american plan administrators claim mailing address

Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. Title Claims Contact. Medical Claims. 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. Phone: 800-777-3575 The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. I respect a service team that does what they say theyre going to do with quality! 1200 WILSHIRE BLVD-5TH FLOOR. Fill out our Request for Proposal Form. 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. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. We will quickly get back to you with the information you need. 24 hours a day, 365 days a year. Copyright 2016 AMA Insurance, Inc. All rights reserved. You would need to reimburse yourself and then pay your provider directly. AMERICAN INSURANCE ADMINISTRATORS. 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? We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. 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. By Mail Sana Benefits Claims P.O. If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. 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 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 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 the Customer Service number on the member ID card if you need assistance. Preferred Network Arrangements. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Need answers now? If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. 83 0 obj <> endobj 1.800.426.9786. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. Please use the form below to contact AMA Insurance. For general inquiries or to file a claim, visit our Submitting a Claim page. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Zenith Insurance Company As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. I was very impressed with American Benefits Group after separation from my employer. Box 9055 PAI will not require that you repay the refund until PAI has concluded its review. All rights reserved. Provider Address Change Fax an updated W-9 to (803) 264-9089 . Its almost here! Contact; Log In; Hit enter to search or ESC to close. If youre interested in improving your benefit plan and improving lives, drop us a line. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k 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. For further information, please contact the precertification number located on the members identification card. Media Relations Contact. d '7y[ f| m x06w a>g 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. If you are a participating CompNet provider seeking to manage addresses and . As a health care provider, you are an integral part of our team. Login to your account. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. Email: sales@americanbenefitadministrators.com, American Benefit Administrators CareFirst contracts with Third Party Administrators to the Network claims product. 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 PRAC Bulletin. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: Electronically Electronic/Payor ID: 50114. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. PO Box 804238 3333 Hesper Road o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. . Box 380844 Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. The cost of healthcare continues to grow at an unsustainable pace. This field is for validation purposes and should be left unchanged. Its not easy to accomplish but it has been my experience and I am very grateful.". SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. Toll Free: 866.742.4900 18 Heyward St. Brooklyn, NY 11249. Claims paid under PSIP Program are subject to county audit. Take control of your benefits. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. Dental Claims. %%EOF Staff Photography by Jessica Marie Photography Inc. Receiving illegal calls claiming to be from American Benefits Group? Please forward your refund repayments to: Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Zenith Insurance Company 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. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. This team was incredibly patient, kind, and helpful. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: %PDF-1.6 % P.O. 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 Please Be Advised. These tools focus on quality and ensuring the best possible end result for each and every user. 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. endstream endobj 1230 0 obj <. We are proud to offer our own unique Claims processing and Benefit administration solutions. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address (888) 505-7724 updates@sbmamec.com Corporate Headquarters. 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 View Map, Employee BenefitManagement Services The original entity of Zenith American Solutions has been in business since 1944. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson Our online tools will give you all the information access you need to utilize patients health benefits to support their care. 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. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. PSIP Reimbursement Rates for 2020/ . 0 Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. 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 For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. 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. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. 1-800-303-5242. 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. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . 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: Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. 1 (800) 244-6224. 152 0 obj <>stream Employees. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday 1268 0 obj <>stream Try taking a look at our Frequently Asked Questions page. Several payers that DO receive claims electronically have been placed on this list for having poor services available. 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 Please refer to the members identification card to determine the applicable network. Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. Chicago, IL 60680-4104. 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. 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. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. %PDF-1.6 % The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Phonee: 718-625-6300. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. 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 Try taking a look at our. 2022 Employee Benefit Management Services, LLC. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. PAI P.O. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM Helping You Provide The Best Possible Care. Hours: 7:00 a.m. 6:00 p.m CST. AMA Insurance Agency, Inc. 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 The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. This is nothing new; however, this is a good time to remind everyone of the feature. 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. PAI There you will find answers to common questions, details about your plan, and much more. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK Box 1558 Prior authorization varies from group to group. P.O. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. For assistance with portal registration or portal password assistance, please call 877-777-0031. About Us; Contact; Helpful Links; Online Forms; Coordination of . First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday We offer a state-of-the art member portal to help you make the most of your health benefits. Cigna shares the administration of the plan with a third party. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. Also, customers and vendors may be requested to provide electronic payment options for invoices. P.O. We appreciate hearing from you. P.O. If you use the EDGE portal, additional login information can be found on theEDGE Hub. Access the link below for easy-to-use claim filing. endstream endobj startxref We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. endstream endobj startxref Toll Free: 718-834-1256. MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908.