american plan administrators claim mailing address

Electronically Electronic/Payor ID: 50114. You would need to reimburse yourself and then pay your provider directly. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Chicago, IL 60680-4104. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. This team is diligent and kind. PAI will not require that you repay the refund until PAI has concluded its review. 2018 Zenith American Solutions, Inc. All Rights Reserved. Need answers now? 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. These tools focus on quality and ensuring the best possible end result for each and every user. 1-800-303-5242. We offer a state-of-the art member portal to help you make the most of your health benefits. Contact the Customer Service number on the member ID card if you need assistance. Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . PO Box 182223. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit About Us; Contact; Helpful Links; Online Forms; Coordination of . 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 $5.2M Industry Insurance Is this data correct? The team uses PMI standards and project management tools along with IT industry best practices. Contact; Log In; Hit enter to search or ESC to close. Types of services that generally require precertification: *Any drugs, services, treatment or supplies that the managed care medical staff for PAI determines, with appropriate consultation, to be experimental, investigational or unproven are not covered services. Email: sales@americanbenefitadministrators.com, American Benefit Administrators As a health care provider, you are an integral part of our team. Please contact our Provider Relations team at 800-440-5020 (option 3) or by email at providergroup@thezenith.com if you need: Submit bills, reports, and other medically-related correspondence by mail or fax: California: . Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Participant Support:support@americanbenefitadministrators.com Please use the form below to contact AMA Insurance. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. hYkO+-*T}B1ha4.$&&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 AMA Insurance Agency, Inc. You will need an Employer ID when you register. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. Helping You Provide The Best Possible Care. Toll Free: 866.742.4900 This is nothing new; however, this is a good time to remind everyone of the feature. I respect a service team that does what they say theyre going to do with quality! o Each card also includes the paper and electronic claims submission addresses. Copyright 2016 AMA Insurance, Inc. All rights reserved. We appreciate hearing from you. 18 Heyward St. Brooklyn, NY 11249. This field is for validation purposes and should be left unchanged. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. 152 0 obj <>stream 0 endstream endobj startxref By Mail Sana Benefits Claims P.O. Cigna. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. %%EOF 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. 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. Phone: 800-777-3575 Preferred Network Arrangements. Phonee: 718-625-6300. The original entity of Zenith American Solutions has been in business since 1944. As may vary by group, please call the phone number listed on the member ID card. AMERICAN INSURANCE ADMINISTRATORS. Login to your account. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. Columbia, SC 29260. 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. 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. Birmingham, AL 35238, 2023 American Benefit Administrators. 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. Van Nuys, CA 91409-9055, Other States: Access your online portal usingthis form. First American Financial Corporation 1 First American Way Santa Ana, California 92707. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. %%EOF For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. 1200 WILSHIRE BLVD-5TH FLOOR. Billings MT 59102 Please Be Advised. Attention: Refund Analyst Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. 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. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. 2009-2023 Zenith Insurance Company. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. (888) 505-7724 updates@sbmamec.com Claims paid under PSIP Program are subject to county audit. 6:00 a.m. 8:00 p.m. MST, Corporate Office Toll Free: 718-834-1256. 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 Zenith Insurance Company Title Claims Contact. endstream endobj startxref 1 (800) 244-6224. Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson Toll Free: 1.800.854.3643 Local: 1.714.250.3000. For general assistance, please call your Client Services representative or your Customer Care team. ABA is committed and confident it will provide the same level of service. LOS ANGELES, CA 90017-1906. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. 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. 119 0 obj <>/Filter/FlateDecode/ID[<38C6DB5AA9170743B09053647D1A6BD2>]/Index[83 70]/Info 82 0 R/Length 156/Prev 301728/Root 84 0 R/Size 153/Type/XRef/W[1 3 1]>>stream 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 View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. If you are a participating CompNet provider seeking to manage addresses and . 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. Take control of your benefits. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. 1268 0 obj <>stream To request reimbursement, please complete and sign the itemized claim form. Also, customers and vendors may be requested to provide electronic payment options for invoices. Hours: 7:00 a.m. 6:00 p.m CST. Participant Inquiries: cobra@americanbenefitadministrators.com 2023 American Benefits Group. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. Media Relations Contact. HCP Login. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. 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. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. 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. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. 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. All Rights Reserved. Phone Number. There you will find answers to common questions, details about your plan, and much more. PAI will not require that you repay the refund until PAI has concluded its review. If you use the EDGE portal, additional login information can be found on theEDGE Hub. Cigna shares the administration of the plan with a third party. Fax an updated W-9 to (803) 264-9089 0 P.O. Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST.