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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 Employees. American Plan Administrators. There are two easy ways to submit claims to Sana. Many of EBPAs Employer Benefit Group Plans utilizeCompNetas their principal PPO network. You would need to reimburse yourself and then pay your provider directly. First American Financial Corporation 1 First American Way Santa Ana, California 92707. 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 Please Be Advised. 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? Several payers that DO receive claims electronically have been placed on this list for having poor services available. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. I respect a service team that does what they say theyre going to do with quality! Toll Free: 718-834-1256. This team is diligent and kind. 2022 Employee Benefit Management Services, LLC. Most CT scans, MRIs, MRAs and PET scans do not require precertification, but will not reimburse for services deemed to be investigational. As a third party administrator with 40 years in the industry PAI has the products, services, and innovative flexibility to cater to all markets. 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. %%EOF PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Hours: 7:00 a.m. 6:00 p.m CST. Contact; Log In; Hit enter to search or ESC to close. Access the link below for easy-to-use claim filing. PAI will not require that you repay the refund until PAI has concluded its review. Its almost here! EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. Phonee: 718-625-6300. Try taking a look at our. 2023 Planned Administrators Inc. All rights reserved. Also, customers and vendors may be requested to provide electronic payment options for invoices. Dental Claims. For further information, please contact the precertification number located on the members identification card. Please contact the TPA with questions on these topics. PAI Box 855 Arnold, MD 21012 Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. 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. By Mail Sana Benefits Claims P.O. SBMA offers Affordable ACA Compliant Benefits for employers who want fast, reliable benefits administration that their employees can afford. Box 9055 Page 1 of 21 List Current As of 3/2/2023 5:00:10 AM If you use the EDGE portal, additional login information can be found on theEDGE Hub. Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. All Rights Reserved. Billings MT 59102 1229 0 obj <> endobj Help with finding network physicians or ancillary service providers, Information about our pharmacy benefit management program and other Zenith programs. Our online tools will give you all the information access you need to utilize patients health benefits to support their care. This field is for validation purposes and should be left unchanged. PRAC Bulletin. This team was incredibly patient, kind, and helpful. hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit 2023 Planned Administrators Inc. All rights reserved. PAI P.O. 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. 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. Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. Van Nuys, CA 91409-9055, Other States: Driving Directions. Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. 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. To request reimbursement, please complete and sign the itemized claim form. 1.800.426.9786. We are proud to offer our own unique Claims processing and Benefit administration solutions. The cost of healthcare continues to grow at an unsustainable pace. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. Cigna. New User?Please click here to register. American Insurance Administrators 1200 Wilshire Blvd-5th Floor Los Angeles, CA 90017-1906 1-800-303-5242. Or you can request a meeting on a specific topic, CLICK HERE to schedule. As a health care provider, you are an integral part of our team. LOS ANGELES, CA 90017-1906. About Us; Contact; Helpful Links; Online Forms; Coordination of . 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. 18 Heyward St. Brooklyn, NY 11249. Cigna shares the administration of the plan with a third party. Please use the form below to contact AMA Insurance. Take control of your benefits. 0 endstream endobj 1230 0 obj <. View Map, Employee BenefitManagement Services 7:00 a.m. 8:00 p.m. MST, Monday-Thursday 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 Its almost here! 2018 Zenith American Solutions, Inc. All Rights Reserved. hbbd```b``@$Df/i #D2lE``vd@ "@,iZ R R2H{v# k Register at launch to take advantage of the enhanced functionality launch date will be announced soon. If you currentlyparticipate with the Preferred Blue Network, then you are already set up with PAI as a participating provider. Home; About; Advantages; Solutions/Services; Resources; Contact us This is nothing new; however, this is a good time to remind everyone of the feature. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. Phone: 800-777-3575 PO Box 21367 Billings, MT 59104 Local Phone: 406-245-3575 Phone: 800-777-3575 Fax: 406-652-5380 Contact Us 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. *As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. We will quickly get back to you with the information you need. PO Box 182223. I was very impressed with American Benefits Group after separation from my employer. 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. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. Benefits administration is a difficult, increasingly complex business. Fax an updated W-9 to (803) 264-9089 support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. 3333 Hesper Road Try taking a look at our Frequently Asked Questions page. AMERICAN INSURANCE ADMINISTRATORS. Corporate Headquarters. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. Receiving illegal calls claiming to be from American Benefits Group? View the drug lists thatapply to members with PAIs pharmacy benefit coverage with OptumRx. The team uses PMI standards and project management tools along with IT industry best practices. P.O. 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. Email: sales@americanbenefitadministrators.com, American Benefit Administrators For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. Claims paid under PSIP Program are subject to county audit. For questions concerning your online portal, including login information, please email:helpdesk@zenith-american.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. *Out-of-network form submission deadlines may vary by plan. 1-800-303-5242. PSIP Reimbursement Rates for 2020/ . High Option APWU HP is primary payer All states and U.S. Virgin Islands CIGNA HealthCare PO Box 188004 Chattanooga, TN 37422 or Payer ID 62308 High Option APWU HP is primary payer U.S. Virgin Islands Lucent Health helps benefits brokers deliver a superior solution that directly and effectively addresses the needs of the self-insured . 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 endstream endobj startxref For general inquiries or to file a claim, visit our Submitting a Claim page. The new PAI provider portal is going live. The PAI Provider Portal provides complete benefit information, including deductibles and patient liability.