*As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. First American Financial Corporation 1 First American Way Santa Ana, California 92707. 1.800.426.9786. 2018 Zenith American Solutions, Inc. All Rights Reserved. American Plan Administrators. 18 Heyward St. Brooklyn, NY 11249. Preferred Network Arrangements. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. For further information, please contact the precertification number located on the members identification card. . View Map, Employee BenefitManagement Services Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM You will need an Employer ID when you register. If you use the EDGE portal, additional login information can be found on theEDGE Hub. PRAC Bulletin. Access your online portal usingthis form. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. Try taking a look at our. The new PAI provider portal is going live. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. 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) Email: sales@americanbenefitadministrators.com, American Benefit Administrators Register at launch to take advantage of the enhanced functionality launch date will be announced soon. If you are a participating CompNet provider seeking to manage addresses and . Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. P.O. Cigna. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . 7:00 a.m. 8:00 p.m. MST, Monday-Thursday d '7y[ f| m x06w a>g For general inquiries or to file a claim, visit our Submitting a Claim page. AMERICAN INSURANCE ADMINISTRATORS. 83 0 obj <> endobj Fill out our Request for Proposal Form. Also, customers and vendors may be requested to provide electronic payment options for invoices. The team uses PMI standards and project management tools along with IT industry best practices. Contact the Customer Service number on the member ID card if you need assistance. 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. 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 Several payers that DO receive claims electronically have been placed on this list for having poor services available. 3333 Hesper Road 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 Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. 2023 American Benefits Group. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK %PDF-1.6 % About Us; Contact; Helpful Links; Online Forms; Coordination of . Or you can request a meeting on a specific topic, CLICK HERE to schedule. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. For general assistance, please call your Client Services representative or your Customer Care team. 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. Driving Directions. 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 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. These tools focus on quality and ensuring the best possible end result for each and every user. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. 1 (800) 244-6224. Receiving illegal calls claiming to be from American Benefits Group? o Each card also includes the paper and electronic claims submission addresses. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. PAI will not require that you repay the refund until PAI has concluded its review. P.O. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. Cigna. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. For assistance with portal registration or portal password assistance, please call 877-777-0031. 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 . 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 long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. 152 0 obj <>stream Phone: 800-777-3575 Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit 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. Fax: 406-652-5380. endstream endobj startxref Its almost here! Our online tools will give you all the information access you need to utilize patients health benefits to support their care. 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 American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Title Claims Contact. Columbia, SC 29260. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k You would need to reimburse yourself and then pay your provider directly. P.O. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us 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. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. Billings MT 59102 Take control of your benefits. 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. 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 megamenu1. 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: 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. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 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. (888) 505-7724 updates@sbmamec.com I was very impressed with American Benefits Group after separation from my employer. 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. Login to your account. This is nothing new; however, this is a good time to remind everyone of the feature. 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. Box 6927 %%EOF 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. Corporate Headquarters. This team is diligent and kind. Zenith Insurance Company PAI will not require that you repay the refund until PAI has concluded its review. AMA Insurance Agency, Inc. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. We appreciate hearing from you. 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. Its almost here! 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. The original entity of Zenith American Solutions has been in business since 1944. Box 380844 2009-2023 Zenith Insurance Company. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. Access the link below for easy-to-use claim filing. 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. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. P.O. Home; About; Advantages; Solutions/Services; Resources; Contact us 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. %PDF-1.6 % All rights reserved. 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 Try taking a look at our Frequently Asked Questions page. Fax an updated W-9 to (803) 264-9089 We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. This field is for validation purposes and should be left unchanged. There you will find answers to common questions, details about your plan, and much 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. By Mail Sana Benefits Claims P.O. LOS ANGELES, CA 90017-1906. 24 hours a day, 365 days a year. 0 Chattanooga, TN 37422-7223. PAI P.O. ABA is committed and confident it will provide the same level of service. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. Box 855 Arnold, MD 21012 We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday Changes made will not be reflected on all impacted systems for up to 2 business days. Claims paid under PSIP Program are subject to county audit. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. Provider Address Change Fax an updated W-9 to (803) 264-9089 PO Box 182223. If youre interested in improving your benefit plan and improving lives, drop us a line. 2023 Planned Administrators Inc. All rights reserved. Please Be Advised. PAI 2022 Employee Benefit Management Services, LLC. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. 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. Van Nuys, CA 91409-9055, Other States: Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees.
