[SBM Sharp Health Plan [ 1-800-359-2002. Write: Electronic prescribing mandate information. A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. Call us at 1-858-499-8300. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. Clerical Assistant II- Claims / Finance /Healthplan- Tech Way / Full o Within 12 months after the date that eligibility is posted. Don't want to pick up the phone? AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Click here to read the full disclaimer. For the best experience on our website, please upgrade your browser to the latest version. ) 1-800-359-2002. You may also mail your payment to the address listed on your statement. P.O. Following your medical procedure, our billing office files a claim with your primary health insurance for the services performed. Caregivers for SCAN Members can receive help with their login credentials here. 1-800-359-2002. The website information you will be accessing is provided by another organization or vendor. Forms, guides and other resources - Sharp Health Plan Long Beach, CA 90801-5616, Encounter Data Team Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31. 1-877-251-5896 fax Home Delivery from Express Scripts Pharmacy . 1-855-562-8853 (TTY/TDD: 711) 7 am to 8 pm Pacific Time Sharp HealthCare Phone Numbers and Email - San Diego Our fax number is 1-858-303-9049. Sharp Health Plan 1.800.359.2002. b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. FBT: SharpHealthPlan.com no longer supports this Internet browser. With our providers, patients and health plans working together, we can ensure the best possible outcome every time. Sharp Health Plan 1.800.359.2002. Online Bill Pay | Sharp HealthCare Home Delivery from Express Scripts PharmacySM Sharp Health Plan | Login Sign in Email address Password Forgot your password? Sharp HealthCare offers many payment options, including monthly payment installments for qualified or eligible hospital bills, which you can set up via Sharp Account. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. If you have any questions about the process or your specific bill, please don't hesitate to send us an email or give us a call: We want to make it as easy as possible to manage your bills, which is why we offer paperless billing. Contact your Network Management representative for more information about electronic billing. Sharp is not-for-profit and relies on fundraising. www.ethicspoint.com, SCAN SIU Team As the parent or guardian of a child aged 12 to 17, you cannot view billing information (including balances, statements and payment history) or other related items. The Health Plan encourages electronic claims submission . Thank you for serving our city and San Diegans like us. Enrollment with Sharp Health Plan depends on contract renewal. Box 982975 El Paso, TX 79998-2975. To learn more about our community programs and how these may work for your organization or event, call 1-877-806-7226 or email us. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, *Original Claim Number: (If multiple claims, use attached spreadsheet), or Original Referral Number: * Health Plan ID Number: Patient Account Number: Service "From/To" Date: ( * Required for Claim, Billing, and Reimbursement Of Overpayment Disputes) Original Claim Amount Billed: Original Claim Amount Paid: *DISPUTE TYPE Address. and Nov. 30, 2023. am, Monday through Friday, and 24 hours a day on weekends. For your protection, we don't recommend using email to send personal medical information. If youre currently not a member and are interested in learning more about SCAN Health Plan, speak to one of our representatives by calling 1-877-452-5898. Fax: 1-858-303-9049 Any patient or family member with a patient safety or patient care concern or complaint that is not being addressed should promptly ask a nurse or employee to assist you in contacting a hospital manager or supervisor. For the best experience on our website, please upgrade your browser to the latest version. Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. Subscribe to Newsletters Contact us - Phone numbers, email, mailing address - Sharp Health Plan Enrollment with Sharp Health Plan depends on contract renewal. Refer to our Provider Manual for more detailed information. We are currently experiencing issues with our provider and site search tools. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. 1-800-454-3730. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: Helpful holiday tips, your 2023 coverage checklist and more. If a provider does not receive an acknowledgement letter within five (5) business days, the provider must contact the Appeals Department. MORE OPTIONS + Brokers We're here to help you succeed. Get started now. As reported in Medicare & You 2023 member rating of plan. Recently completed plans and new plans may not display on the Hospital Payment Plans section within Sharp Account. Effective January 1, 2022, all California health care practitioners who are authorized to prescribe will be required to issue prescriptions electronically. Find your doctor's phone number. With our cost-saving benefits, you could put more money back into your monthly budget. SharpHealthPlan.com no longer supports this Internet browser. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. Please do not use this form to convey personal or medical information. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. March is Colorectal Cancer Awareness Month. Sharp Health Plan1-800-359-2002 . The Health Plan provides an in-process claims list on payment vouchers, a secure provider portal listing claims status, and a customer service area to handle telephone inquiries. Cash is accepted at hospitals only. Read up on ways to protect your colorectal health. Claims Processor at Sharp HealthCare in San Diego Claims Processor at Sharp HealthCare in San Diego Claims Processor Job ID JR133620 Date Posted 01/25/2023 San Diego, California Corporate Offices Day Regular Apply now Responsibilities Hours Shift Start Time: Variable Shift End Time: Variable Additional Shift Information: between 05:00 am - 09:00 am Weekend Requirements: As Needed On-Call Required: Provider Relations Phone Number. FBT: SharpHealthPlan.com no longer supports this Internet browser. Please read our. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Paper Corrected Claim Submission Updates | Fidelis Care We are working to resolve this as quickly as possible. SCAN Claims Department You can use Medicares 5-star special enrollment period to switch from your current Medicare plan to a Medicare plan with a 5-star quality rating. Providers must register with the AHCCCS program to be eligible for payment reimbursement. We invite you to share our women's preventive care Sharp Health Plan Claims Address Dr. Alan Kadet's office New York, NY Check eligibility & benefits. Caregivers for SCAN Members can receive help with their login credentials here. Contact Sharp Health Plan to get answers on anything from paying a bill to signing up for coverage. If you still need answers, please send us an email or give us a call: It's not uncommon to receive statements or bills from more than one provider for one hospital visit. You should only sign this section if you want to cancel this authorization. We're your neighbors, so you can count on us to be accessible. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . PDF SHARP COMMUNITY MEDICAL GROUP/SHARP HEALTHCARE Billing and Claim - SCMG ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Cscs bill payer program volunteer application form return to: bill payer program council of senior centers and services of nyc, inc. 195 montague street, b-15 brooklyn, new york, ny 11201 phone: 718-858-2358 fax: 718-858-2702 personal: (this. If you do not pay the entire amount or contact the billing office to arrange a payment plan, your account will be sent to a collection agency. For general information or questions about quotes, rates or materials: At this time, the Sharp Health Plan office is not open to visitors due to coronavirus (COVID-19) restrictions. Please include all supporting documentation with the initial claim dispute submission. Once received, the claim dispute will be reviewed, and a decision will be rendered within 30 days after receipt. For member-specific information or questions: For our members' protection, we don't recommend using email to send personal medical information. Need to pay a medical bill or copay? Iselin, New Jersey 08830. Phone: 1-858-499-8200. [SBM Sharp Health Plan [ 1-800-359-2002. Ready for comprehensive Medicare Advantage coverage that could save you money? The SCAN Sales Support team works with brokers and broker agencies to answer questions regarding plan benefits, eligibility, enrollment, network, formulary and other issues. For example, if you had an emergency room visit that required X-rays and lab tests, you may receive a bill from the hospital for technical resources, a bill from the emergency room physician for professional services, a bill from the radiologist for interpreting your X-rays and a bill from the pathologist for analyzing specimens from your lab tests. SCAN Health Plan Please contact Member Services. 2023 SCAN Health Plan. If you would like to discuss your bill or payment options, please give us a call: To set up a payment plan for a hospital bill, sign in to your Sharp Account. For general information or questions about quotes, rates or materials: Your password has been reset. A deductible is the annual amount that you must pay, out of pocket, before an insurance plan begins reimbursing for eligible services. Every hospital visit involves both physician and hospital resources. Many surgery and procedure names sound similar. Youve earned your Medicare benefits! This service is free of charge and also includes American Sign Language translators. BOX 22616 a) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention. News & Press Releases, Can't find what you're looking for? If you prefer not to create an account, you can still pay your bill online by using our one-time payment form. Pay Your Premium Don't want to pick up the phone? If you do not have a Sharp Account yet, you can submit a completed authorization form to request access. Enrollment in SCAN Health Plan depends on contract renewal. o Or within 60 days after the date of the denial of a timely claim submission, whichever is later. Enrollment in SCAN Health Plan depends on contract renewal. b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. , , Sharp Health Plan, . 