Provider Networks

Summit allows TPAs to configure providers and provider networks for reporting and reimbursement purposes for CDH plans. In the case of HRA plans, for instance, Employers and TPAs often limit the reimbursement of expenses to services provided by “In-network” providers or they may reimburse the expense at a reduced rate for a service performed “out-of-network”. … Read More >>

Summit allows TPAs to add providers and create provider networks that may be linked to particular benefit plans. These providers and provider networks are configured on the Advanced Plan Design | Provider Networks page. NOTE: For information on third party payees, see the Alternate Payees sections Add a Payee To Add a Payee: NOTE: The … Read More >>