Who is American Plan Administrators Headquarters 18 Heyward St, Brooklyn, New York, 11249, United States Phone Number (718) 625-6300 Website www.apatpa.com Revenue $5.2M Industry Insurance Is this data correct? View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. Staff Photography by Jessica Marie Photography Inc. Toll Free: 866.742.4900 Whether you are a two-person startup group, a 30,000-employee enterprise, a public school system or a labor union, we have products and services that can meet your population needs and group priorities. 119 0 obj <>/Filter/FlateDecode/ID[<38C6DB5AA9170743B09053647D1A6BD2>]/Index[83 70]/Info 82 0 R/Length 156/Prev 301728/Root 84 0 R/Size 153/Type/XRef/W[1 3 1]>>stream Copyright 2016 AMA Insurance, Inc. All rights reserved. Dental Claims. Title Claims Contact. For general inquiries or to file a claim, visit our Submitting a Claim page. LOS ANGELES, CA 90017-1906. Client/Employer Support:cobraclientservices@americanbenefitadministrators.com, COBRA/Direct Billing, FSA, DCA, Transit & Parking, HSA, HRA, POP, Compliance and Identity Guard with Watson (Zq /Y(aUUlg&dU//adikCb[/qBTwgqU2x/j|!jokBP+m`B&GDX~w4 . First NameLast NameEmailI am a:BrokerEmployer/Plan SponsorMemberProviderOtherReason for contacting--Select--Donation inquiriesGeneralMedia inquiriesMember comment or concernNew business inquiriesMessage, Monday-Thursday hbbd```b`` `>"@``rXd."#;H)`'`y f\"y7A$g-Xd2#7mVXD]"MAD = G`$C Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. Fill out our Request for Proposal Form. View contact profiles from American Plan Administrators Popular Searches American Plan Administrators American Plan Administrators LLC 1.800.426.9786. 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. If you are a participatingCompNetprovider seeking to manage addresses and staffing changes, you may do sohere. Toll Free: 1.800.854.3643 Local: 1.714.250.3000. Need answers now? 83 0 obj <> endobj The cost of healthcare continues to grow at an unsustainable pace. Register at launch to take advantage of the enhanced functionality launch date will be announced soon. We offer a state-of-the art member portal to help you make the most of your health benefits. 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. Its not easy to accomplish but it has been my experience and I am very grateful.". I respect a service team that does what they say theyre going to do with quality! Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . Access your online portal usingthis form. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. Its a stark contrast from the individuals I spoke to at carriers when following up on enrollments. PAI P.O. PO Box 804238 1200 WILSHIRE BLVD-5TH FLOOR. Prior authorization varies from group to group. P.O. To request reimbursement, please complete and sign the itemized claim form. . . There you will find answers to common questions, details about your plan, and much more. Billings MT 59102 Toll Free: 718-834-1256. Hours: 7:00 a.m. 6:00 p.m CST. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k You would need to reimburse yourself and then pay your provider directly. 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. The new PAI provider portal is going live. 2018 Zenith American Solutions, Inc. All Rights Reserved. Its almost here! Employees. Please forward your refund repayments to: 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. 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. Employees. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. 2023 Planned Administrators Inc. All rights reserved. All Rights Reserved. Box 1558 Preferred Network Arrangements. Zenith Insurance Company PRAC Bulletin. 0 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) endstream endobj startxref Changes made will not be reflected on all impacted systems for up to 2 business days. As may vary by group, please call the phone number listed on the member ID card. 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 You can request prior authorization for these services by calling 1-800-652-3076, or fax requests to 803-264-5131. These tools focus on quality and ensuring the best possible end result for each and every user. Toll Free: 866.742.4900 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 Please contact the TPA with questions on these topics. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit Medical Claims. Please submit claims electronically using EDI Payer Codes: Professional - 580, Facility - 190. megamenu1. Chattanooga, TN 37422-7223. Cigna. P.O. 2009-2023 Zenith Insurance Company. Box 6927 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 d '7y[ f| m x06w a>g 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. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. Try taking a look at our Frequently Asked Questions page. Phonee: 718-625-6300. PAI will not require that you repay the refund until PAI has concluded its review. Login to your account. Box 380844 remington pro1 flat iron; out-of-state broker commission texas; July 7, 2022. american plan administrators claim mailing address 0 Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. 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 Claims Submittal: claims@americanbenefitadministrators.com (claims can also be submitted online via the secure portal or Mobile App) *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. Take control of your benefits. Client/Employer Support:clientservices@americanbenefitadministrators.com, COBRA/Direct Billing Administration: We highly recommend participants to take advantage of the direct deposit feature whenever a manual claim is filed. 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. Van Nuys, CA 91409-9055, Other States: About Us; Contact; Helpful Links; Online Forms; Coordination of . SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. PSIP Reimbursement Rates for 2020/ . 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 Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. As a health care provider, you are an integral part of our team. 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. Email: sales@americanbenefitadministrators.com, American Benefit Administrators PAI will not require that you repay the refund until PAI has concluded its review. The original entity of Zenith American Solutions has been in business since 1944. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. 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. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. Claims paid under PSIP Program are subject to county audit. Or you can request a meeting on a specific topic, CLICK HERE to schedule. CareFirst contracts with Third Party Administrators to the Network claims product.
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