american plan administrators claim mailing address

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Cigna. Title Claims Contact. 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: Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. Corporate Headquarters. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. endstream endobj startxref Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. I respect a service team that does what they say theyre going to do with quality! 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. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . 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. Try taking a look at our. Benefits administration is a difficult, increasingly complex business. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. About Us; Contact; Helpful Links; Online Forms; Coordination of . By Mail Sana Benefits Claims P.O. Fill out our Request for Proposal Form. Helping You Provide The Best Possible Care. %PDF-1.6 % 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. endstream endobj startxref As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Billings MT 59102 American Plan Administrators. Participant Inquiries: cobra@americanbenefitadministrators.com 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. For general assistance, please call your Client Services representative or your Customer Care team. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. Media Relations Contact. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 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) We offer a state-of-the art member portal to help you make the most of your health benefits. P.O. Please contact the TPA with questions on these topics. Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . The team uses PMI standards and project management tools along with IT industry best practices. . 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. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday 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. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday Toll Free: 718-834-1256. The original entity of Zenith American Solutions has been in business since 1944. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. Cigna. 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. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: Try taking a look at our Frequently Asked Questions page. 3333 Hesper Road Electronically Electronic/Payor ID: 50114. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. Home; About; Advantages; Solutions/Services; Resources; Contact us Box 9055 They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. 1.800.426.9786. Claims paid under PSIP Program are subject to county audit. 2023 Planned Administrators Inc. All rights reserved. MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. 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. Staff Photography by Jessica Marie Photography Inc. Driving Directions. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Zenith Insurance Company %%EOF (888) 505-7724 updates@sbmamec.com For assistance with portal registration or portal password assistance, please call 877-777-0031. To request reimbursement, please complete and sign the itemized claim form. 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. Please forward your refund repayments to: Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. 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. AMA Insurance Agency, Inc. . 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. If you are a participating CompNet provider seeking to manage addresses and . Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. You will need an Employer ID when you register. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. 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 Fax: 406-652-5380. Box 6927 PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us 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. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. All rights reserved. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. We are proud to offer our own unique Claims processing and Benefit administration solutions. 1 (800) 244-6224. P.O. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. 1-800-303-5242. 2018 Zenith American Solutions, Inc. All Rights Reserved. 0 PO Box 804238 Hours: 7:00 a.m. 6:00 p.m CST. Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. 152 0 obj <>stream Its not easy to accomplish but it has been my experience and I am very grateful.". ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK %PDF-1.6 % This field is for validation purposes and should be left unchanged. 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. Please use the form below to contact AMA Insurance. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. We appreciate hearing from you. PRAC Bulletin. We will quickly get back to you with the information you need. Access the link below for easy-to-use claim filing. Changes made will not be reflected on all impacted systems for up to 2 business days. Phone: 800-777-3575 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. Please Be Advised. Employees. Van Nuys, CA 91409-9055, Other States: 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. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. 0 2022 Employee Benefit Management Services, LLC. First American Financial Corporation 1 First American Way Santa Ana, California 92707. Medical Claims. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. PO Box 182223. This team is diligent and kind. Its almost here! 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. Prior authorization varies from group to group. As a health care provider, you are an integral part of our team. Take control of your benefits. Need answers now? 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 SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. 2023 American Benefits Group. American Plan Administrators - Contact us. The new PAI provider portal is going live. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Contact; Log In; Hit enter to search or ESC to close. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: ABA is committed and confident it will provide the same level of service. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. 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. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. 2009-2023 Zenith Insurance Company. 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 third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit CareFirst contracts with Third Party Administrators to the Network claims product. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. PAI will not require that you repay the refund until PAI has concluded its review. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. Toll Free: 866.742.4900 o Each card also includes the paper and electronic claims submission addresses. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available.

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