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Employer Resources

Resources & Updates

Forms

Prescription Drug Data Collection Form (RxDC)

Coordination of Benefits Form

Deductible Credit Transfer Form

EDI Registration

Medical Claim Form

Member Change Form

Request a copy of your benefit information 

Policies & Procedures

Application Information

Billing Information

COBRA

HIPAA Information

Resources

Plan Central Employer Learning Guide – Find out how to easily access your group's information, manage your account, verify employee eligibility and plan benefits, make changes to employees on your plan(s) and more. 

NEW! Plan Central Employer Portal Demonstration Video - Watch how to find, access and use functionality available to you in Plan Central, including eligibility information, viewing invoices and making updates to your plan.

PPO Service Area Map for Groups with the SCPremier or SCSelect network - Find out where employees with the SCPremier or SCSelect network should access care when in or outside of the SummaCare service area.

PPO Service Area Map for Groups with the SCConnect network - Find out where employees with the SCConnect network should access care when in or outside of the SummaCare service area.

Prior Authorization List for Services – Find out which services require prior authorization. If you are a self-funded SummaCare employer, log in to your member account to view your plan’s Prior Authorization List.

Prior Authorization List for Drugs – Find out what prescription drugs under the medical benefit require prior authorization.

Clinical Guidelines for specific medical conditions and recommendations for appropriate preventive care.

Prescription Drug Data Collection (RxDC) Reporting Instructions

Request Benefit Materials

To ensure that you have the most recent plan materials you may Request Benefits Materials at any time. Allow 5-7 days for these materials to arrive.

Questions?  We are here to help.

Fully-Insured Products

By Phone:
330.996.8955 or 800.821.9322


By Email:
groupservice@summacare.com

 

Self-Funded Products

By Phone:
330.996.8955 or 800.375.6530


By Email:
quotes@summacare.com

 

Request Benefit Materials

View patient eligibility, benefits, claims status, and self-funded prior authorization lists, as well as review clinical edits and clarifications.

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