Providers

Supporting Healthcare Providers

PAI empowers healthcare providers with responsive support, intuitive technology, and a commitment to seamless collaboration.

We recognize that health care providers are essential partners in delivering high‑quality care to our members. Our experienced team understands the needs of your practice, and our online tools are designed to give you fast, secure access to the information required to support patient care effectively. 

We’re committed to service excellence and providing a smooth, reliable experience as you navigate our systems.

Pharmacy Support for Providers

Streamlined resources and OptumRx-powered tools designed to reduce administrative burden and help you deliver accessible, affordable medication management.

PAI equips healthcare providers with robust pharmacy benefit resources that streamline prescribing and enhance clinical decision‑making. Through our partnership with OptumRx, providers gain access to real‑time drug cost estimators, broad network pharmacy locators, and up‑to‑date formularies that help ensure members receive clinically appropriate and cost‑effective medications. Our pharmacy tools support accurate benefit verification, reduce administrative friction, and promote compliance with preventive care requirements under the ACA—including $0 cost‑share medications. 

Pharmacy Tech

Trusted Network Partners

We collaborate with some of the most respected names in the industry to deliver unmatched value and comprehensive solutions for our clients and members.

Provider Information

Refund Requests and Payments

Please forward your refund repayments to:

 

Planned Administrators, Inc.

ATTN: Refund Analyst

P.O. 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. PAI will not require that you repay the refund until PAI has concluded its review.

Provider Address Change

Fax an updated W-9 to:

(803) 264-9089
Attn: Provider Maintenance

-OR-

E-mail the updated W-9 to PAI Provider Maintenance at paiprovmtn@paisc.com