Box 9055 Try taking a look at our Frequently Asked Questions page. 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. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. Fax an updated W-9 to (803) 264-9089 We offer a state-of-the art member portal to help you make the most of your health benefits. If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. 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: Help with finding network physicians or ancillary service providers; Information about our pharmacy benefit management program and other Zenith programs PDF Cigna Payer Solutions Active Accounts Update - MemberClicks Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. Contact | American Insurance Administrators o Each card also includes the paper and electronic claims submission addresses. There are two easy ways to submit claims to Sana. Toll Free: 866.742.4900 Attention: Refund Analyst (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . 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. Dental Claims. Customized Solutions for Third Party Administrators | Cigna Benefits administration is a difficult, increasingly complex business. Birmingham, AL 35238, 2023 American Benefit Administrators. %%EOF Its not easy to accomplish but it has been my experience and I am very grateful.". As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us You will receive a response within 2 business days. 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 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. Phone: 800-777-3575 As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Fax: 406-652-5380. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. For general inquiries or to file a claim, visit our Submitting a Claim page. This team is diligent and kind. HCP Login. american plan administrators claim mailing address The team uses PMI standards and project management tools along with IT industry best practices. 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. 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. CHCP - Resources - Active Accounts - Cigna Submitting a Claim - Sana Benefits Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit 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. 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. Medical Claims. 1-800-303-5242. 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. Contact Us For Information on Benefit Plan Administration | EBMS New User?Please click here to register. Box 855 Arnold, MD 21012 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 are a participating CompNet provider seeking to manage addresses and . endstream endobj startxref Participant Inquiries: cobra@americanbenefitadministrators.com Participant Support:support@americanbenefitadministrators.com 83 0 obj <> endobj Helping You Provide The Best Possible Care. Provider Claim Submission to APWU Health Plan - apwuhp.com 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. View Map, Employee BenefitManagement Services 1 (800) 244-6224. SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. d '7y[ f| m x06w a>g Billings MT 59102 Home - Zenith American Its almost here! We are proud to offer our own unique Claims processing and Benefit administration solutions. 1200 WILSHIRE BLVD-5TH FLOOR. megamenu1. 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 . 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 P.O. By Mail Sana Benefits Claims P.O. Please forward your refund repayments to: PAI P.O. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. M-F Email: Login to your Secure Online Access portal and click on Contact Us Benefit Account Administration: Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. Box 1558 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. 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. We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. To request reimbursement, please complete and sign the itemized claim form. Contact Us | First American PAI Its almost here! endstream endobj startxref PDF Payer Connection Payer List EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. 3333 Hesper Road 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. 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 American Plan Administrators. American Plan Administrators - Overview, News & Competitors - ZoomInfo PSIP Reimbursement Rates for 2020/ . Contact Us | AMA Insurance Provider Portal Or you can request a meeting on a specific topic, CLICK HERE to schedule. Zenith Insurance Company North America Administrators - Lucent Health Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . 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. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. Provider Address Change Fax an updated W-9 to (803) 264-9089 Media Relations Contact. PO Box 182223. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. 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. Cigna. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: LOS ANGELES, CA 90017-1906. As may vary by group, please call the phone number listed on the member ID card. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Cigna. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Cigna shares the administration of the plan with a third party. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) PDF VISION OUT-OF-NETWORK CLAIM FORM Claim submissions made easy PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. PAI will not require that you repay the refund until PAI has concluded its review. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k %PDF-1.6 % *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. 2023 Planned Administrators Inc. All rights reserved. This field is for validation purposes and should be left unchanged. PO Box 804238 The new PAI provider portal is going live. Chicago, IL 60680-4104. 152 0 obj <>stream 18 Heyward St. Brooklyn, NY 11249. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. American Plan Administrators - Contact us. Login to your account. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. 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. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. The cost of healthcare continues to grow at an unsustainable pace. If youre interested in improving your benefit plan and improving lives, drop us a line.

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