1-858-499-8009 Mercy Care Claims Department P. O. 1-562-308-3699 fax To provide a more personalized experience, please select a state where SCAN is offered. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. Call us We are available 7 am to 8 pm, seven days a week. Hours may change during holidays. Call us at 1-858-499-8300. To call a medical , Category: Doctor, Medical Detail Health, Health (3 days ago) WebFor eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, email us at Sharphealthplan.com Category: Health , Health (6 days ago) WebDon't hesitate to send us an email or call us Monday through Friday, from 8 am to 4:30 pm: Sharp hospitals: 858-499-2400 Sharp Rees-Stealy: 858-499-2410 SharpCare: 858-499 , Health (9 days ago) WebCall us We are available 7 am to 8 pm, seven days a week. Sharp Direct Advantage is offered by Sharp Health Plan. To include supporting documentation, such as members medical records, clearly label and send to the Claims Department at the correct address. The Sharp Experience - Sharp Health Plan It is important to note that balance billing members is prohibited under all Mercy Care health plans. The provider must follow all applicable laws, policies and contractual requirements when filing. Seven days a week, Default (Select appropriate section in drop down menu to populate), Get the most out of your pharmacy benefits, Understanding your explanation of benefits, Medicares 5-star special enrollment period. Hours may change during holidays. Toll-free 1-855-562-8853 TTY/TDD: 711 Our offices are closed on the following holidays in 2023: Email us You can send us an email at customer.service@sharp.com and we will get back to you. Our fax number is 1-858-303-9049 . Please visit Sharp.com or call your provider. Member Services Phone Number. All State Fair Hearing Requests must be sent in writing to the follow address: Attention: Hearing Coordinator4500 E. Cotton Center Blvd.Phoenix, AZ 85040, Vendor: Southwestern Provider Services (SPSI). Awards and recognition are subject to change each year. We're here to help shed light on the bills you may receive. Get helpful reminders about how to comply with the timely access laws, which outline maximum wait times for phone calls and appointment requests. Find your health plan's address (PDF). Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. Sharp HealthCare offers financial assistance for qualifying patients who need help with emergency or medically necessary care received in a Sharp hospital. Search for a doctor, hospital, pharmacy or drug name. checklist. If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. SHARP HEALTH PLAN - 19 Photos & 207 Reviews - 8520 Tech Way, San Diego Messages received on holidays and outside of our business hours will be returned within one business day. AIHP members may receive health care services from Indian Health Facilities (the Indian Health Service, tribally-operated "638" health programs, urban Indian health clinics) and other AHCCCS-registered providers. All of the points of contact are professional, committed and passionate about providing high-quality service. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. For your employees' protection, we don't recommend using email to send personal medical information. The claim dispute must specifically state the factual and legal basis for the relief requested, along with copies of any supporting documentation, such as remittance advice(s), medical records or claims. *Star rating applies to all plans in California offered by SCAN Health Plan 2018-2023 except SCAN Healthy at Home (HMO SNP) and VillageHealth (HMO-POS SNP) plans. 8 a.m. to 8 p.m., Seven days a week, from October 1 to March 31. Thats why were committed to you. For general information or questions about quotes, rates or materials: If you have questions that include personal details, like your medical history, please call your doctor directly. Give us a call with any additional questions: At this time, we are only able to grant access to accounts for dependent adults and minor children. The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. Fax: 1-858-303-9062 For example, if your deductible has been met and your coinsurance is 20 percent, your plan will cover the remaining 80 percent of covered services. In the event the claim requires resubmission, health care providers have 180 days from , Health (6 days ago) WebContact Sharp Health Plan to learn about our plans or ask questions about your current coverage. To set up a hospital payment plan for a family member, call us at 858-499-2400. Providers who are contracted with Mercy Care can use electronic billing software. Sharp is not-for-profit and relies on fundraising. LEARN MORE . Make sure your contact information is up to date. email us at provider.relations@sharp.com or call1-858-499-8330. Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of benefits. H5386_2022 Medicare Website_Rev10 Page Last Updated: 1/03/2023 When you go to the hospital for a medical procedure or to your doctor's office for a checkup, we confirm your billing information including who is responsible for payment and which health insurance plan should be billed. You can call us Monday through Friday, 8 am to 6 pm. Find out more , Stay informed. Real Time Claim Status (RTS): NO. Sharp Health Plan: Fill & Download for Free - cocodoc.com For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, please Messages received on holidays and outside of normal business hours will be returned within one business day. Write: min ph. TTY/TDD users can dial 711 or use the California Relay Services toll-free phonenumbers. These important numbers are located on your billing statement. For the best experience on our website, please upgrade your browser to the latest version. Get the right support so that no questions are left unanswered. Para hablar con un intrprete, llame al 1-800-359-2002. Read the update , Share these tips with our members to help them reduce their risk of colon cancer. American Indians and Alaska Natives (AI/AN) enrolled in AHCCCS or Children's Health Insurance Program (KidsCare) may choose to receive their coverage through the AHCCCS American Indian Health Program (AIHP) or one of the AHCCCS-contracted managed health plans called AHCCCS Complete Care Plans ("ACC"). If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. Sharp Health Plan . CLAIM.MD | Payer Information | Sharp Health Plan To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. Contact us Coronavirus & COVID-19 , Health (2 days ago) WebCall us at 1-858-499-8300. All rights reserved | Email: [emailprotected], Edison health solutions provider portal eligibility, Central texas transgender health coalition, Federal retirees open season health insurance, Eastern shore rural health patient portal. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time Write: SCAN Claims Department P.O. REDUCE RISK , Learn how to reduce colon cancer risk by making healthy lifestyle changes. Box 22698 Long Beach, CA 90801-5616. Contact us Coronavirus & COVID-19 resources for providers Looking for Provider Login or Agent/Broker Login? Sharp Health Plan is an HMO with a Medicare contract. . Mercy Care's electronic claim submission vendors, https://dentaquest.com/state-plans/regions/arizona/, Augmentative and Alternative Communication. When you create an account on sharp.com, you will be able to view your statements for Sharp Rees-Stealy and Sharp hospitals in one place, make payments and pay all your invoices by credit card, debit card or via your checking account in one transaction. doctor, hospital or urgent care, Inflation Reduction Act and Sharp Health Plan, City of San Diego employees & retirees (SDPEBA), 7 questions about the COVID-19 vaccine for kids, The young adults guide to accessing care, Get the most out of your pharmacy benefits, Safe disposal of prescription medications, Medicare and other insurance coverage questionnaire, Access to a loved ones health information, 4 ways to help employees prepare for open enrollment, Covered California expands financial help, Counseling patients to self-isolate at time of testing, Grace periods for delinquent payments by members, Mental health & substance use disorder services. Send us an email instead. Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. Claims | Mercy Care Para hablar con un intrprete, llame al 1-800-359-2002. . You may receive a bill from us after your health insurance plan processes our bill. 2023, Help me find urgent care centers in my network, Consumer protections from surprise billing, permission to discuss protected health information form, Sharp Mary Birch Hospital for Women & Newborns. Long Beach, CA 90801-5616. , , Sharp Health Plan, . If you believe your responsibility is inaccurate, please contact your insurance plan directly. For more contact information, please click hereto access the Provider Operations Manual. Visit our FAQ and get your questions answered. Si usted, o alguien a quien usted est ayudando, tiene preguntas acerca de Sharp Health Plan, tiene derecho a obtener ayuda e informacin en su idioma sin costo alguno. Enjoy direct access to Sharp HealthCare and The Sharp Experience.*. All rights reserved. Cookies must be enabled to properly use this website. You will need to provide your personal information and the invoice or visit number from your paper statement for each payment. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. For general information or questions about quotes, rates, or materials: For member-specific information or questions: Were here to help you help your patients. Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. Go to www.sharphealthplan.com/payment to pay now. Click here to read the full disclaimer. Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 You can also use this form to pay a bill for another person. Interested in joining the SCAN provider network? SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. A provider may file a claim dispute based on: Before a provider initiates a claims dispute, the following needs to occur: o Within 12 months after the date of service. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. Contact us. Click here. Additionally, a Level Two report is provided to your vendor, which is the only accepted proof of timely filing for electronic claims. 1-888-445-2038. Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing information. Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. Many surgery and procedure names sound similar. Sharp Health Plan . Please do not use this form to convey personal or medical information. http://oig.hhs.gov/fraud/report-fraud/index.asp. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. MC will acknowledge a claim dispute request within five (5) business days after receipt. Hours are 8 a.m. to 8 p.m. from April 1 to Sept. 30, Monday through Friday. Members Brokers Providers Employers Members Talk to a real person. A copay is a predetermined (flat) fee that you pay for health care services, in addition to what your health insurance plan pays. California Sharp Medicare Advantage Plans | UHCprovider.com 1-877-863-3362 doctor, hospital or urgent care, Inflation Reduction Act and Sharp Health Plan, City of San Diego employees & retirees (SDPEBA), 7 questions about the COVID-19 vaccine for kids, The young adults guide to accessing care, Get the most out of your pharmacy benefits, Safe disposal of prescription medications, Medicare and other insurance coverage questionnaire, Access to a loved ones health information, 4 ways to help employees prepare for open enrollment, Covered California expands financial help, Counseling patients to self-isolate at time of testing, Grace periods for delinquent payments by members, Mental health & substance use disorder services. Contacts - San Diego - Sharp Community Medical Group - SCMG Sharp Direct Advantage is offered by Sharp Health Plan. Call 1-800-827-4277 or view our detailed phone directory. H.S. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. After your claim is processed by your primary health insurance plan, our billing office will file claims with any secondary or supplemental insurance organizations that you have provided to us. Learn how , These two screening tests can help prevent cervical cancer or detect it early. Read the full disclaimer. It's National Drug & Alcohol Facts Week. Typically, you will pay your percentage of costs until you reach your plan's annual out-of-pocket maximum. Caregivers for SCAN Members can receive help with their login credentials here. All electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. Kung ikaw, o ang iyong tinutulangan, ay may mga katanungan tungkol sa Sharp Health Plan, may karapatan ka na makakuha ng tulong at impormasyon sa iyong wika ng walang gastos. Careers However, making a partial payment will not prevent a past-due bill from going to a collections agency. FraudWaste&AbuseProg@scanhealthplan.com, Office of Inspector General, U.S. Department of Health & Human Services. Call Member Services to request translation services. 1-360-975-7000, option 1. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. 400, Wittman Drive Grand Rapids Itasca County MN - 55744 United . For any claims, eligibility, or referral inquiries, contact our dedicated Customer Care team. MORE OPTIONS + Brokers We're here to help you succeed. Long Beach, CA 90806, EthicsPoint We were named in the 2023 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage inCalifornia. Reduce risk , "We are thrilled with the support that we receive at all levels. The program also provides coverage for preventive and behavioral health care services. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. It only takes about 15 to 20 minutes to enroll online securely. Policy Manuals The provider should contact MC Claims and/or Network Management to seek additional information prior to initiating a claim dispute. Sharp Community Medical Group 8695 Spectrum Center Blvd., 4th Floor San Diego, CA 92123 Customer Service Department Phone Number: 858-499-2550 Toll Free Phone Number: 1-877-518-7264 TDD/TTY: 711 Fax Number: 858-636-2038 Appeals Department Address Sharp Community Medical Group Attention: Appeals Department 8695 Spectrum Center Boulevard, 4th Floor Claims Mailing Address: Medical. You may submit your claim dispute in writing through the mail or send electronically to us through fax. min ph. Learn how you can help your patients through the Shingrix shortage. VISIT THE HELPLINE Sharp Health Plan rated 5 out of 5 stars by Medicare for 2023 Every year, Medicare evaluates plans based on a 5-star rating system. See your patients' history. Shop plans 1 2 3 4 5 6 Enroll online Talk to a , Health (8 days ago) WebThe original claim must be received by The Health Plan 180 days from the date of service.
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