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One of the companies we work with, BRG, had a data breach. To learn more, visit BRG's official notice.

Provider Resources

Welcome to the Provider Resources page!

At SilverSummit Healthplan, we value our provider partners and the essential role they play in improving the health and well-being of our members. This page provides easy access to the resources, guidelines, forms, and support tools you need to deliver efficient, quality care while navigating administrative processes with confidence.

Appointment Accessibility Standards
Child Immunization Schedule
Clinical, Payment, Pharmacy and Vision Policies
COVID 19 Medicaid Notice of Billing Guidelines
Cultural Competency Resources
Electronic Transactions
Eligibility Verification
Evolent
Grievance Process
HEDIS Quick Reference Guide (PDF)
Integrated Care
Medical Necessity Criteria
Member Languages: Translation and Interpretation
Newsletters
Patient-Centered Medical Home Model
Prior Authorizations
Provider Claims Tools
Provider Engagement Team
Provider Forms
Provider Manuals
Provider Portal Resources
Provider Quick Reference Guide (PDF)
Provider Toolkit
Report Fraud, Waste and Abuse
Transportation
TurningPoint

At SilverSummit Healthplan, our interoperability solution is designed to  support our provider partners by improving efficiency, reducing costs, and  enhancing patient care.

Learn how this could support your practice