For billing questions, call provider services at 1-800-282-7644.

Summit-managed carriers offer ACH electronic payments for a fast, convenient and secure method of medical provider invoice payments. This service is provided through Zelis Payments, a third-party vendor who will facilitate making the deposit directly into your bank account.

To sign up for electronic payments, visit zelispayments.com, email [email protected] or call Zelis Payments membership department at 1-877-828-8834.

If you are already enrolled to receive electronic payments via Zelis Payments from another health-care payor, you will automatically be enrolled to receive payments from Summit-managed insurance carriers.

Electronic
Medical providers can submit bills directly to Summit through our electronic billing system. For more information, contact Jopari Solutions at 866-269-0554 or [email protected].

Mail
To submit bills via mail, select the address appropriate for your state:

Florida:
P.O. Box 2928
Lakeland, FL 33806

Southeast Region (Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee, Virginia):
P.O. Box 600
Gainesville, GA 30503-0600

Southwest Region (Alabama, Arkansas, Louisiana, Mississippi, Oklahoma, Texas):
P.O. Box 80439
Baton Rouge, LA 70898-0439

Fax
To submit bills via fax: 863-667-1871

Summit processes medical bills using the mandated time allowances determined by each state. You can expect payment for your bill within the time frame listed (in calendar days from date of receipt/notice, unless stated otherwise).

• Alabama: 25 working/business days
• Arkansas: 30 days
• Florida: 45 days
• Georgia: 30 days
• Illinois: 30 days
• Indiana: 90 days
• Kentucky: 30 days
• Louisiana: 60 days for bills received via mail, 30 days for bills received electronically
• Mississippi: 30 days
• North Carolina: 60 days
• Oklahoma: 45 days
• South Carolina: 30 days
• Tennessee: 30 days
• Texas: 45 days
• Virginia: 60 days

If you feel the payment you have received for a medical bill is incorrect, you may either resubmit the bill for reconsideration or call provider services at 1-800-282-7644.

Summit supports and encourages the use of telemedicine and can work with any provider who offers this service. We process these appointments and bills the same as in-office visits. While some injuries require an initial in-person visit to establish a treatment plan, telemedicine is a good option for many follow-up, consultation and physical therapy appointments. Benefits include:

• Providing patients easier access to providers, especially when an injury makes transportation difficult or the patient lives in a remote area
• Allowing you the flexibility to see patients from your home, office or other remote locations, provided you have privacy and a secure internet connection
• Providing another health-care option for injured employees when clinics are forced to close or reschedule appointments
• Providing the opportunity for decreased wait times and a higher level of patient satisfaction

If your practice is considering telemedicine or wants to discuss how it can be used for workers’ compensation appointments, give our network team a call at 1-800-282-7644.

When completing the Health Insurance Claim Form, use 02 for the place of service to indicate telehealth services were provided through a telecommunication system. You will also need to use modifier 95 to designate that telemedicine services were rendered. 

As a physician, your recommendations about the therapeutic value of work are a vital part of rehabilitation. That’s why it’s important to collaborate with your patients’ employers to get their injured employees back on the job as soon as possible. Back2work®, Summit’s return-to-work program, is designed to help you do just that. 

The program was created to encourage treating physicians and employers to work together to set up transitional duty for employees as they recover. You decide when the patient can safely return to work in a transitional capacity. Focusing on what the injured employee can do, rather than what they can’t do in your work status reports can help the employer find appropriate modified or alternate work that fits the patient’s current physical capabilities.

For more information, email [email protected].