These hours may change during holidays see below. 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. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. The monthly premium for our new VIP Plan is $0. *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 By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Call our Customer Care team at (855) 995-5004 or submit a form. Sharp HealthCare offers many payment options, including monthly payment installments for qualified or eligible hospital bills, which you can set up via Sharp Account. Messages received on holidays and outside of normal business hours will be returned within one business day. 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. Get started now. Providers who are contracted with Mercy Care can use electronic billing software. 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. Talk to a real person. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. Please check your email for your new password. Please contact Member Services. FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. Click here to read the full disclaimer. 562-508-6781 Call 1-800-827-4277 or view our detailed phone directory. We were named in the 2023 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage inCalifornia. Subscribe to Newsletters It's easy to register. SharpHealthPlan.com no longer supports this Internet browser. Enrollment with Sharp Health Plan depends on contract renewal. LEARN MORE . 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. and Nov. 30, 2023. Health (3 days ago) Web101 Wood Avenue South, 8th Floor. direct access to Sharp HealthCare. With our providers, patients and health plan working together, we can ensure the best possible outcome every time. For any claims, eligibility, or referral inquiries, contact our dedicated Customer Care team. 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. Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. Please do not use this form to convey personal or medical information. SharpHealthPlan.com no longer supports this Internet browser. See if your doctor is covered under Sharp Direct Advantage Medicare plans. If a provider disagrees with the MC Notice of Decision, the provider may request a State Fair Hearing. . Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. instructions from the Health Plan and the Department of Managed Health Care. DentaQuest administers dental benefits for Mercy Care and Mercy Care Advantage. The hospital's bill will be for the technical resources and supplies, such as procedures and equipment, needles and scalpels or medications. 1-800-359-2002. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, please You can also search for your primary care doctor to find the medical group you and your doctor belong to. It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. For the best experience on our website, please upgrade your browser to the latest version. 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. This means the hospital and each of your treating physicians will send you a bill for their parts of your care. Contact your software vendor directly for questions about your electronic billing. Nu qu v, hay ngi m qu v ang gip , c cu hi v Sharp Health Plan, qu v s c quyn c gip v c thm thng tin bng ngn ng ca mnh The percentage you pay of the remaining costs depends on your plan. Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. If you cannot pay the entire amount, you can set up a payment plan via Sharp Account for qualifying or eligible hospital bills. Sharp Health Plan . You can call us Monday through Friday, 8 am to 5 pm. It's easy to register. MORE OPTIONS + Brokers We're here to help you succeed. There are three ways for AHCCCS members to change their AHCCCS enrollment: If you need to request an ID card replacement there are four options: Phone: 602-417-4000 SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Credentialing: To include supporting documentation, such as members medical records, clearly label and send to the Claims Department at the correct address. , , Sharp Health Plan , ' . , , Sharp Health Plan , ' . Health Insurance for Children, Provider Enrollment If you choose to send via fax, please fax your disputes to 602 351-2300. Need Member Help Logging In? Complete ALL required fields, and include additional documentation when necessary. Read the full disclaimer. All electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. Sharp Health Plan is accepting enrollments all year, thanks to the 5-star special enrollment period. Health (6 days ago) WebContact Us . You can pay by credit or debit card or by check. 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. To pay by credit card over the phone, please call Patient Financial Services: Check, cashier's check, money order and major credits cards are accepted at all Sharp HealthCare hospital and clinic locations. Many surgery and procedure names sound similar. To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. This could result in the claim being denied for untimely filing. Sharp Health Plan | Login Sign in Email address Password Forgot your password? 1-877-863-3362 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. For general information or questions about quotes, rates or materials: Find your doctor's phone number. AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. March is Colorectal Cancer Awareness Month. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week. Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. Sharp Health Plan 1.800.359.2002. Nu qu v, hay ngi m qu v ang gip , c cu hi v Sharp Health Plan, qu v s c quyn c gip v c thm thng tin bng ngn ng ca mnh To call a medical group office or department: Sharp Rees-Stealy: Department phone directory Sharp Community: 858-499-2550 SharpCare: 619-522-4000 Other contact information: Billing FraudWaste&AbuseProg@scanhealthplan.com, Office of Inspector General, U.S. Department of Health & Human Services. Sharp Community has been caring for San Diegans since 1989. Email your SCAN Network Management representative. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time Make sure your contact information is up to date. With our providers, patients and health plans working together, we can ensure the best possible outcome every time. Manage your claims. UPMC Health Plan claims. 1-800-454-3730. Click on the link for answers about Medicare Advantage and coverage. Your most common questions, answered without playing phone tag. A copay is a predetermined (flat) fee that you pay for health care services, in addition to what your health insurance plan pays. Payment plans are only for hospital bills, and are not available for Sharp Rees-Stealy bills or for connected family members at this time. Sharp Health Plan 8520 Tech Way, Ste. For general questions or provider portal registration, contact our Provider Account Management team. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. 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. As reported in Medicare & You 2023 member rating of plan. 3800 Kilroy Airport Way, Suite 100 1-800-600-4441. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. Box 22698 Long Beach, CA 90801-5616. Claims Mailing Address: Medical. Sharp is not-for-profit and relies on fundraising. Please contact Member Services. For questions about plans and benefits, members should call: April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. Our offices are closed on the followingholidays in 2023: You can send us an email at customer.service@sharp.com and we will get back toyou. 1-858-499-8211 Reduce risk , "We are thrilled with the support that we receive at all levels. REVOCATION You may revoke this authorization at any time by signing and dating this section of the form and returning it to Sharp Health Plan. Search Sharp Health Plan PayerID SHP01 and find the complete info about Sharp Health Plan Insurance Type, LOB, ENR, RTE, RTS, ERA, SEC, Customer Service Number and more . Click here. Your password has been reset. Click here and follow the instructions. 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 Sharp Account, you can request access to a minor child's (age 11 or younger) or dependent adult's account to manage health information, view and pay bills, and more. You can use this special enrollment period only once between Dec. 8, 2022, http://oig.hhs.gov/fraud/report-fraud/index.asp. The only way to ensure you have the full Sharp Experience, from coverage to care, is with a Sharp Direct Advantage plan - only from Sharp Health Plan. 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. Enrollment in SCAN Health Plan depends on contract renewal. To set up a hospital payment plan for a family member, call us at 858-499-2400. min ph. We are making improvements to how you can view and pay your bills through your Sharp Account. 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 know youre committed to your workforce. Mercy Care Claims Department P. O. Although physicians are licensed to practice at Sharp's hospitals, they are not Sharp HealthCare employees. 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. For general information or questions about quotes, rates or materials: Sharp health plan provider phone number, Health (2 days ago) WebFor eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, email us at [emailprotected] or call 1-858-499-8330. . 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. You can also search for your primary care doctor to find the medical group you and your doctor belong to. BOX 22616 *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. Cookies must be enabled to properly use this website. Never wonder about the status of your claims again. To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. Learn More. View past statements and payment history from the last 18 months, Save a payment method for quicker check out, Access patient portals and other digital tools. Please read our. Every hospital visit involves both physician and hospital resources. FBT: SharpHealthPlan.com no longer supports this Internet browser. Helpful holiday tips, your 2023 coverage checklist and more. If you use FollowMyHealth, you may grant account access to any adult. ) 1-800-359-2002. Awards and recognition are subject to change each year. Send us an email instead. Were your neighbors, so you can count on us to be accessible. Financial assistance is available for qualified low-income patients to assist with all or part of a hospital bill. In many cases, payment is sent directly to us from your health insurance provider. For member-specific information or questions: For our members' protection, we don't recommend using email to send personal medical information. Get helpful reminders about how to comply with the timely access laws, which outline maximum wait times for phone calls and appointment requests. 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. Enrollment with Sharp Health Plan depends on contract renewal. If a provider does not receive an acknowledgement letter within five (5) business days, the provider must contact the Appeals Department. min ph. We provide dedicated bilingual (English/Spanish) representatives to our members and free over-the-phone translation services in dozens of other languages. Phone: 1-858-499-8200. year in a row. For the best experience on our website, please upgrade your browser to the latest version. Messages received on holidays and outside of our business hours will be returned within one business day. We offer high-quality, affordable health insurance for San Diegans of all ages with direct access to Sharp HealthCare. Call our dedicated Customer Care provider line: Please see the below for more contact options. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. Enrollment with Sharp Health Plan depends on contract renewal. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing information. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. 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. Fax: 1-858-303-9049 From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., seven days a week. Provider Account Management: Please visit the, Resources for Foster/Kinship/Adoptive Families, Accessing Behavioral Health Services in Schools, AHCCCS Whole Person Care Initiative (WPCI), Emergency Triage, Treat and Transport (ET3), Report Concerns About Quality of Care Received, ALTCS Electronic Member Change Request (EMCR), Quality Assessment and Performance Improvement Strategy, Pre-Admission Screening and Resident Review (PASRR), Demographics, Social Determinants and Outcomes, Tribal Court Procedures for Involuntary Commitment, Contracted Health Plan Audited Financial Statements, Monkeypox Virus and Vaccination Information, Federal Funding Accountability and Transparency Act, Digital Tool Box Deliverable Reports & Schedule, Digital Tool Box AHCCCS Policy & Procedures, Quarterly Meeting Minutes and Presentations, Agency Tribal Consultation Annual Reports, American Indian Health Program (AIHP) Change Request Form, American Indian Health Program (AIHP) ID Request Form, If you have an HEAplus account- go to "Options" and click on the "Request New ID Card" link or, A Community Assistor can assist you in requesting the replacement card through their Assistor dashboard. ", - Sherri R., Director of Benefits & HR Information Systems, Palomar Health. Eligibility, referrals, or claims: Fax: 1-858-303-9062 am, Monday through Friday, and 24 hours a day on weekends. Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. 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. You may also mail your payment to the address listed on your statement. Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31. Interfaces with other Sharp Health Plan employees to provide information as requested for other Departments. Click here to read the full disclaimer. The website information you will be accessing is provided by another organization or vendor. You can call us Monday through Friday, 8 am to 6 pm. 1-888-327-9791 tel. Every year, Medicare evaluates plans based on a 5-star rating system. 1-800-359-2002. If you'd like to pay a bill for a loved one, use our one-time payment form. Send us an email instead. Sharp Health Plan is an HMO with a Medicare contract. Long Beach, CA 90801-5616. Thats why were committed to you. FL 22: Resubmission Code field must be billed with a "7" and the Original Reference Number field . 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). Claim Form - Conference and Travel - Cerritos College - cms cerritos Get free, confidential 24/7 treatment referral and information from the National Helpline. Interested in joining the SCAN provider network? We will review your request and send you an email invitation to complete the connection within 30 days. Sharp hospitals: 858-499-2400 Sharp Rees-Stealy: 858-499-2410 SharpCare: 858-499-2044 Sharp Specialty Groups: 858-346-4321 We look forward to helping you. For general questions or provider portal registration, contact our Provider Account Management team. Mercy Care's electronic claim submission vendors, https://dentaquest.com/state-plans/regions/arizona/, Augmentative and Alternative Communication. 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. Go to www.sharphealthplan.com/payment to pay now. SCAN Claims Department Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. 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. Refer to our Provider Manual for more detailed information. 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). 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.

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