The Provider Engagement Specialists are responsible for ongoing education and training with the SummaCare provider network. This includes in-office provider orientation, access and training to Plan Central, SummaCare's benefit-specific web portal, assistance with resolving complex claim issues, provider changes, researching and resolving provider contract issues and hosting provider seminars. Our goal is to build a lasting relationship between your office and SummaCare.
We encourage you to utilize your admin account to view eligibility, authorizations, benefits, claims, retrieve explanation of payments and to submit claims or corrected claims. Access is available 24 hours a day, 7 days a week.
If you have not met with your assigned Provider Engagement Specialist or would like to schedule an in-office training or meeting to address any questions regarding the authorization process, claims issues, appeals, SummaCare products/benefits or Plan Central training, please contact the assigned Provider Engagement Specialist for your office.
Assigned counties: Summit and Cuyahoga (see map), Ashtabula, Trumbull, Mahoning, Geauga, Portage, Columbiana, Jefferson, Belmont
Phone: 330.996.8648
Email: muellere@summacare.com
Assigned counties: Summit and Cuyahoga (see map), Erie, Huron, Lorain, Medina, Ottawa, Sandusky, Seneca
Phone: 330.996.8696
Email: robinsond@summacare.com
Assigned counties: Summit (see map), Ashland, Carroll, Crawford, Holmes, Richland, Stark, Tuscarawas, Wayne, Lucas, Wood, Hancock, Defiance, Allen
Phone: 330.996.8698
Email: martineza@summacare.com
Mail:
PO Box 3620
Akron, Ohio 44309-3620
Fax: 330.996.8490
Email: providerengagement@summacare.com
By Phone:
330-996-8400
or
800-996-8401
By Email:
contactproviderservices@summacare.com
If you have not met with your assigned Provider Engagement Specialist or would like to schedule an in-office training or meeting to address any questions regarding the authorization process, claims issues, appeals, SummaCare products/benefits or Plan Central training, please contact the assigned Provider Engagement Specialist for your office.
View patient eligibility, benefits, claims status, and self-funded prior authorization lists, as well as review clinical edits and clarifications.