Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. Phone Number. Home; About; Advantages; Solutions/Services; Resources; Contact us 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. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. Need answers now? There are two easy ways to submit claims to Sana. 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. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . We appreciate hearing from you. Fill out our Request for Proposal Form. For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. 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? o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. Billings MT 59102 Its almost here! The team uses PMI standards and project management tools along with IT industry best practices. Zenith Insurance Company For general inquiries or to file a claim, visit our Submitting a Claim page. 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 This team is diligent and kind. 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. Cigna. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. I was very impressed with American Benefits Group after separation from my employer. PO Box 182223. Several payers that DO receive claims electronically have been placed on this list for having poor services available. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM 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. Van Nuys, CA 91409-9055, Other States: 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. View Map, Employee BenefitManagement Services Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. 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. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. Medical Claims. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: P.O. 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. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. 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 Toll Free: 866.742.4900 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 Or you can request a meeting on a specific topic, CLICK HERE to schedule. You would need to reimburse yourself and then pay your provider directly. 2023 American Benefits Group. megamenu1. New User?Please click here to register. About Us; Contact; Helpful Links; Online Forms; Coordination of . ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Phonee: 718-625-6300. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 These tools focus on quality and ensuring the best possible end result for each and every user. 2022 Employee Benefit Management Services, LLC. Box 855 Arnold, MD 21012 Cigna. AMERICAN INSURANCE ADMINISTRATORS. Chattanooga, TN 37422-7223. All rights reserved. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. ABA is committed and confident it will provide the same level of service. Attention: Refund Analyst 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. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; Login to your account. 0 Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. Copyright 2016 AMA Insurance, Inc. All rights reserved. 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. Contact; Log In; Hit enter to search or ESC to close. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. %%EOF The new PAI provider portal is going live. Employees. 0 The original entity of Zenith American Solutions has been in business since 1944. Chicago, IL 60680-4104. 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 endstream endobj 1230 0 obj <. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. (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 . hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C Driving Directions. 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. As a health care provider, you are an integral part of our team. Dental Claims. If you are a participating CompNet provider seeking to manage addresses and . 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. 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. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us 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. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Zenith Insurance Company Columbia, SC 29260. PSIP Reimbursement Rates for 2020/ . PO Box 804238 Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: We will quickly get back to you with the information you need. (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. Also, customers and vendors may be requested to provide electronic payment options for invoices. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. Please refer to the members identification card to determine the applicable network. Participant Inquiries: cobra@americanbenefitadministrators.com HCP Login. American Plan Administrators. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. PRAC Bulletin. P.O. December 2020. %PDF-1.6 % Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below.
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