SummaCare

Prior authorization

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

prior authorization

SummaCare utilization management prior authorization

Official page read
Phone888-996-8710

Urgent/expedited authorization requests (local 330-996-8710)

Fax

330-996-8992

Routine authorization requests (Authorization Request Form for Service), including after hours

Published hours

Mon-Fri 8:30am-5pm

Product, plan and location

medicare advantage · commercial · exchange
Ohio

Mailing address

Not researched for this route

Routine PA and admission authorizations by fax or GuidingCare portal; urgent requests by phone.

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.

prior authorization

SummaCare weekend/holiday urgent, nursing home and inter-facility transfer authorizations

Official page read
Phone330-414-1653Published hours

Not published in this record

Product, plan and location

medicare advantage · commercial · exchange
Ohio

Mailing address

Not researched for this route

Weekends and holidays only: urgent/expedited requests, nursing home authorizations and inter-facility transfers.

View source ↗ · Source checked 2026-10-25

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

prior authorization

SummaCare after-hours emergency admission authorization (24-hour nurse line)

Official page read
Phone800-379-5001Published hours

24/7

Product, plan and location

medicare advantage · commercial · exchange
Ohio

Mailing address

Not researched for this route

After-hours authorization for emergency hospital admissions.

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.

prior authorization

SummaCare eviCore (high-tech radiology, oncology, radiation therapy, genetic testing)

Official page read
Phone855-774-1315Fax

800-542-2406

Published hours

Not published in this record

Product, plan and location

medicare advantage · commercial · exchange
Ohio

Mailing address

Not researched for this route

eviCore reviews medical necessity for SummaCare high-tech radiology, medical oncology, radiation therapy and genetic lab tests.

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

Make the call count.

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

Have ready in your secure workspace

  • Ordering and rendering provider details
  • Service codes, requested dates and units
  • Existing authorization or submission reference

Questions to resolve

  • Is this the correct reviewer for this service and product?
  • Which documents are missing, and where should they be sent?
  • What is the case number and next status-check date?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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