EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. You would need to reimburse yourself and then pay your provider directly. Log in to your account to confirm your specific . 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 *Out-of-network form submission deadlines may vary by plan. Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. 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 Its not easy to accomplish but it has been my experience and I am very grateful.". This is nothing new; however, this is a good time to remind everyone of the feature. I respect a service team that does what they say theyre going to do with quality! 2018 Zenith American Solutions, Inc. All Rights Reserved. %PDF-1.6 % Need answers now? PRAC Bulletin. About Us; Contact; Helpful Links; Online Forms; Coordination of . First American Financial Corporation 1 First American Way Santa Ana, California 92707. Birmingham, AL 35238, 2023 American Benefit Administrators. December 2020. Benefits administration is a difficult, increasingly complex business. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us Contact the Customer Service number on the member ID card if you need assistance. The original entity of Zenith American Solutions has been in business since 1944. MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. Driving Directions. Helping You Provide The Best Possible Care. 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. 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 TPAs prior to the merger, but by combining resources, best practices and scale, the new organization is even stronger and better than before. 2009-2023 Zenith Insurance Company. Its almost here! 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. Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. 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 Fill out our Request for Proposal Form. If you are a participating CompNet provider seeking to manage addresses and . 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. Also, customers and vendors may be requested to provide electronic payment options for invoices. Copyright 2016 AMA Insurance, Inc. All rights reserved. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. Box 9055 *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. Chicago, IL 60680-4104. Please contact the TPA with questions on these topics. P.O. 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. 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. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. Claims paid under PSIP Program are subject to county audit. Please Be Advised. 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. 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. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Receiving illegal calls claiming to be from American Benefits Group? PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. 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. 1268 0 obj <>stream 24 hours a day, 365 days a year. Access the link below for easy-to-use claim filing. Toll Free: 718-834-1256. Cigna. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . %%EOF 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. LOS ANGELES, CA 90017-1906. PSIP Reimbursement Rates for 2020/ . Toll Free: 1.800.854.3643 Local: 1.714.250.3000. 0 For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.com. Employees. 0 Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 AMA Insurance Agency, Inc. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. (888) 505-7724 updates@sbmamec.com They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. megamenu1. . Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. Phone: 800-777-3575 If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . 18 Heyward St. Brooklyn, NY 11249. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. 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. For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. endstream endobj startxref Title Claims Contact. For assistance with portal registration or portal password assistance, please call 877-777-0031. M-F Access your online portal usingthis form. 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. Ple ase send all c orrespondence and non-claim inquiries to the TPA addresses below. Corporate Headquarters. 1200 WILSHIRE BLVD-5TH FLOOR. Cigna shares the administration of the plan with a third party. 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. Login to your account. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. Billings MT 59102 Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. Need answers now? To request reimbursement, please complete and sign the itemized claim form. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. Try taking a look at our. 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. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. CareFirst contracts with Third Party Administrators to the Network claims product. Box 1558 Fax: 406-652-5380. P.O. 1.800.426.9786. If youre interested in improving your benefit plan and improving lives, drop us a line. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. Several payers that DO receive claims electronically have been placed on this list for having poor services available. For general assistance, please call your Client Services representative or your Customer Care team. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. PAI will not require that you repay the refund until PAI has concluded its review. Attention: Refund Analyst As a health care provider, you are an integral part of our team. Electronically Electronic/Payor ID: 50114. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. You will need an Employer ID when you register. There are two easy ways to submit claims to Sana. Please forward your refund repayments to: Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. 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. American Plan Administrators - Contact us. endstream endobj startxref As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. We are proud to offer our own unique Claims processing and Benefit administration solutions. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. You will receive a response within 2 business days. Please refer to the members identification card to determine the applicable network. . support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. Media Relations Contact. 3333 Hesper Road Toll Free: 866.742.4900 PO Box 182223. All Rights Reserved. Hours: 7:00 a.m. 6:00 p.m CST. 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. Chattanooga, TN 37422-7223. New User?Please click here to register. American Plan Administrators. Employees. Dental Claims. The cost of healthcare continues to grow at an unsustainable pace. The team uses PMI standards and project management tools along with IT industry best practices. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. 83 0 obj <> endobj Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. Try taking a look at our Frequently Asked Questions page. Zenith Insurance Company This team was incredibly patient, kind, and helpful. All rights reserved. We will quickly get back to you with the information you need. Van Nuys, CA 91409-9055, Other States: Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. PO Box 804238 I was very impressed with American Benefits Group after separation from my employer. 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. Preferred Network Arrangements. Participant Inquiries: cobra@americanbenefitadministrators.com The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Box 6927 You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131.