Plan Central is SummaCare’s secure web-based platform for performing functions including, but not limited to:
Claim disputes will no longer be accepted via fax, mail or the Provider Support Services’ email inbox effective March 4, 2026. This change is part of our ongoing efforts to streamline inquiries, improve tracking and properly categorize issues for resolution.
Submit all claim disputes through the SummaCare Plan Central portal.
When submitting a dispute or adjustment request, please include all supporting documentation with your submission. Requests submitted without documentation cannot be reviewed until the information is provided.
A claim dispute includes, but is not limited to:
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.