83 0 obj <> endobj Home; About; Advantages; Solutions/Services; Resources; Contact us The team uses PMI standards and project management tools along with IT industry best practices. American Plan Administrators - Contact us o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. 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. 2023 Planned Administrators Inc. All rights reserved. Provider Claim Submission to APWU Health Plan - apwuhp.com PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. We appreciate hearing from you. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. Participant Inquiries: cobra@americanbenefitadministrators.com We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. American Plan Administrators. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. Contact Us | Customer Service | Cigna 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 Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Staff Photography by Jessica Marie Photography Inc. Toll Free: 718-834-1256. 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. I respect a service team that does what they say theyre going to do with quality! The original entity of Zenith American Solutions has been in business since 1944. Columbia, SC 29260. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C 2023 Planned Administrators Inc. All rights reserved. The new PAI provider portal is going live. We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. 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 . 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. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 PAI will not require that you repay the refund until PAI has concluded its review. All rights reserved. Dental Claims. 1268 0 obj <>stream 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. SBMA Benefits If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. . 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. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 Home - Zenith American *Out-of-network form submission deadlines may vary by plan. AMERICAN INSURANCE ADMINISTRATORS. 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. %PDF-1.6 % Zenith Insurance Company Birmingham, AL 35238, 2023 American Benefit Administrators. For general assistance, please call your Client Services representative or your Customer Care team. Employees. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. 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 2023 American Benefits 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. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. American Plan Administrators - Overview, News & Competitors - ZoomInfo 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. (888) 505-7724 updates@sbmamec.com Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. We will quickly get back to you with the information you need. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM Cigna. Please Be Advised. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. %PDF-1.6 % North America Administrators - Lucent Health 1 (800) 244-6224. Planned Administrators Inc. (PAI) PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us Providers | EBPA 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! 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 . 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 2018 Zenith American Solutions, Inc. All Rights Reserved. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. You would need to reimburse yourself and then pay your provider directly. About Us; Contact; Helpful Links; Online Forms; Coordination of . 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 View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC We offer a state-of-the art member portal to help you make the most of your health benefits. PO Box 182223. The new PAI provider portal is going live. Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. View Map, Employee BenefitManagement Services Its almost here! CHCP - Resources - Active Accounts - Cigna 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 PDF VISION OUT-OF-NETWORK CLAIM FORM Claim submissions made easy Try taking a look at our Frequently Asked Questions page. I was very impressed with American Benefits Group after separation from my employer. For assistance with portal registration or portal password assistance, please call 877-777-0031. Please forward your refund repayments to: General Assistance - Zenith American M-F Providers - Group Administrators 2022 Employee Benefit Management Services, LLC. How To File A Claim - American Benefits Group - amben.com The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. Welcome to American Plan Administrators By Mail Sana Benefits Claims P.O. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. PAI PDF Cigna Payer Solutions Active Accounts Update - MemberClicks Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. LOS ANGELES, CA 90017-1906. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. Contact Us For Information on Benefit Plan Administration | EBMS Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. P.O. Please refer to the members identification card to determine the applicable network. AMA Insurance Agency, Inc. P.O. For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. You will need an Employer ID when you register. If you use the EDGE portal, additional login information can be found on theEDGE Hub. PAI will not require that you repay the refund until PAI has concluded its review. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. Customized Solutions for Third Party Administrators | Cigna Please contact the TPA with questions on these topics. american plan administrators claim mailing address Box 6927 0 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. 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. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson CareFirst contracts with Third Party Administrators to the Network claims product. SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday Toll Free: 866.742.4900 endstream endobj startxref American Plan Administrators - Contact us. We are proud to offer our own unique Claims processing and Benefit administration solutions. If youre interested in improving your benefit plan and improving lives, drop us a line. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. Claims paid under PSIP Program are subject to county audit. Billings MT 59102 Media Relations Contact. American Insurance Administrators Prior authorization varies from group to group. The cost of healthcare continues to grow at an unsustainable pace. 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. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k 6:00 a.m. 8:00 p.m. MST, Corporate Office Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. Access your online portal usingthis form. P.O. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit 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. Contact Us | First American 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? American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Zenith Insurance Company PSIP Reimbursement Rates for 2020/ . 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. Contact Us | AMA Insurance Provider Portal If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. Also, customers and vendors may be requested to provide electronic payment options for invoices. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. Log in to your account to confirm your specific . Preferred Network Arrangements. As a health care provider, you are an integral part of our team. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. The original entity of Zenith American Solutions has been in business since 1944. Chattanooga, TN 37422-7223. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. d '7y[ f| m x06w a>g Employees. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address 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 Box 1558 Register at launch to take advantage of the enhanced functionality launch date will be announced soon. 1229 0 obj <> endobj 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) 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 152 0 obj <>stream Cigna shares the administration of the plan with a third party. PAI P.O. 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. (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. Fax an updated W-9 to (803) 264-9089 There you will find answers to common questions, details about your plan, and much more. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. First American Financial Corporation 1 First American Way Santa Ana, California 92707. 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 PDF Payer Connection Payer List Need answers now? 7:00 a.m. 8:00 p.m. MST, Monday-Thursday Contact the Customer Service number on the member ID card if you need assistance. Box 9055 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. Email: sales@americanbenefitadministrators.com, American Benefit Administrators Take control of your benefits. Receiving illegal calls claiming to be from American Benefits Group? This is nothing new; however, this is a good time to remind everyone of the feature. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. All Rights Reserved. Several payers that DO receive claims electronically have been placed on this list for having poor services available. New User?Please click here to register. P.O. 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.