TN 37422-7223. 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. The new PAI provider portal is going live. 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 $5.2M Industry Insurance Is this data correct? Please use the form below to contact AMA Insurance. 1268 0 obj <>stream Whether you are a two-person startup group, a 30,000-employee enterprise, a public school system or a labor union, we have products and services that can meet your population needs and group priorities. Please contact our Provider Relations team at 800-440-5020 (option 3) or by email at providergroup@thezenith.com if you need: Submit bills, reports, and other medically-related correspondence by mail or fax: California: Receiving illegal calls claiming to be from American Benefits Group? Please note that Credit Card receipts or cancelled checks are not valid documentation, Claims for personal hygiene items and cosmetics are not eligible expenses, Vitamins and supplements are not eligible without a doctors prescription, Massage therapy and weight-loss programs are only allowable to the extent that they are prescribed for a chronic condition or existing disease and supported by a doctors note submitted with the claim, We will keep doctors note on file but they must be renewed at the beginning of each plan year, Click here for a list of qualifying expenses. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. Medical Claims. Notice of Privacy. MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. December 2020. hYkO+-*T}B1ha4.$&&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 company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. 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 . 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 Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. Participant Inquiries: cobra@americanbenefitadministrators.com %PDF-1.6 % Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. . 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. Benefits administration is a difficult, increasingly complex business. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK 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. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. Fax an updated W-9 to (803) 264-9089 Our online tools will give you all the information access you need to utilize patients health benefits to support their care. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. PRAC Bulletin. d '7y[ f| m x06w a>g 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. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. Access the link below for easy-to-use claim filing. Fax: 406-652-5380. P.O. endstream endobj startxref 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. PAI will not require that you repay the refund until PAI has concluded its review. For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. There you will find answers to common questions, details about your plan, and much more. Copyright 2016 AMA Insurance, Inc. All rights reserved. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k Try taking a look at our Frequently Asked Questions page. 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 Electronically Electronic/Payor ID: 50114. . Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . HCP Login. 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 The new PAI provider portal is going live. For general assistance, please call your Client Services representative or your Customer Care team. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. If youre interested in improving your benefit plan and improving lives, drop us a line. Employees. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address If you use the EDGE portal, additional login information can be found on theEDGE Hub. Phone Number. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. Billings MT 59102 View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC Email: sales@americanbenefitadministrators.com, American Benefit Administrators o Each card also includes the paper and electronic claims submission addresses. Take control of your benefits. 18 Heyward St. Brooklyn, NY 11249. AMA Insurance Agency, Inc. This field is for validation purposes and should be left unchanged. P.O. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. Its almost here! 2018 Zenith American Solutions, Inc. All Rights Reserved. Prior authorization varies from group to group. Helping You Provide The Best Possible Care. PAI P.O. For further information, please contact the precertification number located on the members identification card. 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. Toll Free: 866.742.4900 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. 0 By Mail Sana Benefits Claims P.O. Zenith Insurance Company SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. Toll Free: 866.742.4900 All Rights Reserved. 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. 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 The team uses PMI standards and project management tools along with IT industry best practices. 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. 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. PO Box 804238 We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. Chicago, IL 60680-4104. If you are a participating CompNet provider seeking to manage addresses and . Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. Contact; Log In; Hit enter to search or ESC to close. Box 9055 We offer a state-of-the art member portal to help you make the most of your health benefits. You will receive a response within 2 business days. 1200 WILSHIRE BLVD-5TH FLOOR. Dental Claims. *Out-of-network form submission deadlines may vary by plan. Media Relations Contact. 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 I respect a service team that does what they say theyre going to do with quality! PSIP Reimbursement Rates for 2020/ . Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. PO Box 182223. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. Changes made will not be reflected on all impacted systems for up to 2 business days. For general inquiries or to file a claim, visit our Submitting a Claim page. 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. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. This team is diligent and kind. PAI will not require that you repay the refund until PAI has concluded its review. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. You will need an Employer ID when you register. Need answers now? Phone: 800-777-3575 24 hours a day, 365 days a year. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions.