ameriben solutions address

Name and address of the insurance company: Please follow the instructions on the back of this form to file this claim with AmeriBen *These materials/products 

AmeriBen, PO Box 7186, Boise ID 83707 Or fax: 208-424- insurance for you Please If yes, state the name and address of the attending physician YES NO

check back at another time or contact AmeriBen Medical Management to check the status My patient Point of contact individual and contact phone number 2

This applies to life insurance benefits, in addition to health, dental and vision know if you want us to send your PHI to an address other than your home if 

The Georgia Baptist Convention toll free phone number is 1-877-955-1577 You can also log on to www myameriben com to submit an inquiry or view your claims  

AETNA INSURANCE COMPANY 60054 Address - Some payers have multiple locations, but claims go to the same electronic AMERIBEN SOLUTIONS INC

or Zenith American Solutions within 180 days of receipt of the written AmeriBen Attention: Appeals Coordinator P O Box 7186 Boise, ID 83707 Members are entitled to be treated in a manner that respects their rights and addresses