SummaCare

Claims and claim status

Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.

claims

SummaCare paper claims and payer IDs

Official page read
Phone330-996-8400Published hours

Not published in this record

Product, plan and location

medicare advantage · commercial · exchange
Ohio

Mailing address
SummaCare PO Box 3620 Akron, Ohio 44309

Paper claims

Timely filing 365 days from DOS. Electronic payer IDs: 95202 (SummaCare), 34196 (Apex Health Solutions). Bill Medicare Advantage as Traditional Medicare. No dispute process for code-edit inquiries.

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

claims

SummaCare subrogation / third-party liability vendor (Optum)

Official page read
Phone800-418-6966Published hours

Not published in this record

Product, plan and location

medicare advantage · commercial · exchange
Ohio

Mailing address

Not researched for this route

Subrogation/TPL vendor listed on the SummaCare vendors page.

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

claims

SummaCare No Surprises Act (Zelis)

Official page read
Phone888-266-3035Published hours

Not published in this record

Product, plan and location

medicare advantage · commercial · exchange
Ohio

Mailing address

Not researched for this route

Zelis handles No Surprises Act matters for SummaCare.

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Call preparation · editorial guide

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Find claim-status contacts and document destinations. A billing address, appeal address and original-claim address are not interchangeable.

Have ready in your secure workspace

  • Claim number, service dates and billed amount
  • Submission acknowledgement and remittance
  • Provider billing identifiers

Questions to resolve

  • Was the claim received and accepted for processing?
  • What specifically prevents payment or final processing?
  • Is a corrected claim, reconsideration or appeal the right route?

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