We will quickly get back to you with the information you need. Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. 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. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. P.O. 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 Or you can request a meeting on a specific topic, CLICK HERE to schedule. Contact Us | First American 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. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. Receiving illegal calls claiming to be from American Benefits Group? Box 6927 Please use the form below to contact AMA Insurance. Welcome to American Plan Administrators AMERICAN INSURANCE ADMINISTRATORS. Changes made will not be reflected on all impacted systems for up to 2 business days. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. CHCP - Resources - Active Accounts - Cigna Billings MT 59102 MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. Cigna. Provider Contacts and Billing Information - TheZenith Employees. Driving Directions. o Each card also includes the paper and electronic claims submission addresses. We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. Chicago, IL 60680-4104. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. To request reimbursement, please complete and sign the itemized claim form. 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. 1200 WILSHIRE BLVD-5TH FLOOR. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 *Out-of-network form submission deadlines may vary by plan. 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. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; Provider Address Change Fax an updated W-9 to (803) 264-9089 Employees. 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. 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 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 We offer a state-of-the art member portal to help you make the most of your health benefits. Media Relations Contact. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. Cigna. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. PO Box 182223. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday 6:00 a.m. 8:00 p.m. MST, Corporate Office P.O. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. PDF Network Prefix List - CareFirst Provider Box 855 Arnold, MD 21012 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. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. Providers | Planned Administrators Inc. (PAI) 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. PDF Cigna Payer Solutions Active Accounts Update - MemberClicks Zenith Insurance Company SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. If youre interested in improving your benefit plan and improving lives, drop us a line. 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 endstream endobj 1230 0 obj <. 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 As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. Contact | American Insurance Administrators Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. P.O. 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: 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. 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 . PDF VISION OUT-OF-NETWORK CLAIM FORM Claim submissions made easy (888) 505-7724 updates@sbmamec.com Phone Number. LOS ANGELES, CA 90017-1906. Helping You Provide The Best Possible Care. SBMA Benefits Access your online portal usingthis form. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. 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? 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. 152 0 obj <>stream Toll Free: 1.800.854.3643 Local: 1.714.250.3000. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Box 9055 2018 Zenith American Solutions, Inc. All Rights Reserved. 2009-2023 Zenith Insurance Company. American Plan Administrators - Contact us. 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 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 . d '7y[ f| m x06w a>g PO Box 804238 American Plan Administrators. 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. 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) . Box 1558 Title Claims Contact. 18 Heyward St. Brooklyn, NY 11249. General Assistance - Zenith American 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. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. Columbia, SC 29260. Contact Us - American Benefit Administrators This team is diligent and kind. The new PAI provider portal is going live. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. This field is for validation purposes and should be left unchanged. 1229 0 obj <> endobj Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. For general inquiries or to file a claim, visit our Submitting a Claim page. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. Zenith Insurance Company For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. Benefits administration is a difficult, increasingly complex business. 0 Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. Phone: 800-777-3575 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. Customized Solutions for Third Party Administrators | Cigna By Mail Sana Benefits Claims P.O. All rights reserved. The new PAI provider portal is going live. 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. Birmingham, AL 35238, 2023 American Benefit Administrators. PDF Payer Connection Payer List View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. American Plan Administrators - Contact us Take control of your benefits. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. Contact Us | Customer Service | Cigna December 2020. Preferred Network Arrangements. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. 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.
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american plan administrators claim mailing address