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SummaCare Health Plan

SummaCare

Primary payer ID
95202Compare transaction IDs ↓
Last successful claim statusWithin the past monthObserved across Substrate's claim-status network.
SupportedEDI 276/277EDI 270/271

Is your practice experiencing high volumes of no response claims or denials from SummaCare Health Plan? Try Substrate Denial Intelligence here -->.

Coverage profile

How Substrate can help you with SummaCare Health Plan

Substrate can help practices and billers with the following claims tasks for SummaCare Health Plan.

Claim status

EDI 276/277

The Substrate Claim Status Agent can check clearinghouse claim status for your practice with SummaCare Health Plan.

Available

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with SummaCare Health Plan.

Available

Frequently asked questions

SummaCare Health Plan payer FAQs

How do I check claim status with SummaCare Health Plan?

Providers check SummaCare Health Plan via EDI 276/277 when the payer ID is accepted. Substrate automates claim status across 3,500+ payers.

What is the payer ID for SummaCare Health Plan?

The primary payer ID for SummaCare Health Plan is 95202. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What are the 837 payer IDs for SummaCare Health Plan?

The 837P and 837I payer ID for SummaCare Health Plan is 95202 via Stedi.

What is the 835 payer ID for SummaCare Health Plan?

The 835 payer ID for SummaCare Health Plan is 95202 via Stedi.

What is the 270 payer ID for SummaCare Health Plan?

The 270 payer ID for SummaCare Health Plan is 95202 via Stedi.

What is the 276 payer ID for SummaCare Health Plan?

The 276 payer IDs for SummaCare Health Plan are 95202 via Stedi and 10294 via Availity.

What state does SummaCare Health Plan operate in?

SummaCare Health Plan operates in OH.

Resource library

Routing reference

SummaCare Health Plan payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

SummaCare Health Plan payer name, operating states, and transaction-specific payer IDs
Payer nameSummaCare Health Plan
Operating statesOH
837P professional claims payer IDStedi95202
837I institutional claims payer IDStedi95202
835 ERA payer IDStedi95202Enrollment required
270 eligibility payer IDStedi95202
276 claim status payer IDStedi95202
276 claim status payer IDAvaility10294

Other aliases

Also known as

  • 10294
  • 1755
  • 589
  • 95202
  • 95202MA
  • SUMCHP
  • SUMMACARE