As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. 3333 Hesper Road 1229 0 obj <> endobj Take control of your benefits. For assistance with portal registration or portal password assistance, please call 877-777-0031. AMERICAN INSURANCE ADMINISTRATORS. Several payers that DO receive claims electronically have been placed on this list for having poor services available. Access your online portal usingthis form. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: Birmingham, AL 35238, 2023 American Benefit Administrators. Dental Claims. 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 ABA is committed and confident it will provide the same level of service. Copyright 2016 AMA Insurance, Inc. All rights reserved. Participant Support:support@americanbenefitadministrators.com Employees. Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson Phonee: 718-625-6300. 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. Box 855 Arnold, MD 21012 Cigna shares the administration of the plan with a third party. New User?Please click here to register. Please use the form below to contact AMA Insurance. 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. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. 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 Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. If youre interested in improving your benefit plan and improving lives, drop us a line. 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 18 Heyward St. Brooklyn, NY 11249. Staff Photography by Jessica Marie Photography Inc. %PDF-1.6 % Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. Electronically Electronic/Payor ID: 50114. Helping You Provide The Best Possible Care. Fill out our Request for Proposal Form. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK The original entity of Zenith American Solutions has been in business since 1944. Box 6927 Also, customers and vendors may be requested to provide electronic payment options for invoices. Its not easy to accomplish but it has been my experience and I am very grateful.". Changes made will not be reflected on all impacted systems for up to 2 business days. PAI P.O. Box 380844 This field is for validation purposes and should be left unchanged. Employees. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. You will receive a response within 2 business days. 24 hours a day, 365 days a year. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . 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. 2023 American Benefits Group. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . Hours: 7:00 a.m. 6:00 p.m CST. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. Toll Free: 718-834-1256. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . This team was incredibly patient, kind, and helpful. PAI will not require that you repay the refund until PAI has concluded its review. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. P.O. M-F For further information, please contact the precertification number located on the members identification card. By Mail Sana Benefits Claims P.O. 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) As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. Prior authorization varies from group to group. Van Nuys, CA 91409-9055, Other States: Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. PAI will not require that you repay the refund until PAI has concluded its review. PO Box 804238 Toll Free: 866.742.4900 If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC Columbia, SC 29260. 0 All Rights Reserved. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday 1200 WILSHIRE BLVD-5TH FLOOR. 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. 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. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Zenith Insurance Company Fax an updated W-9 to (803) 264-9089 For general assistance, please call your Client Services representative or your Customer Care team. 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 182223. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. For general inquiries or to file a claim, visit our Submitting a Claim page. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. 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. 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. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. 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. 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 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? All rights reserved. 2023 Planned Administrators Inc. All rights reserved. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. 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 SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. Log in to your account to confirm your specific . Cigna. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. These tools focus on quality and ensuring the best possible end result for each and every user. You would need to reimburse yourself and then pay your provider directly. 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. Login to your account. Access the link below for easy-to-use claim filing. . PSIP Reimbursement Rates for 2020/ . If you use the EDGE portal, additional login information can be found on theEDGE Hub. Corporate Headquarters. 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. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. 0 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 Home; About; Advantages; Solutions/Services; Resources; Contact us Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit 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. Or you can request a meeting on a specific topic, CLICK HERE to schedule. Box 9055 For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. As a health care provider, you are an integral part of our team. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. 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. Contact the Customer Service number on the member ID card if you need assistance. I was very impressed with American Benefits Group after separation from my employer. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. 1-800-303-5242. %PDF-1.6 % Toll Free: 1.800.854.3643 Local: 1.714.250.3000. Need answers now? Billings MT 59102 PAI Receiving illegal calls claiming to be from American Benefits Group? 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. There you will find answers to common questions, details about your plan, and much more. AllCare Health Plan MRIPA N N/A Address - Some payers have multiple locations, but claims go to the same electronic location *Indicates claim is routed by paper. Try taking a look at our Frequently Asked Questions page. You will need an Employer ID when you register. If you are a participating CompNet provider seeking to manage addresses and . AMA Insurance Agency, Inc. American Plan Administrators. 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 . If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Medical Claims. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. 2009-2023 Zenith Insurance Company. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. Please contact the TPA with questions on these topics. . Claims paid under PSIP Program are subject to county audit. 1 (800) 244-6224. Notice of Privacy. 6:00 a.m. 8:00 p.m. MST, Corporate Office Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. American Plan Administrators - Contact us. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. Please refer to the members identification card to determine the applicable network. endstream endobj 1230 0 obj <. Driving Directions. Its almost here! We are proud to offer our own unique Claims processing and Benefit administration solutions.