We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. Please contact the TPA with questions on these topics. 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. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. American Plan Administrators. Title Claims Contact. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. Please Be Advised. Its almost here! The new PAI provider portal is going live. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; For general inquiries or to file a claim, visit our Submitting a Claim page. There are two easy ways to submit claims to Sana. First American Financial Corporation 1 First American Way Santa Ana, California 92707. I respect a service team that does what they say theyre going to do with quality! Please let us know if you experience any trouble or if you need help using the AMA Insurance Verification of Benefits Portal. 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. 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. PAI will not require that you repay the refund until PAI has concluded its review. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. December 2020. 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. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. For general assistance, please call your Client Services representative or your Customer Care team. Try taking a look at our Frequently Asked Questions page. 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 Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: As may vary by group, please call the phone number listed on the member ID card. Toll Free: 866.742.4900 hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 Need answers now? 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. endstream endobj 1230 0 obj <. . Corporate Headquarters. P.O. Phonee: 718-625-6300. CareFirst contracts with Third Party Administrators to the Network claims product. 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. If you use the EDGE portal, additional login information can be found on theEDGE Hub. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. Authorized to administer business in all 50 states, hundreds of employers across the country and their covered employees rely on PAI. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k Receiving illegal calls claiming to be from American Benefits Group? Columbia, SC 29260. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. Dental Claims. All Rights Reserved. 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. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Birmingham, AL 35238, 2023 American Benefit Administrators. Take control of your benefits. This is nothing new; however, this is a good time to remind everyone of the feature. 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. This team is diligent and kind. Several payers that DO receive claims electronically have been placed on this list for having poor services available. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Sarasota, FL 34230-1558, Report a Property, Liability, or Auto Claim, Agent & Broker Resources, Support & Online Tools. Constant regulatory changes and adjustments to health care and pension plans demand more than just hard work to effectively manage. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. 1-800-303-5242. 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. Copyright 2016 AMA Insurance, Inc. All rights reserved. d '7y[ f| m x06w a>g 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. View Map, Employee BenefitManagement Services The original entity of Zenith American Solutions has been in business since 1944. 2023 American Benefits Group. 1 (800) 244-6224. 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. AMA Insurance Agency, Inc. Access the link below for easy-to-use claim filing. Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . 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. Our solutions and services allow you to tailor benefit plans to best meet the needs of you and your employees. Access your online portal usingthis form. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: Box 6927 Driving Directions. P.O. Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) Staff Photography by Jessica Marie Photography Inc. PAI P.O. Or you can request a meeting on a specific topic, CLICK HERE to schedule. Benefits administration is a difficult, increasingly complex business. Notice of Privacy. The original entity of Zenith American Solutions has been in business since 1944. 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. endstream endobj startxref Media Relations Contact. 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. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. 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. 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. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. 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. 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 . Chicago, IL 60680-4104. *Out-of-network form submission deadlines may vary by plan. 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: Please refer to the members identification card to determine the applicable network. %PDF-1.6 % This field is for validation purposes and should be left unchanged. There you will find answers to common questions, details about your plan, and much more. 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 For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. Cigna shares the administration of the plan with a third party. PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us These tools focus on quality and ensuring the best possible end result for each and every user. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. Its not easy to accomplish but it has been my experience and I am very grateful.". Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit PAI will not require that you repay the refund until PAI has concluded its review. 7:00 a.m. 8:00 p.m. MST, Monday-Thursday o Each card also includes the paper and electronic claims submission addresses. 1229 0 obj <> endobj 0 Its almost here! Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. Cigna. Phone Number. 2022 Employee Benefit Management Services, LLC. Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. Login to your account. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available.