Register at launch to take advantage of the enhanced functionality launch date will be announced soon. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. Need answers now? megamenu1. 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 . 2009-2023 Zenith Insurance Company. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k For example, CT coronary angiography and CT scans of the chest for lung cancer screening are investigational. 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 PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. I respect a service team that does what they say theyre going to do with quality! 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. 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. Box 6927 Employees. endstream endobj startxref Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us 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. 0 Box 9055 There are two easy ways to submit claims to Sana. Birmingham, AL 35238, 2023 American Benefit Administrators. 0 The original entity of Zenith American Solutions has been in business since 1944. These tools focus on quality and ensuring the best possible end result for each and every user. Benefits administration is a difficult, increasingly complex business. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. 1229 0 obj <> endobj 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. Try taking a look at our Frequently Asked Questions page. For further information, please contact the precertification number located on the members identification card. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. PAI will not require that you repay the refund until PAI has concluded its review. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. PSIP Reimbursement Rates for 2020/ . 18 Heyward St. Brooklyn, NY 11249. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. If youre interested in improving your benefit plan and improving lives, drop us a line. *Out-of-network form submission deadlines may vary by plan. Toll Free: 718-834-1256. We appreciate hearing from you. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. American Plan Administrators. . Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson All rights reserved. Box 1558 You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. Changes made will not be reflected on all impacted systems for up to 2 business days. First American Financial Corporation 1 First American Way Santa Ana, California 92707. Toll Free: 866.742.4900 83 0 obj <> endobj For assistance with portal registration or portal password assistance, please call 877-777-0031. (888) 505-7724 updates@sbmamec.com Several payers that DO receive claims electronically have been placed on this list for having poor services available. Contact the Customer Service number on the member ID card if you need assistance. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. 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 New User?Please click here to register. Hours: 7:00 a.m. 6:00 p.m CST. 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. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. You would need to reimburse yourself and then pay your provider directly. Phone Number. Cigna shares the administration of the plan with a third party. 2023 American Benefits Group. Or you can request a meeting on a specific topic, CLICK HERE to schedule. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. 3333 Hesper RoadBillings, MT 59102, Local Phone: 406-245-3575 To request reimbursement, please complete and sign the itemized claim form. Authorized to administer business in all 50 states, hundreds of employers across the country - and their covered employees - rely on PAI. 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) Need answers now? All Rights Reserved. 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. 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. 3333 Hesper Road Participant Support:support@americanbenefitadministrators.com Register at launch to take advantage of the enhanced functionality launch date will be announced soon. The original entity of Zenith American Solutions has been in business since 1944. Box 380844 As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. As may vary by group, please call the phone number listed on the member ID card. 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. remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address Please contact the TPA with questions on these topics. 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: EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. 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 1200 WILSHIRE BLVD-5TH FLOOR. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday 1 (800) 244-6224. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. 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. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . 2018 Zenith American Solutions, Inc. All Rights Reserved. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. HCP Login. Zenith American Solutions has invested in a world class PMO (Project Management Office) that works to ensure each new implementation, enhancement, or change is managed to ensure a quality on time delivery. ABA is committed and confident it will provide the same level of service. 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 Contact; Log In; Hit enter to search or ESC to close. P.O. endstream endobj startxref Helping You Provide The Best Possible Care. Home; About; Advantages; Solutions/Services; Resources; Contact us They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations.