The On Demand Processing page allows users to generate various participant communications on demand through the On Demand Notices tool and to perform Group Coverage Actions while bypassing Process Approvals by using using the Group Coverage Administration tool. ⚠️ Access Requirement: TPA users must have a role with appropriate access and the respective On Demand Processing features enabled to use … Read More >>
Summit is a large and complex system designed to offer powerful solutions to complex administrative needs. As such, we understand that our users have many questions about how Summit’s processes and configuration work and about administrative best practices. While we hope that many of your questions can be answered in the pages of the Summit … Read More >>
Medicare Secondary Payor (MSP) Reporting is a mandated report to Centers for Medicare and Medicaid Services (CMS) of individuals covered by a Health Reimbursement Arrangement (HRA). The goal is to identify individuals covered by Medicare and an HRA for which a covered individual can be reimbursed 5000.00 or more for a plan year. Those individuals … Read More >>
Participants can view their account information in Participant Portal by clicking the User ID or user image displayed at the top of the Participant Portal page. * Required fields appear in Red To access Profile, Participant Profile From the Participant Profile page, the user can update the Participant’s Name, Contact Details, Password, Security Questions, Address, Dependents … Read More >>
Debit Cards are a way of providing electronic access to plan funds. TPAs issue debit cards to participants that are linked to their benefit plans. These debit cards allow participants to go to the pharmacy or doctor and pay for the prescription or medical service provided. directly with plan dollars. If the participant is at … Read More >>
The purpose of the Participant Portal is to provide participants the ability to view their balances, view manual claims or card transactions that have processed against their elected plans, enter manual claims, and upload associated receipts to be reviewed and approved by the TPA. To access Home, Based on the employer’s benefit administration type: CDH-only, … Read More >>