Reimbursement is a process of paying money to Participants for the out-of-pocket expenses for an eligible service or product. The purpose of the Employer Reimbursement Settings page is to configure default values at the Employer level that will drive the reimbursement process. A user can view and edit Reimbursement Settings for specific employers on this … Read More >>
Summit allows the user to manage the banking information and settings for the Reimbursement at the employer level. The banking information necessary to facilitate the money movement for reimbursement is configured on the Banking/Checking tab of Employer| Reimbursement Settings. * Required fields appear in Red To access Employer Reimbursement Banking/Checking, This section is divided into several sub-sections. … Read More >>
Reimbursement is an act of paying money to Participants for the out-of-pocket expenses they had spent over an eligible service or product. The purpose of the Employer Reimbursement Communications tab is to configure default values at the Employer level that will drive the reimbursement communication process. The communications tab contains the settings for how Summit … Read More >>
There are several ways to enter a claim in Summit — Manual entry by TPA, participant entry through the Participant Portal or the Mobile App, via claim import, by debit card swipe, etc. In some cases, a claim may be submitted multiple times by multiple means. Summit offers Duplicate Claims detection logic to find and … Read More >>
Reimbursement is a process of paying money to Participants for the out-of-pocket expenses they had spent over an eligible service or product. The purpose of the Employer Reimbursement Settings page is to configure default values at the Employer level that will drive the reimbursement process. General Settings is the default tab that opens up when … Read More >>
Reimbursement Schedules are pre-defined processes that are used to generate or post the Reimbursements in batches. A user can add, edit and view created schedules in the Schedules tab of the Employer Reimbursement Settings Page. * Required fields appear in Red To access Employer Reimbursement Schedules, Go to Employer. Select the Reimbursement Settings menu. Select the … Read More >>
Summit has the ability to communicate EOB information regarding the adjudication of claims in cases where a provider is the payee. If a provider bills the TPA, Summit may either generate communication to the provider in the form of a check/EOB or a note explaining why the plan did not reimburse the provider The Claim Adjudication Events sections of the TPA-level Plan … Read More >>