Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) Contact Us | AMA Insurance Provider Portal PDF VISION OUT-OF-NETWORK CLAIM FORM Claim submissions made easy hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; Prior authorization varies from group to group. (888) 505-7724 updates@sbmamec.com General Assistance - Zenith American All rights reserved. Its almost here! Phone: 800-777-3575 You will receive a response within 2 business days. 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 Van Nuys, CA 91409-9055, Other States: Need answers now? You will need an Employer ID when you register. 152 0 obj <>stream Changes made will not be reflected on all impacted systems for up to 2 business days. Providers - Group Administrators P.O. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. There are two easy ways to submit claims to Sana. American Plan Administrators - Overview, News & Competitors - ZoomInfo 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. If you use the EDGE portal, additional login information can be found on theEDGE Hub. American Plan Administrators - Contact us. Chattanooga, TN 37422-7223. Planned Administrators Inc. (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. North America Administrators - Lucent Health M-F 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. Contact Us - American Benefit Administrators Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. 1.800.426.9786. Out of network claims - EyeMed Vision Benefits Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . 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. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Dental Claims. %%EOF This team is diligent and kind. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 endstream endobj startxref Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. 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. Preferred Network Arrangements. P.O. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. As may vary by group, please call the phone number listed on the member ID card. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: Media Relations Contact. Contact; Log In; Hit enter to search or ESC to close. PO Box 182223. 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. This field is for validation purposes and should be left unchanged. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. Hours: 7:00 a.m. 6:00 p.m CST. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. All Rights Reserved. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM megamenu1. ABA is committed and confident it will provide the same level of service. SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. The new PAI provider portal is going live. Copyright 2016 AMA Insurance, Inc. All rights reserved. P.O. 0 Zenith Insurance Company 2023 Planned Administrators Inc. All rights reserved. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. Need answers now? PDF Payer Connection Payer List Toll Free: 866.742.4900 CHCP - Resources - Active Accounts - Cigna Home - Zenith American We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. P.O. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. Several payers that DO receive claims electronically have been placed on this list for having poor services available. Or you can request a meeting on a specific topic, CLICK HERE to schedule. *Out-of-network form submission deadlines may vary by plan. There you will find answers to common questions, details about your plan, and much more. 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. The cost of healthcare continues to grow at an unsustainable pace. 1268 0 obj <>stream View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. We will quickly get back to you with the information you need. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit 1200 WILSHIRE BLVD-5TH FLOOR. 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. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. d '7y[ f| m x06w a>g 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? PDF Cigna Payer Solutions Active Accounts Update - MemberClicks EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. Log in to your account to confirm your specific . 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. The new PAI provider portal is going live. CareFirst contracts with Third Party Administrators to the Network claims product. Zenith Insurance Company 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. Box 855 Arnold, MD 21012 Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. 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. 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. Also, customers and vendors may be requested to provide electronic payment options for invoices. Claims paid under PSIP Program are subject to county audit. How To File A Claim - American Benefits Group - amben.com Birmingham, AL 35238, 2023 American Benefit Administrators. To request reimbursement, please complete and sign the itemized claim form. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. 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 Contact | American Insurance Administrators american plan administrators claim mailing address For general assistance, please call your Client Services representative or your Customer Care team. We appreciate hearing from you. endstream endobj startxref Welcome to American Plan Administrators EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. LOS ANGELES, CA 90017-1906. Please contact the TPA with questions on these topics. American Plan Adminstrators | Better Business Bureau Profile For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. For general inquiries or to file a claim, visit our Submitting a Claim page. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. 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. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Columbia, SC 29260. 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 2023 Planned Administrators Inc. All rights reserved. Access your online portal usingthis form. This is nothing new; however, this is a good time to remind everyone of the feature. Email: sales@americanbenefitadministrators.com, American Benefit Administrators If youre interested in improving your benefit plan and improving lives, drop us a line. 83 0 obj <> endobj The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. PDF Network Prefix List - CareFirst Provider PAI will not require that you repay the refund until PAI has concluded its review. 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: 24 hours a day, 365 days a year. 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. Box 9055 AMERICAN INSURANCE ADMINISTRATORS. 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 a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. 2022 Employee Benefit Management Services, LLC. 2023 American Benefits Group. Toll Free: 866.742.4900 (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. If you are a participating CompNet provider seeking to manage addresses and . 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. 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 Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . 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. Fill out our Request for Proposal Form. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. SBMA Benefits 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 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. 2018 Zenith American Solutions, Inc. All Rights Reserved. Corporate Headquarters. Contact Us | Customer Service | Cigna American Insurance Administrators 2009-2023 Zenith Insurance Company. Phone Number. Title Claims Contact. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us 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 Chicago, IL 60680-4104. 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. Please Be Advised. By Mail Sana Benefits Claims P.O. Toll Free: 718-834-1256. Fax: 406-652-5380. Cigna. Provider Address Change Fax an updated W-9 to (803) 264-9089 Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C View Map, Employee BenefitManagement Services Providers | EBPA Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. HCP Login. The original entity of Zenith American Solutions has been in business since 1944. About Us; Contact; Helpful Links; Online Forms; Coordination of . Cigna shares the administration of the plan with a third party. Medical Claims. 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) Please refer to the members identification card to determine the applicable network. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday Provider Claim Submission to APWU Health Plan - apwuhp.com 6:00 a.m. 8:00 p.m. MST, Corporate Office We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. American Plan Administrators. I was very impressed with American Benefits Group after separation from my employer. Box 380844 Register at launch to take advantage of the enhanced functionality launch date will be announced soon.