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. PSIP Reimbursement Rates for 2020/ . Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM 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 are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. New User?Please click here to register. If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. Fill out our Request for Proposal Form. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. 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 Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. 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. You will receive a response within 2 business days. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us Hours: 7:00 a.m. 6:00 p.m CST. PO Box 804238 7:00 a.m. 8:00 p.m. MST, Monday-Thursday Phone Number. Corporate Headquarters. Please refer to the members identification card to determine the applicable network. Contact the Customer Service number on the member ID card if you need assistance. Its almost here! Register at launch to take advantage of the enhanced functionality launch date will be announced soon. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. 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. Staff Photography by Jessica Marie Photography Inc. If you use the EDGE portal, additional login information can be found on theEDGE Hub. 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 ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK These tools focus on quality and ensuring the best possible end result for each and every user. Columbia, SC 29260. This team was incredibly patient, kind, and helpful. Media Relations Contact. Please contact the TPA with questions on these topics. 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: For assistance with portal registration or portal password assistance, please call 877-777-0031. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. I respect a service team that does what they say theyre going to do with quality! 2018 Zenith American Solutions, Inc. All Rights Reserved. Its not easy to accomplish but it has been my experience and I am very grateful.". remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address First American Financial Corporation 1 First American Way Santa Ana, California 92707. Provider Address Change Fax an updated W-9 to (803) 264-9089 Toll Free: 1.800.854.3643 Local: 1.714.250.3000. If youre interested in improving your benefit plan and improving lives, drop us a line. The new PAI provider portal is going live. endstream endobj startxref Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. *Out-of-network form submission deadlines may vary by plan. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . 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. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 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. megamenu1. Try taking a look at our Frequently Asked Questions page. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. PAI will not require that you repay the refund until PAI has concluded its review. endstream endobj 1230 0 obj <. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. Title Claims Contact. Chicago, IL 60680-4104. AMA Insurance Agency, Inc. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: We appreciate hearing from you. Employees. Also, customers and vendors may be requested to provide electronic payment options for invoices. M-F Box 9055 . Box 6927 Medical Claims. 0 There you will find answers to common questions, details about your plan, and much more. Box 1558 American Plan Administrators - Contact us. For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. The original entity of Zenith American Solutions has been in business since 1944. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; Claims paid under PSIP Program are subject to county audit. Try taking a look at our. Its almost here! 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. PRAC Bulletin. For general assistance, please call your Client Services representative or your Customer Care team. Login to your account. %%EOF Zenith Insurance Company This is nothing new; however, this is a good time to remind everyone of the feature. Contact; Log In; Hit enter to search or ESC to close. %%EOF EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. 2023 American Benefits Group. d '7y[ f| m x06w a>g Employees. If you are a participating CompNet provider seeking to manage addresses and . Log in to your account to confirm your specific . hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k You will need an Employer ID when you register. Home; About; Advantages; Solutions/Services; Resources; Contact us Chattanooga, TN 37422-7223. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. %PDF-1.6 % Please Be Advised. Box 855 Arnold, MD 21012 Toll Free: 866.742.4900 Benefits administration is a difficult, increasingly complex business. P.O. As a health care provider, you are an integral part of our team. The new PAI provider portal is going live. PO Box 182223. All rights reserved. Fax an updated W-9 to (803) 264-9089 o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. I was very impressed with American Benefits Group after separation from my employer. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. 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. 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. Zenith Insurance Company Van Nuys, CA 91409-9055, Other States: Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. Copyright 2016 AMA Insurance, Inc. All rights reserved. 1268 0 obj <>stream This field is for validation purposes and should be left unchanged. As may vary by group, please call the phone number listed on the member ID card. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. 0 3333 Hesper Road 1.800.426.9786. 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. (888) 505-7724 updates@sbmamec.com The cost of healthcare continues to grow at an unsustainable pace. Email: sales@americanbenefitadministrators.com, American Benefit Administrators Please use the form below to contact AMA Insurance. 1-800-303-5242. Whether you are a two-person startup group, a 30,000-employee enterprise, a public school system or a labor union, we have products and services that can meet your population needs and group priorities. 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 Receiving illegal calls claiming to be from American Benefits Group? December 2020. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Fax: 406-652-5380. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. 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 . Participant Support:support@americanbenefitadministrators.com Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . Notice of Privacy. 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. endstream endobj startxref Electronically Electronic/Payor ID: 50114. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. 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. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. 2023 Planned Administrators Inc. All rights reserved. We will quickly get back to you with the information you need. 2022 Employee Benefit Management Services, LLC. Cigna shares the administration of the plan with a third party. o Each card also includes the paper and electronic claims submission addresses. Take control of your benefits. CareFirst contracts with Third Party Administrators to the Network claims product. 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 AMERICAN INSURANCE ADMINISTRATORS. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. 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 *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. 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. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. 24 hours a day, 365 days a year. 152 0 obj <>stream For further information, please contact the precertification number located on the members identification card. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. View Map, Employee BenefitManagement Services About Us; Contact; Helpful Links; Online Forms; Coordination of . hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C 83 0 obj <> endobj We are proud to offer our own unique Claims processing and Benefit administration solutions. 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)