ARKANSAS & TEXAS
Arkansas policy numbers may begin with any of these four carrier codes.
What are 0187, 0196, 0830, and 0840?
Complete the death section only when the injury results in this outcome.
What is death?
When a claim cannot be entered upon receipt, email this compliance mailbox.
What is Summit_ComplianceClaims@Summitholdings.com?
For HIV, hepatitis, or TB incidents, enter only this phrase on the Comments screen.
What is “Exposure claim”?
Before signing and dating the physician panel, the injured worker must do this.
What is select a physician?
Enter this phrase when the injury description is unknown on an Arkansas NOI.
Waiting for description of injury”?
After initial intake, the first consult transfer attempt for a death claim goes to this person.
Who is the assigned adjuster?
In addition to the compliance mailbox, copy these two parties on the delayed-claim email.
Who are Tracy Lungmus and your direct supervisor?
On the Nature of Injury screen for an exposure claim, never select this code.
What is the AIDS code?
The employer must send the signed physician panel to the adjuster within this many hours.
What is 48 hours?
When an Arkansas reporter does not know an answer, select this response and document the reason in ImageRight.
What is “No”?
If the assigned adjuster is unavailable, the death-claim call should be consult transferred here.
What is the unit queue or unit manager?
After a delayed claim is set up, send a follow-up email confirming it was filed and include this identifier.
What is the claim number?
Summit employee claims cannot be accepted through the injury reporting line and must be directed to this organization and phone number.
What is AFG at 1-888-800-3584?
An injured worker, attorney, agent, or other non-employer caller should contact this party for the physician panel.
Who is the employer?
For a canceled Texas policy, this date is entered as the DOI.
What is the day before the policy cancellation date?
An after-hours caller reporting a death claim should be told the assigned adjuster will follow up at this time.
What is the next business day?
What is 3 attempts?
An Attorney is reporting for an injured employee but does not have the injured employees address, what address should be entered?
What is the address for the Attorney?
Before requesting a panel for a customer, first ask whether the customer can access this website.
What is summitholdings.com?
For a canceled Texas policy, this contact detail must be placed in an NOI note instead of the NOI app to prevent automatic Hi Marley enrollment.
What is the injured worker’s phone number?
This on-call medical resource is not involved in the death-claim process and should not be contacted.
Who is the on-call nurse?
What specific item is added to a faxed claim that cannot be entered so another representative does not pull it during auto-processing.
What is add a sticky note with representative name and any additional information.
In the needle-stick example, these are the Nature, Part, and Cause codes.
What are Nature 43 Puncture; Part 36 Finger(s)—Other than Thumb & Muscles; and Cause 16 Hand Tool, Utensil; Not Powered?
Requests to change an existing Tennessee panel are emailed to this group and must include the claim number, policy number, requested change, and customer contact information.
What is DG-Summit SE Operations?