Corporate Headquarters. Medical Claims. 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. 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 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. 24 hours a day, 365 days a year. Welcome to American Plan Administrators Provider Address Change Fax an updated W-9 to (803) 264-9089 Cigna. 1229 0 obj <> endobj Try taking a look at our. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. Dental Claims. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. Login to your account. These tools focus on quality and ensuring the best possible end result for each and every user. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us About Us; Contact; Helpful Links; Online Forms; Coordination of . . The team uses PMI standards and project management tools along with IT industry best practices. LOS ANGELES, CA 90017-1906. The cost of healthcare continues to grow at an unsustainable pace. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday 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) Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. Toll Free: 866.742.4900 As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. 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 . 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. Prior authorization varies from group to group. Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) All rights reserved. You will receive a response within 2 business days. Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . Attention: Refund Analyst If you use the EDGE portal, additional login information can be found on theEDGE Hub. PAI Participant Inquiries: cobra@americanbenefitadministrators.com Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: If you are a participating CompNet provider seeking to manage addresses and . PSIP Reimbursement Rates for 2020/ . 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. 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. American Plan Administrators - Overview, News & Competitors - ZoomInfo hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 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. Please refer to the members identification card to determine the applicable network. Home - Zenith American PAI will not require that you repay the refund until PAI has concluded its review. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. Out of network claims - EyeMed Vision Benefits You will need an Employer ID when you register. endstream endobj 1230 0 obj <. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. 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 Preferred Network Arrangements. 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 View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. Van Nuys, CA 91409-9055, Other States: Fax an updated W-9 to (803) 264-9089 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. (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. Employees. Fax: 406-652-5380. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. 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. 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 We offer a state-of-the art member portal to help you make the most of your health benefits. Cigna. We appreciate hearing from you. Email: sales@americanbenefitadministrators.com, American Benefit Administrators Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. North America Administrators - Lucent Health P.O. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. 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? ABA is committed and confident it will provide the same level of service. %PDF-1.6 % %PDF-1.6 % 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. 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. Contact Us | First American CHCP - Resources - Active Accounts - Cigna PAI will not require that you repay the refund until PAI has concluded its review. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. 2022 Employee Benefit Management Services, LLC. PDF Payer Connection Payer List ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK All Rights Reserved. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. This team is diligent and kind. Phone: 800-777-3575 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 Box 855 Arnold, MD 21012 o Each card also includes the paper and electronic claims submission addresses. We will quickly get back to you with the information you need. Providers | EBPA P.O. The new PAI provider portal is going live. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. Cigna shares the administration of the plan with a third party. For assistance with portal registration or portal password assistance, please call 877-777-0031. AMERICAN INSURANCE ADMINISTRATORS. Please contact the TPA with questions on these topics. Billings MT 59102 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. Contact; Log In; Hit enter to search or ESC to close. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. 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. Contact the Customer Service number on the member ID card if you need assistance. If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. The new PAI provider portal is going live. 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. Box 9055 We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. Contact Us For Information on Benefit Plan Administration | EBMS
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