Contact Us | AMA Insurance Provider Portal Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit American Plan Administrators - Contact us AMERICAN INSURANCE ADMINISTRATORS. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Contact | American Insurance Administrators PO Box 182223. Or you can request a meeting on a specific topic, CLICK HERE to schedule. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. CHCP - Resources - Active Accounts - Cigna The original entity of Zenith American Solutions has been in business since 1944. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C *Out-of-network form submission deadlines may vary by plan. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. Van Nuys, CA 91409-9055, Other States: 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 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: Home - Zenith American Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. Need answers now? Hours: 7:00 a.m. 6:00 p.m CST. I respect a service team that does what they say theyre going to do with quality! M-F American Insurance Administrators North America Administrators - Lucent Health P.O. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. Submitting a Claim - Sana Benefits Planned Administrators Inc. (PAI) Register at launch to take advantage of the enhanced functionality launch date will be announced soon. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. Please contact the TPA with questions on these topics. 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 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 hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k Provider Claim Submission to APWU Health Plan - apwuhp.com 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. To request reimbursement, please complete and sign the itemized claim form. 18 Heyward St. Brooklyn, NY 11249. 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. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. Box 9055 1200 WILSHIRE BLVD-5TH FLOOR. 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. 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 new PAI provider portal is going live. Billings MT 59102 Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM Take control of your benefits. How To File A Claim - American Benefits Group - amben.com 1-800-303-5242. Contact the Customer Service number on the member ID card if you need assistance. Participant Inquiries: cobra@americanbenefitadministrators.com Phone Number. 6:00 a.m. 8:00 p.m. MST, Corporate Office Toll Free: 1.800.854.3643 Local: 1.714.250.3000. Access the link below for easy-to-use claim filing. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. american plan administrators claim mailing address Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. The original entity of Zenith American Solutions has been in business since 1944. PO Box 804238 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. 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. Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson Employees. Contact; Log In; Hit enter to search or ESC to close. For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. Fax: 406-652-5380. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. Cigna. Provider Address Change Fax an updated W-9 to (803) 264-9089 endstream endobj startxref Participant Support:support@americanbenefitadministrators.com Its not easy to accomplish but it has been my experience and I am very grateful.". EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. Toll Free: 866.742.4900 We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. 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. American Plan Administrators - Overview, News & Competitors - ZoomInfo 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 PDF Payer Connection Payer List Fax an updated W-9 to (803) 264-9089 American Plan Adminstrators | Better Business Bureau Profile Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. 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. P.O. Prior authorization varies from group to group. 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. Attention: Refund Analyst Try taking a look at our. Home; About; Advantages; Solutions/Services; Resources; Contact us Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. Cigna shares the administration of the plan with a third party. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. Driving Directions. We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. All rights reserved. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. Cigna. Benefits administration is a difficult, increasingly complex business. 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. Try taking a look at our Frequently Asked Questions page. Toll Free: 866.742.4900 PDF Cigna Payer Solutions Active Accounts Update - MemberClicks (888) 505-7724 updates@sbmamec.com There you will find answers to common questions, details about your plan, and much more. Birmingham, AL 35238, 2023 American Benefit Administrators. endstream endobj startxref 1.800.426.9786. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. PDF Network Prefix List - CareFirst Provider Notice of Privacy. 24 hours a day, 365 days a year. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address Contact Us | Customer Service | Cigna 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. The new PAI provider portal is going live. Claims paid under PSIP Program are subject to county audit. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. P.O. 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 . P.O. 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. As a health care provider, you are an integral part of our team. Also, customers and vendors may be requested to provide electronic payment options for invoices. Helping You Provide The Best Possible Care. For assistance with portal registration or portal password assistance, please call 877-777-0031. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. Changes made will not be reflected on all impacted systems for up to 2 business days. 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 Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. For further information, please contact the precertification number located on the members identification card. I was very impressed with American Benefits Group after separation from my employer. PAI P.O. Box 6927 These tools focus on quality and ensuring the best possible end result for each and every user. Access your online portal usingthis form. Employees. Contact Us For Information on Benefit Plan Administration | EBMS The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. You would need to reimburse yourself and then pay your provider directly. The team uses PMI standards and project management tools along with IT industry best practices. SBMA Benefits Its almost here! December 2020. If you use the EDGE portal, additional login information can be found on theEDGE Hub. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. If youre interested in improving your benefit plan and improving lives, drop us a line. 2009-2023 Zenith Insurance Company. HCP Login. endstream endobj 1230 0 obj <. Electronically Electronic/Payor ID: 50114. AMA Insurance Agency, Inc. 1268 0 obj <>stream 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. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . Need answers now? Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. %%EOF 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. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. By Mail Sana Benefits Claims P.O. About Us; Contact; Helpful Links; Online Forms; Coordination of . Media Relations Contact. . Phonee: 718-625-6300. Providers | EBPA 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. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. This field is for validation purposes and should be left unchanged. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. 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 CareFirst contracts with Third Party Administrators to the Network claims product. For general assistance, please call your Client Services representative or your Customer Care team. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. 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. PRAC Bulletin. Contact Us - American Benefit Administrators You will need an Employer ID when you register. For general inquiries or to file a claim, visit our Submitting a Claim page. Email: sales@americanbenefitadministrators.com, American Benefit Administrators You will receive a response within 2 business days. Box 855 Arnold, MD 21012 ABA is committed and confident it will provide the same level of service. 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. 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. Chicago, IL 60680-4104. 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. 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? Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. 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. 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. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 d '7y[ f| m x06w a>g 0 If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; 2023 Planned Administrators Inc. All rights reserved. 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. 2022 Employee Benefit Management Services, LLC. megamenu1. 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. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage.