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 (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . December 2020. Zenith Insurance Company P.O. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. Log in to your account to confirm your specific . Contact Us For Information on Benefit Plan Administration | EBMS The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. LOS ANGELES, CA 90017-1906. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: Try taking a look at our. The new PAI provider portal is going live. 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) Chicago, IL 60680-4104. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. P.O. 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. 6:00 a.m. 8:00 p.m. MST, Corporate Office Contact; Log In; Hit enter to search or ESC to close. Providers | Planned Administrators Inc. (PAI) If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. 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. American Plan Administrators - Overview, News & Competitors - ZoomInfo Register at launch to take advantage of the enhanced functionality launch date will be announced soon. d '7y[ f| m x06w a>g Register at launch to take advantage of the enhanced functionality launch date will be announced soon. For assistance with portal registration or portal password assistance, please call 877-777-0031. This team was incredibly patient, kind, and helpful. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. Providers - Group Administrators Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. 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. I was very impressed with American Benefits Group after separation from my employer. Attention: Refund Analyst Contact Us | First American Hours: 7:00 a.m. 6:00 p.m CST. If youre interested in improving your benefit plan and improving lives, drop us a line. %PDF-1.6 % 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. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. Changes made will not be reflected on all impacted systems for up to 2 business days. CareFirst contracts with Third Party Administrators to the Network claims product. PDF Cigna Payer Solutions Active Accounts Update - MemberClicks Participant Inquiries: cobra@americanbenefitadministrators.com Planned Administrators Inc. (PAI) First American Financial Corporation 1 First American Way Santa Ana, California 92707. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit This is nothing new; however, this is a good time to remind everyone of the feature. North America Administrators - Lucent Health American Plan Adminstrators | Better Business Bureau Profile *Out-of-network form submission deadlines may vary by plan. 2022 Employee Benefit Management Services, LLC. 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. Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. 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. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . 2018 Zenith American Solutions, Inc. All Rights Reserved. Claims paid under PSIP Program are subject to county audit. About Us; Contact; Helpful Links; Online Forms; Coordination of . Zenith Insurance Company (888) 505-7724 updates@sbmamec.com ABA is committed and confident it will provide the same level of service. 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. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. If you use the EDGE portal, additional login information can be found on theEDGE Hub. You will need an Employer ID when you register. Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . Electronically Electronic/Payor ID: 50114. All rights reserved. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. Preferred Network Arrangements. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. 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. SBMA Benefits endstream endobj startxref These tools focus on quality and ensuring the best possible end result for each and every user. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k Dental Claims. New User?Please click here to register. 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. PDF VISION OUT-OF-NETWORK CLAIM FORM Claim submissions made easy Please contact the TPA with questions on these topics. Providers | EBPA Corporate Headquarters. Fax an updated W-9 to (803) 264-9089 To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. 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. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. 1268 0 obj <>stream The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. . 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. 83 0 obj <> endobj PAI will not require that you repay the refund until PAI has concluded its review. You will receive a response within 2 business days. 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. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. Access your online portal usingthis form. PAI will not require that you repay the refund until PAI has concluded its review. PO Box 804238 o Each card also includes the paper and electronic claims submission addresses. 24 hours a day, 365 days a year. We will quickly get back to you with the information you need. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. 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. Need answers now? endstream endobj startxref 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 We appreciate hearing from you. 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 Its almost here! Submitting a Claim - Sana Benefits Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. Cigna. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. PRAC Bulletin. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C Toll Free: 866.742.4900 (1) Allegiance Benefit Plan Management is responsible for administering various aspects of this patient's plan, which may include claim processing, utilization management or eligibility verification. hYkO+-*T}B1ha4.$&&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 Helping You Provide The Best Possible Care. 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 If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. Copyright 2016 AMA Insurance, Inc. All rights reserved. Fill out our Request for Proposal Form. Contact Us | Customer Service | Cigna Box 380844 1229 0 obj <> endobj 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. Participant Support:support@americanbenefitadministrators.com Fax: 406-652-5380. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. Provider Contacts and Billing Information - TheZenith To request reimbursement, please complete and sign the itemized claim form. Please Be Advised. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. Prior authorization varies from group to group. Box 9055 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 2009-2023 Zenith Insurance Company. There are two easy ways to submit claims to Sana. American Plan Administrators - Contact us This field is for validation purposes and should be left unchanged. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us Email: sales@americanbenefitadministrators.com, American Benefit Administrators Cigna. 3333 Hesper Road Its almost here! %%EOF The original entity of Zenith American Solutions has been in business since 1944. AMERICAN INSURANCE ADMINISTRATORS. We are proud to offer our own unique Claims processing and Benefit administration solutions. Birmingham, AL 35238, 2023 American Benefit Administrators. 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. endstream endobj 1230 0 obj <. 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. American Plan Administrators - Contact us. 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. For general inquiries or to file a claim, visit our Submitting a Claim page. Van Nuys, CA 91409-9055, Other States: 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 Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM 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: CHCP - Resources - Active Accounts - Cigna 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. P.O. Welcome to American Plan Administrators The original entity of Zenith American Solutions has been in business since 1944. Several payers that DO receive claims electronically have been placed on this list for having poor services available. 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 Box 6927 First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday Out of network claims - EyeMed Vision Benefits 18 Heyward St. Brooklyn, NY 11249. Also, customers and vendors may be requested to provide electronic payment options for invoices. Contact the Customer Service number on the member ID card if you need assistance. 0 Try taking a look at our Frequently Asked Questions page. Take control of your benefits. Customized Solutions for Third Party Administrators | Cigna Or you can request a meeting on a specific topic, CLICK HERE to schedule. Home - Zenith American Contact | American Insurance Administrators For general assistance, please call your Client Services representative or your Customer Care team. General Assistance - Zenith American Home; About; Advantages; Solutions/Services; Resources; Contact us Employees. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Provider Claim Submission to APWU Health Plan - apwuhp.com Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. AMA Insurance Agency, Inc. For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. 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