We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. (888) 505-7724 updates@sbmamec.com SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. Cigna. 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. For assistance with portal registration or portal password assistance, please call 877-777-0031. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: 2023 American Benefits Group. 1 (800) 244-6224. endstream endobj startxref %%EOF 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. Log in to your account to confirm your specific . hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C Fax: 406-652-5380. 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. 3333 Hesper Road . I was very impressed with American Benefits Group after separation from my employer. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. Or you can request a meeting on a specific topic, CLICK HERE to schedule. P.O. If youre interested in improving your benefit plan and improving lives, drop us a line. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. P.O. 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. The original entity of Zenith American Solutions has been in business since 1944. Columbia, SC 29260. 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. AMA Insurance Agency, Inc. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. 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: Staff Photography by Jessica Marie Photography Inc. Birmingham, AL 35238, 2023 American Benefit Administrators. HCP Login. 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. About Us; Contact; Helpful Links; Online Forms; Coordination of . You will need an Employer ID when you register. Need answers now? December 2020. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. For general inquiries or to file a claim, visit our Submitting a Claim page. 2009-2023 Zenith Insurance Company. Preferred Network Arrangements. Phone: 800-777-3575 I respect a service team that does what they say theyre going to do with quality! o Each card also includes the paper and electronic claims submission addresses. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday 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. View Map, Employee BenefitManagement Services Provider Address Change Fax an updated W-9 to (803) 264-9089 Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. Email: sales@americanbenefitadministrators.com, American Benefit Administrators We will quickly get back to you with the information you need. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. 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 18 Heyward St. Brooklyn, NY 11249. 2023 Planned Administrators Inc. All rights reserved. Toll Free: 718-834-1256. 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? If you use the EDGE portal, additional login information can be found on theEDGE Hub. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. Home; About; Advantages; Solutions/Services; Resources; Contact us The original entity of Zenith American Solutions has been in business since 1944. 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. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. 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. Zenith Insurance Company Claims paid under PSIP Program are subject to county audit. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: Title Claims Contact. Prior authorization varies from group to group. Need answers now? 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 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) 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. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us %PDF-1.6 % If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . 2023 Planned Administrators Inc. All rights reserved. M-F Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. Media Relations Contact. Employees. All rights reserved. To request reimbursement, please complete and sign the itemized claim form. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. %PDF-1.6 % 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. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. Its almost here! View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC P.O. 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. CareFirst contracts with Third Party Administrators to the Network claims product. P.O. We appreciate hearing from you. Box 6927 PO Box 182223. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. 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. 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 Take control of your benefits. Please contact the TPA with questions on these topics. PSIP Reimbursement Rates for 2020/ . 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. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. *Out-of-network form submission deadlines may vary by plan. We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. Dental Claims. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 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. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. 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. 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 You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. 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 Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. d '7y[ f| m x06w a>g 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. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM Employees. All Rights Reserved. 152 0 obj <>stream For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. 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. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. Corporate Headquarters. 2018 Zenith American Solutions, Inc. All Rights Reserved. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. Access the link below for easy-to-use claim filing. 1229 0 obj <> endobj 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. Hours: 7:00 a.m. 6:00 p.m CST. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 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 As a health care provider, you are an integral part of our team. megamenu1. endstream endobj startxref Copyright 2016 AMA Insurance, Inc. All rights reserved. Attention: Refund Analyst Box 1558 Participant Support:support@americanbenefitadministrators.com Its not easy to accomplish but it has been my experience and I am very grateful.". 1268 0 obj <>stream Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Helping You Provide The Best Possible Care. MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. PAI will not require that you repay the refund until PAI has concluded its review. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. Cigna. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. 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 . 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 View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. American Plan Administrators - Contact us. 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. Try taking a look at our. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. If you are a participating CompNet provider seeking to manage addresses and . This team was incredibly patient, kind, and helpful. We are proud to offer our own unique Claims processing and Benefit administration solutions. 1.800.426.9786. 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. Zenith Insurance Company Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . 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. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. Chattanooga, TN 37422-7223. Fax an updated W-9 to (803) 264-9089 24 hours a day, 365 days a year. Access your online portal usingthis form. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Try taking a look at our Frequently Asked Questions page. There you will find answers to common questions, details about your plan, and much more. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. The team uses PMI standards and project management tools along with IT industry best practices. AMERICAN INSURANCE ADMINISTRATORS. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. By Mail Sana Benefits Claims P.O. You would need to reimburse yourself and then pay your provider directly. American Plan Administrators. PAI will not require that you repay the refund until PAI has concluded its review. Receiving illegal calls claiming to be from American Benefits Group? 1200 WILSHIRE BLVD-5TH FLOOR. . We offer a state-of-the art member portal to help you make the most of your health benefits. This team is diligent and kind. Login to your account. Box 380844 Please refer to the members identification card to determine the applicable network. 0 Register at launch to take advantage of the enhanced functionality launch date will be announced soon. 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. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. 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 6:00 a.m. 8:00 p.m. MST, Corporate Office 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. There are two easy ways to submit claims to Sana. This is nothing new; however, this is a good time to remind everyone of the feature.