Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson 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. 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. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. First American Financial Corporation 1 First American Way Santa Ana, California 92707. 2009-2023 Zenith Insurance Company. Try taking a look at our Frequently Asked Questions page. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. There you will find answers to common questions, details about your plan, and much more. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. 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. Please refer to the members identification card to determine the applicable network. 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. The new PAI provider portal is going live. If you are a participating CompNet provider seeking to manage addresses and .
Log in to your account to confirm your specific . Prior authorization varies from group to group. 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. 2018 Zenith American Solutions, Inc. All Rights Reserved. I respect a service team that does what they say theyre going to do with quality! Contact Us - American Benefit Administrators Need answers now? Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. I was very impressed with American Benefits Group after separation from my employer. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. For general assistance, please call your Client Services representative or your Customer Care team. 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 As may vary by group, please call the phone number listed on the member ID card. Preferred Network Arrangements. PAI P.O. PAI will not require that you repay the refund until PAI has concluded its review. 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? 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. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. If youre interested in improving your benefit plan and improving lives, drop us a line. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. 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. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK M-F 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. P.O. . Contact Us For Information on Benefit Plan Administration | EBMS Participant Inquiries: cobra@americanbenefitadministrators.com 83 0 obj
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Please forward your refund repayments to: Contact the Customer Service number on the member ID card if you need assistance. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. Access your online portal usingthis form. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. 0
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. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Phonee: 718-625-6300. Provider Address Change Fax an updated W-9 to (803) 264-9089 We appreciate hearing from you. 1-800-303-5242. AMA Insurance Agency, Inc. Fill out our Request for Proposal Form. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM Birmingham, AL 35238, 2023 American Benefit Administrators. Need answers now? Zenith Insurance Company For further information, please contact the precertification number located on the members identification card. Phone: 800-777-3575 This team is diligent and kind. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. 1.800.426.9786. Planned Administrators Inc. (PAI) For assistance with portal registration or portal password assistance, please call 877-777-0031. (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. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. Contact Us | First American MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. Claims paid under PSIP Program are subject to county audit. 1268 0 obj
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Submitting a Claim - Sana Benefits Also, customers and vendors may be requested to provide electronic payment options for invoices. 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. 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. Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. December 2020. Box 1558 Box 855 Arnold, MD 21012 We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. Dental Claims. 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 For general inquiries or to file a claim, visit our Submitting a Claim page. North America Administrators - Lucent Health 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. 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 24 hours a day, 365 days a year. 18 Heyward St. Brooklyn, NY 11249. LOS ANGELES, CA 90017-1906. Box 6927 Copyright 2016 AMA Insurance, Inc. All rights reserved. If you use the EDGE portal, additional login information can be found on theEDGE Hub. 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. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. You will need an Employer ID when you register. PDF Cigna Payer Solutions Active Accounts Update - MemberClicks Toll Free: 718-834-1256. o Each card also includes the paper and electronic claims submission addresses. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k
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. endstream
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Hours: 7:00 a.m. 6:00 p.m CST. Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. Chattanooga, TN 37422-7223. Billings MT 59102 Contact; Log In; Hit enter to search or ESC to close. endstream
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<. The original entity of Zenith American Solutions has been in business since 1944. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. The original entity of Zenith American Solutions has been in business since 1944. Access the link below for easy-to-use claim filing. Staff Photography by Jessica Marie Photography Inc. Helping You Provide The Best Possible Care. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC There are two easy ways to submit claims to Sana. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: Providers | Planned Administrators Inc. (PAI) P.O. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. endstream
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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 Van Nuys, CA 91409-9055, Other States: mZbqEm2dU1 (RtzEowwz{nZ/L++P@,*,&yiPQ9{KYp*GiERa&pS0\,fta1 kptdt
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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 Plan Administrators - Contact us. Customized Solutions for Third Party Administrators | Cigna SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. New User?Please click here to register. The team uses PMI standards and project management tools along with IT industry best practices. %PDF-1.6
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Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. Providers | EBPA We will quickly get back to you with the information you need. hb``` eaXm.;
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Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. By Mail Sana Benefits Claims P.O. 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. 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. All rights reserved. Chicago, IL 60680-4104. Its almost here! Login to your account. Columbia, SC 29260. Cigna. Cigna shares the administration of the plan with a third party. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. Please Be Advised. *Out-of-network form submission deadlines may vary by plan. American Plan Adminstrators | Better Business Bureau Profile 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. To request reimbursement, please complete and sign the itemized claim form. American Insurance Administrators PRAC Bulletin. Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) Register at launch to take advantage of the enhanced functionality launch date will be announced soon. General Assistance - Zenith American (888) 505-7724 updates@sbmamec.com 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 . Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. HCP Login. This is nothing new; however, this is a good time to remind everyone of the feature. The cost of healthcare continues to grow at an unsustainable pace. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. 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. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. Fax an updated W-9 to (803) 264-9089 Electronically Electronic/Payor ID: 50114. Try taking a look at our. %%EOF
Changes made will not be reflected on all impacted systems for up to 2 business days. Box 380844 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. These tools focus on quality and ensuring the best possible end result for each and every user. 2023 American Benefits Group. PAI will not require that you repay the refund until PAI has concluded its review. This field is for validation purposes and should be left unchanged. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us Attention: Refund Analyst 152 0 obj
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CHCP - Resources - Active Accounts - Cigna 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. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C
Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. endstream
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Medical Claims. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit Take control of your benefits. hYkO+-*T}B1ha4.$&&v,~SU $g )_xULXI0e21kF&W#q?JNOdilQ1&hWg
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(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 Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. Contact Us | Customer Service | Cigna PDF Network Prefix List - CareFirst Provider Fax: 406-652-5380. Several payers that DO receive claims electronically have been placed on this list for having poor services available. About Us; Contact; Helpful Links; Online Forms; Coordination of . Provider Contacts and Billing Information - TheZenith 2022 Employee Benefit Management Services, LLC. 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 SBMA Benefits Employees. 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 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) Providers - Group Administrators We offer a state-of-the art member portal to help you make the most of your health benefits. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. This team was incredibly patient, kind, and helpful. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. Zenith Insurance Company 0
Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. 1 (800) 244-6224. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 Its almost here! 1200 WILSHIRE BLVD-5TH FLOOR.