If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. . By Mail Sana Benefits Claims P.O. If youre interested in improving your benefit plan and improving lives, drop us a line. 2023 American Benefits Group. Its almost here! 3333 Hesper Road PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Media Relations Contact. You will receive a response within 2 business days. 0 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. Van Nuys, CA 91409-9055, Other States: endstream endobj 84 0 obj <> endobj 85 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/Properties<>/XObject<>>>/Rotate 0/TrimBox[9.0 9.0 621.0 801.0]/Type/Page>> endobj 86 0 obj <>stream EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. Fax: 406-652-5380. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. Need answers now? PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. Box 855 Arnold, MD 21012 Employees. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. 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. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. 24 hours a day, 365 days a year. Benefits administration is a difficult, increasingly complex business. 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 LOS ANGELES, CA 90017-1906. We appreciate hearing from you. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. (888) 505-7724 updates@sbmamec.com If you use the EDGE portal, additional login information can be found on theEDGE Hub. Hours: 7:00 a.m. 6:00 p.m CST. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. PAI will not require that you repay the refund until PAI has concluded its review. 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: 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 I was very impressed with American Benefits Group after separation from my employer. 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. I respect a service team that does what they say theyre going to do with quality! EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. 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. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . PAI SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. 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 American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. 1.800.426.9786. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. 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. To request reimbursement, please complete and sign the itemized claim form. Billings MT 59102 Title Claims Contact. . 83 0 obj <> endobj 2023 Planned Administrators Inc. 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. Please refer to the members identification card to determine the applicable network. Zenith Insurance Company Its almost here! ABA is committed and confident it will provide the same level of service. There are two easy ways to submit claims to Sana. 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 PSIP Reimbursement Rates for 2020/ . 1268 0 obj <>stream Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) Please contact the TPA with questions on these topics. Please use the form below to contact AMA Insurance. December 2020. 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. HCP Login. 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. 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 PO Box 182223. Several payers that DO receive claims electronically have been placed on this list for having poor services available. Access your online portal usingthis form. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. Phonee: 718-625-6300. (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. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. megamenu1. For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. 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. This field is for validation purposes and should be left unchanged. %%EOF 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 Phone Number. PAI P.O. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. 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? 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. PAI will not require that you repay the refund until PAI has concluded its review. Take control of your benefits. P.O. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. Need answers now? For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. Changes made will not be reflected on all impacted systems for up to 2 business days. 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. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. Helping You Provide The Best Possible Care. Its not easy to accomplish but it has been my experience and I am very grateful.". ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK The new PAI provider portal is going live. endstream endobj startxref Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. *Out-of-network form submission deadlines may vary by plan. Provider Address Change Fax an updated W-9 to (803) 264-9089 Participant Support:support@americanbenefitadministrators.com 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. 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. Attention: Refund Analyst 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 View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC For general assistance, please call your Client Services representative or your Customer Care team. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. View Map, Employee BenefitManagement Services New User?Please click here to register. Get tools and flyers to share with your clients Dental Network Together, we can build a solution that's right for your clients For more information, email CignaPayerSolutions@cigna.com or call 1 (888) 284-6851.

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