*As part of our effort in achieving a 100% paperless office we encourage you to receive your reimbursements directly into your bank account. 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 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. PRAC Bulletin. Cigna. (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. PAI will not require that you repay the refund until PAI has concluded its review. American Insurance Administrators Toll Free: 866.742.4900 Hours: 7:00 a.m. - 6:00 p.m CST. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. 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. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network, CompNet. Its not easy to accomplish but it has been my experience and I am very grateful.". 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. %%EOF Mailing addresses for claims Important: Current claims mailing information is on the APWU Health Plan Member ID Card. We are proud to offer our own unique Claims processing and Benefit administration solutions. For group-specific prior authorization information, please log in to the MyPAI Provider Portal above and review the members health benefit plan document. endstream endobj startxref Contact; Log In; Hit enter to search or ESC to close. %%EOF ]^^n^6R6Z+nt'`3U3xxm]UW/EY qgoM0%"sWc[T#XdIf FOP.'f/wbviQ.hP,UnPK 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. CareFirst contracts with Third Party Administrators to the Network claims product. Need answers now? The original entity of Zenith American Solutions has been in business since 1944. PDF VISION OUT-OF-NETWORK CLAIM FORM Claim submissions made easy Chattanooga, TN 37422-7223. Quick Benefit Lookup, no log in required-Providers can verify benefits by entering the Member ID, SSN (last four digits), and birthdate. New User?Please click here to register. The original entity of Zenith American Solutions has been in business since 1944. 24 hours a day, 365 days a year. Please forward your refund repayments to: 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 Employers and employees are looking for business partners who can deliver innovative health benefits solutions with cost control opportunities. Providers - Group Administrators North America Administrators - Lucent Health They are web-based or Internet-accessible solutions that facilitate seamless front office and back office operations. Chicago, IL 60680-4104. Benefits administration is a difficult, increasingly complex business. PDF Payer Connection Payer List 1 (800) 244-6224. Box 1558 Employees. Driving Directions. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 47 offices nationwide. Submitthe request via email to PAI Provider Maintenance at paiprovmtn@paisc.com. 1200 WILSHIRE BLVD-5TH FLOOR. Try taking a look at our. Cigna. We appreciate hearing from you. About Us; Contact; Helpful Links; Online Forms; Coordination of . Helping You Provide The Best Possible Care. Toll Free: 718-834-1256. Once logged in,you will have the ability to: EBPA encourages providers to take advantage of the online resources we have made available. December 2020. 1268 0 obj <>stream Employees. Try taking a look at our Frequently Asked Questions page. Attn: Provider Maintenance or email the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com. 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. This team was incredibly patient, kind, and helpful. General Assistance - Zenith American Submitting a Claim - Sana Benefits 37 Industrial Drive, Exeter, NH 03833 | 800-258-7298 | TTY Number Dial711, 46 Bowdoin Street, South Burlington, VT 05407-2365 | 800-525-8788 | TTY Number Dial711, Security & Terms of Use 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. Birmingham, AL 35238, 2023 American Benefit Administrators. d '7y[ f| m x06w a>g Our online tools will give you all the information access you need to utilize patients health benefits to support their care. Phone: 800-777-3575 All rights reserved. 2023 Planned Administrators Inc. All rights reserved. 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? 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. 2018 Zenith American Solutions, Inc. All Rights Reserved. EBPA is the only New England Based Third Party Administrator to develop its own successful proprietary Preferred Provider Network,CompNet. hb```f``Z`qA2l,1`c(.`Wb4kE/'fLBmlm>x2faTn`9w]B@/.Se~i Ip2) iF r,`qRf`@ 1 Log in to your account to confirm your specific . hb``` eaXm.; `Umap@LDPpN jM*,BDu|m_(2*u x y-a`b` #; Participant Inquiries: cobra@americanbenefitadministrators.com Van Nuys, CA 91409-9055, Other States: american plan administrators claim mailing address Phone Number. 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. 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. 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: 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. Access the link below for easy-to-use claim filing. 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. PO Box 804238 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 152 0 obj <>stream Contact the Customer Service number on the member ID card if you need assistance. Email: sales@americanbenefitadministrators.com, American Benefit Administrators Email: Login to your Secure Online Access portal and click on Contact Us, Benefit Account Administration: AMERICAN INSURANCE ADMINISTRATORS. You will need an Employer ID when you register. 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) 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. 0 Upon securing a username and password, you will be able to verify eligibility and view the status of your claim submissions. 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 18 Heyward St. Brooklyn, NY 11249. o ID Cards include the TPA or insurer's telephone number and address(es), for eligibility, benefits, claim status and payment inquiry. To all our customers and vendors, please note that American Benefit Administrators will continue to provide you with continued support and continue our operations. Or you can request a meeting on a specific topic, CLICK HERE to schedule. 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 I respect a service team that does what they say theyre going to do with quality! Employee Benefit Management Services 3333 Hesper Road Billings, MT 59102. We strive to provide service excellence and a smooth experience to all our health care providers as they navigate our system to provide care. Get access to precertification requirements, drug lists, refund requests and payment information, address change information, appeals rights information, and more. Columbia, SC 29260. Prefix Group Address Group Name TPA Name & Address Claims Filing Claims & Benefit Please note that ABG does not allow you to pay your provider directly in the WealthCare Portal. The long tenure of our employees means they are extremely knowledgeable with what your practice needs to support our members. CHCP - Resources - Active Accounts - Cigna The PAI Provider Portal provides complete benefit information, including deductibles and patient liability. There you will find answers to common questions, details about your plan, and much more. Return the completed form and your itemized paid receipts to: First American Administrators, Inc. Attn: OON Claims P.O. Several payers that DO receive claims electronically have been placed on this list for having poor services available. support@americanbenefitadministrators.com, clientservices@americanbenefitadministrators.com. We also provide access to many other Preferred Provider Networks, both national and regional, and sometimes in combination. By Mail Sana Benefits Claims P.O. PAI meets the requirements and is authorized to administer business in all 50 states and serves all group markets. Providers | EBPA Staff Photography by Jessica Marie Photography Inc. These tools focus on quality and ensuring the best possible end result for each and every user. Fax an updated W-9 to (803) 264-9089 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.