Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit This field is for validation purposes and should be left unchanged. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. 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. 2023 Planned Administrators Inc. All rights reserved. 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. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK 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. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 Email: sales@americanbenefitadministrators.com, American Benefit Administrators Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. Hours: 7:00 a.m. 6:00 p.m CST. If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. LOS ANGELES, CA 90017-1906. 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. Media Relations Contact. The cost of healthcare continues to grow at an unsustainable pace. 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. Changes made will not be reflected on all impacted systems for up to 2 business days. Phone Number. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 1 (800) 244-6224. 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. For further information, please contact the precertification number located on the members identification card. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. This team was incredibly patient, kind, and helpful. Please contact the TPA with questions on these topics. PO Box 182223. You will receive a response within 2 business days. Fill out our Request for Proposal Form. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. Box 380844 Its almost here! 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. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. We will quickly get back to you with the information you need. Contact; Log In; Hit enter to search or ESC to close. Receiving illegal calls claiming to be from American Benefits Group? Need answers now? This team is diligent and kind. AMA Insurance Agency, Inc. 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: Phone: 800-777-3575 You will need an Employer ID when you register. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. The original entity of Zenith American Solutions has been in business since 1944. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. 152 0 obj <>stream The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. 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. 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. Cigna. Cigna. For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. PAI Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . P.O. Employees. Copyright 2016 AMA Insurance, Inc. All rights reserved. Corporate Headquarters. Participant Support:support@americanbenefitadministrators.com 1200 WILSHIRE BLVD-5TH FLOOR. First American Financial Corporation 1 First American Way Santa Ana, California 92707. 3333 Hesper Road 0 All Rights Reserved. Chicago, IL 60680-4104. 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 team uses PMI standards and project management tools along with IT industry best practices. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address endstream endobj 1230 0 obj <. Login to your account. Toll Free: 866.742.4900 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? As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. All rights reserved. 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 Box 855 Arnold, MD 21012 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) Chattanooga, TN 37422-7223. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. 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. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. Its almost here! Zenith Insurance Company Box 1558 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 Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. %%EOF You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. 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. PO Box 804238 Toll Free: 866.742.4900 American Plan Administrators. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. Please Be Advised. Title Claims Contact. 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 megamenu1. Its not easy to accomplish but it has been my experience and I am very grateful.". December 2020. The new PAI provider portal is going live. Zenith Insurance Company SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. We offer a state-of-the art member portal to help you make the most of your health benefits. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday endstream endobj startxref Need answers now? The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. Driving Directions. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM PRAC Bulletin. HCP Login. 24 hours a day, 365 days a year. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. As a health care provider, you are an integral part of our team. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; 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. This is nothing new; however, this is a good time to remind everyone of the feature. 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. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. 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 Also, customers and vendors may be requested to provide electronic payment options for invoices. Provider Address Change Fax an updated W-9 to (803) 264-9089 PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. View Map, Employee BenefitManagement Services AMERICAN INSURANCE ADMINISTRATORS. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday PAI will not require that you repay the refund until PAI has concluded its review. Notice of Privacy. These tools focus on quality and ensuring the best possible end result for each and every user. Attention: Refund Analyst Claims paid under PSIP Program are subject to county audit. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. Fax an updated W-9 to (803) 264-9089 (888) 505-7724 updates@sbmamec.com As the largest Taft-Hartley third-party administrator in the United States, weve used our industry know-how and resources to develop leading-edge technologies for our own use, as well as for self-administered trust funds. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k Contact the Customer Service number on the member ID card if you need assistance. . We appreciate hearing from you. Birmingham, AL 35238, 2023 American Benefit Administrators. 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.