SummaCare Health Plan
dentalmedical
Summary
SummaCare Health Plan is a dental and medical payer operating in Ohio. Claims route under payer ID 95202, with 5 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes a few days.
At a glance
- Payer ID
95202Also seen as 10294, 1755, 589, 95202MA, SUMCHP- Service area
- OH
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Claim status (276/277) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | A few days |
Common questions
- What is the payer ID for SummaCare Health Plan?
- The payer ID for SummaCare Health Plan is 95202. Alternate IDs seen across clearinghouses include 10294, 1755, 589, 95202MA.
- Does SummaCare Health Plan require ERA enrollment?
- Yes. SummaCare Health Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes a few days.
- What states does SummaCare Health Plan cover?
- SummaCare Health Plan operates in OH. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does SummaCare Health Plan offer?
- SummaCare Health Plan covers dental and medical.
- Can I submit claims to SummaCare Health Plan electronically?
- Yes. SummaCare Health Plan is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.