P.O. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. There are two easy ways to submit claims to Sana. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. hb``` eaXm.;
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Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. Zenith Insurance Company 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 Home; About; Advantages; Solutions/Services; Resources; Contact us First American Financial Corporation 1 First American Way Santa Ana, California 92707. PAI PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Box 9055 o Each card also includes the paper and electronic claims submission addresses. 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. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1
24 hours a day, 365 days a year. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. endstream
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<. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. For general inquiries or to file a claim, visit our Submitting a Claim page. Toll Free: 866.742.4900 Columbia, SC 29260. 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. P.O. LOS ANGELES, CA 90017-1906. PO Box 804238 Please note that Credit Card receipts or cancelled checks are not valid documentation, Claims for personal hygiene items and cosmetics are not eligible expenses, Vitamins and supplements are not eligible without a doctors prescription, Massage therapy and weight-loss programs are only allowable to the extent that they are prescribed for a chronic condition or existing disease and supported by a doctors note submitted with the claim, We will keep doctors note on file but they must be renewed at the beginning of each plan year, Click here for a list of qualifying expenses. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. *Out-of-network form submission deadlines may vary by plan. . American Plan Administrators. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: M-F Zenith Insurance Company HCP Login. Or you can request a meeting on a specific topic, CLICK HERE to schedule. Chattanooga, TN 37422-7223. Need answers now? 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. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C
By Mail Sana Benefits Claims P.O. Cigna. endstream
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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 Fill out our Request for Proposal Form. 2022 Employee Benefit Management Services, LLC. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k
Billings MT 59102 We offer a state-of-the art member portal to help you make the most of your health benefits. SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. Prior authorization varies from group to group. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday (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. 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. 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. New User?Please click here to register. 1268 0 obj
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Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. Its almost here! For assistance with portal registration or portal password assistance, please call 877-777-0031. Notice of Privacy. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. Box 855 Arnold, MD 21012 The original entity of Zenith American Solutions has been in business since 1944. You will need an Employer ID when you register. 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. 83 0 obj
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Birmingham, AL 35238, 2023 American Benefit Administrators. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: %%EOF
Log in to your account to confirm your specific . 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
Cigna. 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. Media Relations Contact. As a health care provider, you are an integral part of our team. 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. 2023 Planned Administrators Inc. All rights reserved. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. 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. If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. If you use the EDGE portal, additional login information can be found on theEDGE Hub. Corporate Headquarters. PAI P.O. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. 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. AMA Insurance Agency, Inc. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. 119 0 obj
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For further information, please contact the precertification number located on the members identification card. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. 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. Toll Free: 718-834-1256. Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. 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 1-800-303-5242. If you are a participating CompNet provider seeking to manage addresses and . I was very impressed with American Benefits Group after separation from my employer. Driving Directions. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. Please forward your refund repayments to: Van Nuys, CA 91409-9055, Other States: Try taking a look at our Frequently Asked Questions page. December 2020. PAI will not require that you repay the refund until PAI has concluded its review. 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 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. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. While some groups require prior authorization for all of these services, others may require prior authorization for more or less than the procedures specified below. Phone: 800-777-3575 Employees. CareFirst contracts with Third Party Administrators to the Network claims product. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. Box 380844 American Plan Administrators - Contact us. ABA is committed and confident it will provide the same level of service. %PDF-1.6
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Please Be Advised. Helping You Provide The Best Possible Care. All Rights Reserved. Employees. Changes made will not be reflected on all impacted systems for up to 2 business days. Claims paid under PSIP Program are subject to county audit. 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. 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. The new PAI provider portal is going live. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. 0
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? 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. Login to your account. 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 Claims. Chicago, IL 60680-4104. Participant Inquiries: cobra@americanbenefitadministrators.com Please use the form below to contact AMA Insurance. 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. endstream
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Copyright 2016 AMA Insurance, Inc. All rights reserved. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. You will receive a response within 2 business days. The cost of healthcare continues to grow at an unsustainable pace. For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. 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. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate.