Not only do we now have the ability to receive disputes by fax, but we can also respond back to our providers via fax, allowing you to receive faster decisions. Please do not use this form to convey personal or medical information. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: 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. 8 a.m. to 8 p.m., Seven days a week, from October 1 to March 31. For the best experience on our website, please upgrade your browser to the latest version. UPMC Health Plan claims. , , Sharp Health Plan , ' . Read up on ways to protect your colorectal health. Please contact Member Services. Long Beach, CA 90801-5616. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. Click here to read the full disclaimer. Award-winning service, comprehensive coverage, plus more. A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. These hours may change during holidays see below. Box 982975El Paso, TX 79998-2975. Electronic prescribing mandate information. We are currently experiencing issues with our provider and site search tools. o Within 12 months after the date that eligibility is posted. Find out more , Stay informed. min ph. Refer to your insurance card or call your insurance provider to determine your medical group. 1-800-359-2002 . LEARN MORE , Let our members know about screening tests to help prevent or detect cervical cancer. Cookies must be enabled to properly use this website. Health (3 days ago) Web101 Wood Avenue South, 8th Floor. To set up a payment plan for a Sharp Rees-Stealy bill or to inquire about a payment plan for a family member's bill, call us at 858-499-2400. This position provides support and assistance to the Claims Department. SHARP HEALTH PLAN - 19 Photos & 207 Reviews - 8520 Tech Way, San Diego Looking for Provider Login or Agent/Broker Login? year in a row. All rights reserved. Complete ALL required fields, and include additional documentation when necessary. Sharp Health Plan , 1-800-359-2002. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Contact Express Scripts for Part D Coverage Reviews Coverage Determinations 1-844-424-8886 (TTY: 1-800-716-3231) tel. Learn how you can help your patients through the Shingrix shortage. Submit authorizations. [SBM Sharp Health Plan [ 1-800-359-2002. 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"). We offer high-quality, affordable health insurance for San Diegans of all ages with direct access to Sharp HealthCare. Read the full disclaimer. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . Call 1-800-827-4277 or view our detailed phone directory. 2023, Help me find urgent care centers in my network, Sharp HealthCare Hospital Billing Customer Service, Sharp Rees-Stealy Medical Group Billing Customer Service, Douglas & Nancy Barnhart Cancer Center at Sharp Chula Vista Medical Center, Sharp Chula Vista Outpatient Nutrition Counseling Program, Sharp Chula Vista Outpatient Surgery Center, Sharp Chula Vista Pre-Anesthesia Evaluation Services, Outpatient Imaging and Cardiovascular Services, Sharp Coronado Payne Family Outpatient Pavilion, Sharp Laboratory Services at Sharp Coronado Hospital, David & Donna Long Cancer Center at Sharp Grossmont Hospital, Sharp Grossmont Hospital Burr Heart & Lung Clinic, Sharp Grossmont Hospital for Women & Newborns, Sleep Disorder Center at Sharp Grossmont Hospital, Sharp Mary Birch Hospital for Women & Newborns, Sharp McDonald Center Detox and Residential Services, Sharp McDonald Center Intensive Outpatient Services, Kevin H. Cook Infusion Center at Sharp Memorial Hospital, Sharp Allison deRose Rehabilitation Center, Sharp Metropolitan Medical Campus Pre-Anesthesia Evaluation. ) 1-800-359-2002. SharpHealthPlan.com no longer supports this Internet browser. Thank you for your understanding as we work to ensure everyone remains healthy and safe. H.S. Manage your claims. Online Bill Pay | Sharp HealthCare 562-508-6781 MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from , Health (9 days ago) WebContact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. Caregivers for SCAN Members can receive help with their login credentials here. Encounter Data Team Encounters_Operations@scanhealthplan.com. Were your neighbors, so you can count on us to be accessible. Compliance Officer . networkmgmt@scanhealthplan.com, Office Ally Clearinghouse Once received, the claim dispute will be reviewed, and a decision will be rendered within 30 days after receipt. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. If you use FollowMyHealth, you may grant account access to any adult. Box 90640Phoenix, AZ 85066. You may receive a bill from us after your health insurance plan processes our bill. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. Members Brokers Providers Employers Members Talk to a real person. We are working to resolve this as quickly as possible. If there is a problem with the information provided, and your insurance plan will not pay, our billing office attempts to correct the information and refile the claim. With our cost-saving benefits, you could put more money back into your monthly budget. Call 1-800-827-4277 or view our detailed phone directory. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. Customer care representatives are available to assist you. Coinsurance takes place when you reach your deductible and you and your insurance plan share in paying a percentage of the remaining costs. Search for a doctor, hospital, pharmacy or drug name. Once you have submitted our request form, we will review your request and send you an email invitation to complete the connection within 30 business days. Many surgery and procedure names sound similar. Rated 4.5 out of 5 stars by Medicare six years in a row! Your insurance plan also mails you an EOB, which details how they processed our bill and calculated your responsibility based on your individual insurance plan. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. Clerical Assistant II- Claims / Finance /Healthplan- Tech Way / Full Contact us Coronavirus & COVID-19 , Health (2 days ago) WebCall us at 1-858-499-8300. 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. Required Qualifications. You can talk to a nurse 5 pm to 8am, Monday to Friday, and 24 hours a day on weekends by calling 1-800-359-2002. Home Delivery from Express Scripts PharmacySM Our fax number is 1-858-303-9049. Please check your email for your new password. One of our financial counselors will provide estimated out-of-pocket costs for your care with us. Subscribe to Newsletters Learn how , These two screening tests can help prevent cervical cancer or detect it early. 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. 3800 Kilroy Airport Way, Suite 100 Write: 1-888-705-7226 The website information you will be accessing is provided by another organization or vendor. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. Helpful holiday tips, your 2023 coverage checklist and more. Sharp Health Plan: Fill & Download for Free - cocodoc.com All of the points of contact are professional, committed and passionate about providing high-quality service. Policy Manuals We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. Our billing office will make several attempts to collect payment. Sharp Health Plan | Login If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. The Sharp SecureHorizons Plan by UnitedHealthcare and the Sharp Walgreens by UnitedHealthcare plans are Medicare Advantage Health Maintenance Organization (HMO) plans that include benefits in addition to those covered under Original Medicare, including Part D prescription drug coverage. Now its our turn to serveyou. 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. Cash is accepted at hospitals only. TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. In addition, we have interpreters available for our members when needed and can arrange to have a translator meet members at their doctors appointments (Tambin tenemos intrpretes disponibles, si usted necesita uno). 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. We are currently experiencing issues with our provider and site search tools. a) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention. Please read our. Sharp Health Plan . Select the appropriate claim form (refer to table below): Hospital inpatient, outpatient, skilled nursing and emergency room services, Dental services that are considered medical services (oral surgery, anesthesiology), Mercy Care Claims DepartmentP. O. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Encounters_Operations@scanhealthplan.com, Contact Express Scripts for Part D Coverage Reviews If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. Sharp HealthCare offers many payment options, including monthly payment installments for qualified or eligible hospital bills, which you can set up via Sharp Account. instructions from the Health Plan and the Department of Managed Health Care. California Sharp Medicare Advantage Plans | UHCprovider.com To provide a more personalized experience, please select a state where SCAN is offered. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. Every year, Medicare evaluates plans based on a 5-star rating system. Please do not use this form to convey personal or medical information. Read the full disclaimer. 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. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. Think of us as your personal health care assistant. If you believe that your needs have not been met, please use the above numbers to contact the hospital where the services were performed and ask to speak to a patient representative. If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. Talk to a real person. Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. Thank you for your understanding as we work to ensure everyone remains healthy and safe. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. You can use your Sharp Account to make a partial payment on a bill. Looking for Provider Login or Agent/Broker Login? Sharp HealthCare offers financial assistance for qualifying patients who need help with emergency or medically necessary care received in a Sharp hospital. Click on the link for answers about Medicare Advantage and coverage. March is Colorectal Cancer Awareness Month. Our updated Mercy Care Claims Processing Manualis now available to assist you with any claims or billing questions you may have. To set up a hospital payment plan for a family member, call us at 858-499-2400. Credentialing: Get started now. If you believe your responsibility is inaccurate, please contact your insurance plan directly. 1-800-359-2002 . Sharp Health Plan Payer ID: SHP01; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Electronic Remittance (ERA) YES: ERA Enrollment Required: This insurance is also known as: . Never wonder about the status of your claims again. www.ethicspoint.com, SCAN SIU Team Careers 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. Every year, Medicare evaluates plans based on a 5-star rating system. Rated 4.5 out of 5 stars by Medicare six years in a row! Providers who are contracted with Mercy Care can use electronic billing software. Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. Contacts - San Diego - Sharp Community Medical Group - SCMG Attn: Member Services LEARN MORE . Messages received on holidays and outside of our business hours will be returned within one business day. Contact Sharp Direct Advantage Medicare - Sharp Health Plan Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. Iselin, New Jersey 08830. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Sharp Community Medical Group (SCMG) - San Diego * Every year, Medicare evaluates plans based on a 5-star rating system. Yog koj, los yog tej tus neeg uas koj pab ntawd, muaj lus nug txog Sharp Health Plan, koj muaj cai kom lawv muab cov ntshiab lus qhia uas tau muab sau ua koj hom lus pub dawb rau koj. You can call us Monday through Friday, 8 am to 5 pm. For member-specific information or questions: For questions about plans and benefits, members should call: April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday P.O. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. Dr. Alan Kadet's office New York, NY Check eligibility & benefits. Please submit a copy of the front and back of your statement and a brief explanation of your situation, along with any other relevant information, to the address of your health plan. Sharp HealthCare Phone Numbers and Email - San Diego . Call us We are available 7 am to 8 pm, seven days a week. Send us an email instead. You have entered a ZIP code that is not currently accepting enrollments. Send us an email instead. 1-800-359-2002. Sharp Health Plan . 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. We will review your request and send you an email invitation to complete the connection within 30 days. Refer to our Provider Manual for more detailed information. Please include all supporting documentation with the initial claim dispute submission. http://oig.hhs.gov/fraud/report-fraud/index.asp. If a provider does not receive an acknowledgement letter within five (5) business days, the provider must contact the Appeals Department. Enrollment with Sharp Health Plan depends on contract renewal. Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. To provide a more personalized experience, please select a state where SCAN is offered. The program also provides coverage for preventive and behavioral health care services. GET INFO , Half of Americans have at least one risk factor for heart disease. You will need to provide your personal information and the invoice or visit number from your paper statement for each payment. Read the update , Share these tips with our members to help them reduce their risk of colon cancer. MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com 1-858-499-8009 Every year, Medicare evaluates plans based on a 5-star rating system. The provider should contact MC Claims and/or Network Management to seek additional information prior to initiating a claim dispute. Need to pay a medical bill or copay? Every hospital visit involves both physician and hospital resources. All rights reserved. . FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. Due to California privacy regulations, the information you can access for minor patients will depend on their age. Find your doctor's phone number. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. 2023 SCAN Health Plan. Fax: 1-858-303-9062 This service is free of charge and also includes American Sign Language translators. To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. Make sure your contact information is up to date. Health Insurance for Children, Provider Enrollment email us at provider.relations@sharp.com or call1-858-499-8330. TTY/TDD users can dial 711 or use the California Relay Services toll-free phone numbers. Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 American Indian Health Program - azahcccs.gov P.O. A copay is a predetermined (flat) fee that you pay for health care services, in addition to what your health insurance plan pays. Claims and EDI 1-877-778-7226. Interested in joining the SCAN provider network? refill on a road trip. Enrollment in SCAN Health Plan depends on contract renewal. If you do not have a Sharp Account yet, you can submit a completed authorization form to request access. 1-800-837-0959 fax, Network Management We were named in the 2023 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage inCalifornia. Covered Services For any claims, eligibility, or referral inquiries, contact our dedicated Customer Care team. Call us at 1-858-499-8300. You can also use this form to pay a bill for another person. If you'd like to pay a bill for a loved one, use our one-time payment form. With our providers, patients and health plan working together, we can ensure the best possible outcome every time. Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. However, making a partial payment will not prevent a past-due bill from going to a collections agency. Para hablar con un intrprete, llame al 1-800-359-2002. Sharp Health Plan 1.800.359.2002. These hours may change during holidays see below. Our fax number is 1-858-303-9049 . Don't want to pick up the phone? Click hereand follow the instructions. 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. 1-562-308-3699 fax These important numbers are located on your billing statement. Awards and recognition are subject to change each year. 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 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. Please refer to our Billing, Collections and Bad Debt policy. We know youre committed to your workforce. Call us at 1-858-499-8300. 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. Sharp Health Plan Explore SCAN plans available in your area! Sharp Health Plan is accepting enrollments all year, thanks to the 5-star special enrollment period. The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O.