Direct Connection to Summit Health
We support direct connections between our offices, provider offices and health systems. The transaction standard is the 837 Professional Claim or 837 Institutional Claim required by HIPAA Administrative Simplification. For help with Summit Health EDI transactions, either contact us or send an email.
Claims Clearinghouses
Below are claims clearinghouses we use: Availability 12400 Coit Rd. #700 / Dallas, TX 75251 / 800-282-4548 / Payor ID = 13350 Change Healthcare (formerly Emdeon) (both medical and hospital) 3055 Lebanon Pik / Nashville, TN 37214 / (615) 932-3000 / Payor ID = 13350 MCPS Inc 1740 S. Glenstone #B / Springfield, MO 65804 / 417-890-6164 MD On-Line Inc. ...
Who is Summit Management Services?
Summit was founded in September 1996. The parent company, Summit Management Services, Inc. was formed in August 1998 and is a privately held management services and holding company. Summit maintains all administrative services and client services from its office in Scottsdale, Arizona.
How do I contact Summit Community Care?
Members have the right to receive assistance through a TTY/TDD line. Summit Community Care can help you telephonically communicate with members with impaired hearing via a translation device. Call the Member Services using the TTY relay service at 711. In-office sign language assistance is also available.
What are the service standards for Summit Community Care?
Service standards •Access — Summit Community Care pays for telehealth care services delivered by care providers contracted with the health plan. The telehealth providers must confirm member eligibility every time members access virtual visits, similar to in-person visits.
How do I file a grievance with Summit Community Care?
Mail the form to the following address: Summit Community Care P.O. Box 62429 Virginia Beach, VA 23466-2429 A grievance may be filed any time a provider becomes aware of the problem. Summit Community Care will send a written acknowledgement to the provider within five calendar days of receiving a grievance.
Summit Administration Services Inc. is the CLAIMS