The cost of healthcare continues to grow at an unsustainable pace. If you use the EDGE portal, additional login information can be found on theEDGE Hub. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. About Us; Contact; Helpful Links; Online Forms; Coordination of . Zenith Insurance Company 7:00 a.m. 8:00 p.m. MST, Monday-Thursday PAI P.O. 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 Or you can request a meeting on a specific topic, CLICK HERE to schedule. The new PAI provider portal is going live. P.O. For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. Toll Free: 718-834-1256. Phonee: 718-625-6300. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. 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. Title Claims Contact. 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 Its not easy to accomplish but it has been my experience and I am very grateful.". Please forward your refund repayments to: To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. There you will find answers to common questions, details about your plan, and much more. Receiving illegal calls claiming to be from American Benefits Group? Several payers that DO receive claims electronically have been placed on this list for having poor services available. 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. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) Toll Free: 866.742.4900 We are proud to offer our own unique Claims processing and Benefit administration solutions. Participant Inquiries: cobra@americanbenefitadministrators.com Also, customers and vendors may be requested to provide electronic payment options for invoices. Toll Free: 866.742.4900 Cigna. 152 0 obj <>stream PO Box 804238 Corporate Headquarters. PRAC Bulletin. 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. endstream endobj startxref 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. 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. endstream endobj 1230 0 obj <. The original entity of Zenith American Solutions has been in business since 1944. AMA Insurance Agency, Inc. Home; About; Advantages; Solutions/Services; Resources; Contact us Box 6927 EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. 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. %%EOF 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. Staff Photography by Jessica Marie Photography Inc. 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 For general assistance, please call your Client Services representative or your Customer Care team. 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. We offer a state-of-the art member portal to help you make the most of your health benefits. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. 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. Employees. Gain access to the solutions and support you need to offer your customers the benefit designs that best meet their needs. As a health care provider, you are an integral part of our team. There are two easy ways to submit claims to Sana. Its almost here! You would need to reimburse yourself and then pay your provider directly. d '7y[ f| m x06w a>g 2023 American Benefits Group. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k o Each card also includes the paper and electronic claims submission addresses. Notice of Privacy. PSIP Reimbursement Rates for 2020/ . Fax: 406-652-5380. 2009-2023 Zenith Insurance Company. December 2020. ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK 2022 Employee Benefit Management Services, LLC. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 *Out-of-network form submission deadlines may vary by plan. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. Chicago, IL 60680-4104. The new PAI provider portal is going live. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. Van Nuys, CA 91409-9055, Other States: These tools focus on quality and ensuring the best possible end result for each and every user. Preferred Network Arrangements. If you are a participating CompNet provider seeking to manage addresses and . LOS ANGELES, CA 90017-1906. megamenu1. 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 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 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. %%EOF Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. 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. PAI They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: New User?Please click here to register. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. The team uses PMI standards and project management tools along with IT industry best practices. Try taking a look at our. 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. Box 9055 6:00 a.m. 8:00 p.m. MST, Corporate Office Take control of your benefits. 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 Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday (888) 505-7724 updates@sbmamec.com 1229 0 obj <> endobj *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. 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. 0 This is nothing new; however, this is a good time to remind everyone of the feature. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: Prior authorization varies from group to group. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us As may vary by group, please call the phone number listed on the member ID card. 1-800-303-5242. Fill out our Request for Proposal Form. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. We will quickly get back to you with the information you need. 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. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. By Mail Sana Benefits Claims P.O. HCP Login. I respect a service team that does what they say theyre going to do with quality! You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. Copyright 2016 AMA Insurance, Inc. All rights reserved. Phone: 800-777-3575 Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . Its almost here! PAI will not require that you repay the refund until PAI has concluded its review. Login to your account. 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: Submit bills, reports, and other medically-related correspondence by mail or fax: California: All rights reserved. Contact the Customer Service number on the member ID card if you need assistance. Electronically Electronic/Payor ID: 50114. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. Access the link below for easy-to-use claim filing. All Rights Reserved. Participant Support:support@americanbenefitadministrators.com Fax an updated W-9 to (803) 264-9089 Cigna shares the administration of the plan with a third party. This team is diligent and kind. Driving Directions. Try taking a look at our Frequently Asked Questions page. 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. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage.

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