2022.08.24 WednesdayAccess your online portal usingthis form. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. AMERICAN INSURANCE ADMINISTRATORS. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . M-F 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. Also, customers and vendors may be requested to provide electronic payment options for invoices. Cigna shares the administration of the plan with a third party. If you are a Medicare member, you may use the Out-Of-Network claim form or submit a written request with all information listed above and mail to: First American Admisinstrator, Inc. Att: OON Claims, PO Box 8504, Mason OH, 45040-7111. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. 3333 Hesper Road Toll Free: 718-834-1256. Please refer to the members identification card to determine the applicable network. 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 I respect a service team that does what they say theyre going to do with quality! 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. Copyright 2016 AMA Insurance, Inc. All rights reserved. Log in to your account to confirm your specific . Planned Administrators Inc. (PAI) Contact Us - American Benefit Administrators 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 PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us Access the link below for easy-to-use claim filing. Providers | Planned Administrators Inc. (PAI) There you will find answers to common questions, details about your plan, and much more. 2023 Planned Administrators Inc. All rights reserved. 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 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. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM 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. Provider Claim Submission to APWU Health Plan - apwuhp.com Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. The cost of healthcare continues to grow at an unsustainable pace. 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. This is nothing new; however, this is a good time to remind everyone of the feature. Receiving illegal calls claiming to be from American Benefits Group? 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 %%EOF If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. Box 855 Arnold, MD 21012 If youre interested in improving your benefit plan and improving lives, drop us a line. 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. 1200 WILSHIRE BLVD-5TH FLOOR. We appreciate hearing from you. endstream endobj startxref Hours: 7:00 a.m. 6:00 p.m CST. 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. Phonee: 718-625-6300. New User?Please click here to register. Providers | EBPA If you use the EDGE portal, additional login information can be found on theEDGE Hub. By Mail Sana Benefits Claims P.O. American Plan Administrators - Contact us PAI will not require that you repay the refund until PAI has concluded its review. North America Administrators - Lucent Health endstream endobj startxref 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 You would need to reimburse yourself and then pay your provider directly. ABA is committed and confident it will provide the same level of service. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. The team uses PMI standards and project management tools along with IT industry best practices. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. Benefits administration is a difficult, increasingly complex business. For further information, please contact the precertification number located on the members identification card. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. For general assistance, please call your Client Services representative or your Customer Care team. Or you can request a meeting on a specific topic, CLICK HERE to schedule. First American Financial Corporation 1 First American Way Santa Ana, California 92707. Home; About; Advantages; Solutions/Services; Resources; Contact us For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. megamenu1. Media Relations Contact. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. 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 SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: We offer a state-of-the art member portal to help you make the most of your health benefits. Email: sales@americanbenefitadministrators.com, American Benefit Administrators Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. PAI P.O. LOS ANGELES, CA 90017-1906. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. CHCP - Resources - Active Accounts - Cigna Provider Address Change Fax an updated W-9 to (803) 264-9089 The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. . Corporate Headquarters. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. 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 To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday Box 1558 Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. 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. Dental Claims. As may vary by group, please call the phone number listed on the member ID card. Need answers now? Toll Free: 1.800.854.3643 Local: 1.714.250.3000. For assistance with portal registration or portal password assistance, please call 877-777-0031. Home - Zenith American This field is for validation purposes and should be left unchanged. Fax an updated W-9 to (803) 264-9089 18 Heyward St. Brooklyn, NY 11249. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. %PDF-1.6 % 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 $5.2M Industry Insurance Is this data correct? hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k PDF VISION OUT-OF-NETWORK CLAIM FORM Claim submissions made easy Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. endstream endobj 1230 0 obj <. 1-800-303-5242. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. 0 Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. Toll Free: 866.742.4900 Providers - Group Administrators Contact Us | AMA Insurance Provider Portal (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. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O.
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