We want to make it easy for you to provide quality care to our members, as well as find the online tools, downloadable forms and information you need.
Even though you are a SummaCare contracted provider, your practice may not participate in every network. Please check your contract to confirm network participation and confirm each physician’s participation.
Search online directoryUtilizing SummaCare’s partnership with BetterDoctor, a division of Quest Analytics, will help you remain in compliance with Federal attestation guidelines and ensure that plan members can easily find and contact your practice.
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Are you interested in becoming a SummaCare provider? Complete and submit a Facility/Ancillary and/or Provider application today. We look forward to working with you.
SummaCare is focused on keeping our members healthy using our Case, Condition and Pregnancy Management programs available to them. SummaCare has Registered Nurse case managers available to provide education to members on self-management of disease conditions and to assist in coordination of services. SummaCare’s Condition Management programs provide valuable tools and resources to help our members manage chronic conditions and live a happier, healthier life. SummaCare offers PregnancyCare to high-risk expectant moms to help members manage their health through their pregnancy.
SummaCare is focused on keeping our members healthy using our Case, Condition and Pregnancy Management programs available to them. SummaCare has Registered Nurse case managers available to provide education to members on self-management of disease conditions and to assist in coordination of services. SummaCare’s Condition Management programs provide valuable tools and resources to help our members manage chronic conditions and live a happier, healthier life. SummaCare offers PregnancyCare to high-risk expectant moms to help members manage their health through their pregnancy.
SummaCare’s Network Providers have a responsibility to report any alleged compliance, fraud, waste, and/or abuse issues involving SummaCare. SummaCare providers may confidentially report a potential violation of our compliance policies or any applicable regulation by utilizing any of the methods indicated below. As a SummaCare Network Provider, your organization/office must adopt and enforce a zero-tolerance policy for retaliation or retribution against anyone who reports suspected misconduct. For your reference, SummaCare has a policy that prohibits retaliation or harassment against employees who raise a concern or report an issue to the SummaCare Compliance Officer.
All methods of reporting are confidential.
