The new PAI provider portal is going live. 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. Or you can request a meeting on a specific topic, CLICK HERE to schedule. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. 1268 0 obj <>stream endstream endobj 1230 0 obj <. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. Contact the Customer Service number on the member ID card if you need assistance. 2023 American Benefits Group. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. 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 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 I respect a service team that does what they say theyre going to do with quality! 1 (800) 244-6224. 83 0 obj <> endobj You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. PDF Network Prefix List - CareFirst Provider Its almost here! Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson Chattanooga, TN 37422-7223. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. American Plan Administrators - Overview, News & Competitors - ZoomInfo American Plan Adminstrators | Better Business Bureau Profile 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 Box 380844 American Plan Administrators. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . We are proud to offer our own unique Claims processing and Benefit administration solutions. 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. Contact | American Insurance Administrators 2022 Employee Benefit Management Services, LLC. Log in to your account to confirm your specific . Attention: Refund Analyst This field is for validation purposes and should be left unchanged. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM 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. Chicago, IL 60680-4104. 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 We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. Corporate Headquarters. 1229 0 obj <> endobj Participant Inquiries: cobra@americanbenefitadministrators.com View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC Box 1558 We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. Home - Zenith American (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C Box 855 Arnold, MD 21012 endstream endobj startxref 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. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address Home; About; Advantages; Solutions/Services; Resources; Contact us Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. PSIP Reimbursement Rates for 2020/ . Staff Photography by Jessica Marie Photography Inc. Its almost here! Columbia, SC 29260. Providers | Planned Administrators Inc. (PAI) Benefits administration is a difficult, increasingly complex business. Provider Claim Submission to APWU Health Plan - apwuhp.com For assistance with portal registration or portal password assistance, please call 877-777-0031. Try taking a look at our Frequently Asked Questions page. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. P.O. 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 Be Advised. Out of network claims - EyeMed Vision Benefits Its not easy to accomplish but it has been my experience and I am very grateful.". Box 6927 Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. 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. To request reimbursement, please complete and sign the itemized claim form. 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. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. How To File A Claim - American Benefits Group - amben.com support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. 6:00 a.m. 8:00 p.m. MST, Corporate Office 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 Copyright 2016 AMA Insurance, Inc. All rights reserved. Receiving illegal calls claiming to be from American Benefits Group? Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. ABA is committed and confident it will provide the same level of service. Preferred Network Arrangements. By Mail Sana Benefits Claims P.O. 3333 Hesper Road 1200 WILSHIRE BLVD-5TH FLOOR. 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. The new PAI provider portal is going live. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. 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. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us P.O. You will receive a response within 2 business days. (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. Van Nuys, CA 91409-9055, Other States: Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. (888) 505-7724 updates@sbmamec.com Cigna. PAI P.O. %PDF-1.6 % Employees. Planned Administrators Inc. (PAI) Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. Several payers that DO receive claims electronically have been placed on this list for having poor services available. megamenu1. I was very impressed with American Benefits Group after separation from my employer. 1-800-303-5242. This team was incredibly patient, kind, and helpful. Contact Us | Customer Service | Cigna 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. 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. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets.