Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Driving Directions. Changes made will not be reflected on all impacted systems for up to 2 business days. About Us; Contact; Helpful Links; Online Forms; Coordination of . Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. 1254 0 obj <>/Filter/FlateDecode/ID[]/Index[1229 40]/Info 1228 0 R/Length 122/Prev 219460/Root 1230 0 R/Size 1269/Type/XRef/W[1 3 1]>>stream The cost of healthcare continues to grow at an unsustainable pace. The company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. Title Claims Contact. Box 855 Arnold, MD 21012 6:00 a.m. 8:00 p.m. MST, Corporate Office 0 These tools focus on quality and ensuring the best possible end result for each and every user. You will need an Employer ID when you register. If you are a participating CompNet provider seeking to manage addresses and . Toll Free: 718-834-1256. P.O. First American Financial Corporation 1 First American Way Santa Ana, California 92707. 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. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. Need answers now? This team is diligent and kind. . View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. The new PAI provider portal is going live. Try taking a look at our Frequently Asked Questions page. endstream endobj 1230 0 obj <. Provider Address Change Fax an updated W-9 to (803) 264-9089 LOS ANGELES, CA 90017-1906. Access the link below for easy-to-use claim filing. We are proud to offer our own unique Claims processing and Benefit administration solutions. As a provider, take advantage ofour round- the- clockonline resourcesand secure portal. The team uses PMI standards and project management tools along with IT industry best practices. 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. 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. Participant Inquiries: cobra@americanbenefitadministrators.com 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. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. 2009-2023 Zenith Insurance Company. 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. 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. 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. This team was incredibly patient, kind, and helpful. PSIP Reimbursement Rates for 2020/ . 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 7:00 a.m. 8:00 p.m. MST, Monday-Thursday Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson 1.800.426.9786. Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) Box 1558 0 The original entity of Zenith American Solutions has been in business since 1944. Please Be Advised. endstream endobj startxref For general inquiries or to file a claim, visit our Submitting a Claim page. %PDF-1.6 % Toll Free: 866.742.4900 MAILING ADDRESS: American Insurance Administrators P O BOX 17908 LOS ANGELES, CA 90017-0908. Columbia, SC 29260. CareFirst contracts with Third Party Administrators to the Network claims product. Employees. Notice of Privacy. As a health care provider, you are an integral part of our team. 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. Box 6927 P.O. Phone: 800-777-3575 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. By Mail Sana Benefits Claims P.O. Preferred Network Arrangements. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . Dental Claims. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address 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. Box 9055 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. 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. PAI P.O. Both American Benefit Plan Administrators and Zenith Administrators were strong TPA's prior to the merger, but by combining . Login to your account. Phone Number. HCP Login. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. 152 0 obj <>stream 24 hours a day, 365 days a year. 1-800-303-5242. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. endstream endobj startxref 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. Please contact the TPA with questions on these topics. View Map, Employee BenefitManagement Services December 2020. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. Zenith Insurance Company We offer a state-of-the art member portal to help you make the most of your health benefits. I was very impressed with American Benefits Group after separation from my employer. We will quickly get back to you with the information you need. Its not easy to accomplish but it has been my experience and I am very grateful.". Medical Claims. 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. 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. Please use the form below to contact AMA Insurance. Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. 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. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. (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. For assistance with portal registration or portal password assistance, please call 877-777-0031. Box 380844 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: Staff Photography by Jessica Marie Photography Inc. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. Helping You Provide The Best Possible Care. 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 For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. 2023 American Benefits Group. 83 0 obj <> endobj For further information, please contact the precertification number located on the members identification card. You will receive a response within 2 business days. 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 Many of EBPA's Employer Benefit Group Plans utilize CompNet as their principal PPO network. Fax: 406-652-5380. Prior authorization varies from group to group. 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. Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card.