Zenith Insurance Company Medical Claims. 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. 1254 0 obj
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P.O. 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. Access the link below for easy-to-use claim filing. Box 855 Arnold, MD 21012 Phone: 800-777-3575 Need answers now? Email: sales@americanbenefitadministrators.com, American Benefit Administrators Billings MT 59102 For assistance with portal registration or portal password assistance, please call 877-777-0031. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. Driving Directions. Copyright 2016 AMA Insurance, Inc. All rights reserved. Toll Free: 866.742.4900 View Map, Employee BenefitManagement Services If you are a participating CompNet provider seeking to manage addresses and . The new PAI provider portal is going live. 0
Phone Number. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Employees. Take control of your benefits. They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. This is nothing new; however, this is a good time to remind everyone of the feature. 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. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1
Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. 18 Heyward St. Brooklyn, NY 11249. Please contact the TPA with questions on these topics. Please Be Advised. If you use the EDGE portal, additional login information can be found on theEDGE Hub. Login to your account. Please refer to the members identification card to determine the applicable network. Fax: 406-652-5380. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. This team is diligent and kind. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. 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 You would need to reimburse yourself and then pay your provider directly. December 2020. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC Try taking a look at our Frequently Asked Questions page. 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. New User?Please click here to register. 1229 0 obj
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Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. 3333 Hesper Road For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. 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: To request reimbursement, please complete and sign the itemized claim form. 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 First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday All Rights Reserved. Attention: Refund Analyst Contact the Customer Service number on the member ID card if you need assistance. Notice of Privacy. 0
Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. Staff Photography by Jessica Marie Photography Inc. 1200 WILSHIRE BLVD-5TH FLOOR. Hours: 7:00 a.m. 6:00 p.m CST. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit 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. Box 9055 We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. mZbqEm2dU1 (RtzEowwz{nZ/L++P@,*,&yiPQ9{KYp*GiERa&pS0\,fta1 kptdt
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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 As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. 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 hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C
American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Prior authorization varies from group to group. Its almost here! For further information, please contact the precertification number located on the members identification card. endstream
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If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. 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. You will need an Employer ID when you register. 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. 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. Participant Inquiries: cobra@americanbenefitadministrators.com 6:00 a.m. 8:00 p.m. MST, Corporate Office Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. PAI P.O. Title Claims Contact. 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. About Us; Contact; Helpful Links; Online Forms; Coordination of . Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . . P.O. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. Dental Claims. o Each card also includes the paper and electronic claims submission addresses. Cigna. AMERICAN INSURANCE ADMINISTRATORS. Several payers that DO receive claims electronically have been placed on this list for having poor services available. There are two easy ways to submit claims to Sana. 2023 Planned Administrators Inc. All rights reserved. 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. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. Cigna. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. 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. Toll Free: 866.742.4900 Changes made will not be reflected on all impacted systems for up to 2 business days. 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. Contact; Log In; Hit enter to search or ESC to close.
This team was incredibly patient, kind, and helpful. PO Box 804238 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 o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday 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. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. 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. 1.800.426.9786. Cigna shares the administration of the plan with a third party. I respect a service team that does what they say theyre going to do with quality! 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) Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Our combined focus is providing the technologies, services, systems and support methodology to self-funded benefit plans so they get the solutions they need for increasingly complex regulatory changes and cost effective solutions. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . CareFirst contracts with Third Party Administrators to the Network claims product. Chattanooga, TN 37422-7223. There you will find answers to common questions, details about your plan, and much more. (888) 505-7724 updates@sbmamec.com hb``` eaXm.;
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2023 American Benefits Group. We are proud to offer our own unique Claims processing and Benefit administration solutions. ABA is committed and confident it will provide the same level of service. All rights reserved. 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. Need answers now? 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. Electronically Electronic/Payor ID: 50114. 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. hYkO+-*T}B1ha4.$&&v,~SU $g )_xULXI0e21kF&W#q?JNOdilQ1&hWg
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(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 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. 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 . By Mail Sana Benefits Claims P.O. PRAC Bulletin. The team uses PMI standards and project management tools along with IT industry best practices. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. The new PAI provider portal is going live. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. Provider Address Change Fax an updated W-9 to (803) 264-9089 If you have questions about a claim, eligibility or verification of benefits please call and speak with a LIVE representative at800-578-3272. Its not easy to accomplish but it has been my experience and I am very grateful.". Fax an updated W-9 to (803) 264-9089 Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. Media Relations Contact. Participant Support:support@americanbenefitadministrators.com 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 American Plan Administrators. Try taking a look at our. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. The cost of healthcare continues to grow at an unsustainable pace. 1268 0 obj
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PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. 119 0 obj
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Or you can request a meeting on a specific topic, CLICK HERE to schedule. endstream
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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. Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . M-F Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. LOS ANGELES, CA 90017-1906. %PDF-1.6
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Its almost here! 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. Van Nuys, CA 91409-9055, Other States: 1 (800) 244-6224. As a health care provider, you are an integral part of our team. Chicago, IL 60680-4104. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. I was very impressed with the questions that they asked and their follow through with carriers in what could otherwise have been a very frustrating situation working with insurance companies. Please forward your refund repayments to: 24 hours a day, 365 days a year. You will receive a response within 2 business days. As may vary by group, please call the phone number listed on the member ID card. %PDF-1.6
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Preferred Network Arrangements. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. This field is for validation purposes and should be left unchanged. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees.