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Quality Management NCQA and HEDIS

Questions?  We are here to help.

Provider Support Services

By Phone:
330-996-8400
or
800-996-8401


By Email:
contactproviderservices@summacare.com

Provider Engagement Specialists

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.

Plan Central

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

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