Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. Effective January 1, 2022, all California health care practitioners who are authorized to prescribe will be required to issue prescriptions electronically. Our fax number is 1-858-303-9049. Talk to a real person. am, Monday through Friday, and 24 hours a day on weekends. 1-888-705-7226 MC may request an extension of up to 45 days, if necessary. 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). Don't hesitate to send us an email or call us Monday through Friday, from 8 am to 4:30 pm: We know health care billing can seem complicated - so we work hard to ensure your experience with Sharp is straightforward and accurate. Diploma or Equivalent; Essential . 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. Address. Contact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. Need Member Help Logging In? H5386_2022 Medicare Website_Rev10 Page Last Updated: 1/03/2023 Don't have a Sharp Account? PracticeBridge. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. See if your doctor is covered under Sharp Direct Advantage Medicare plans. 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. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. up. Our billing office will make several attempts to collect payment. You will need to provide your personal information and the invoice or visit number from your paper statement for each payment. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. You can also use this form to pay a bill for another person. Read the update , Share these tips with our members to help them reduce their risk of colon cancer. Talk to a real person. You should only sign this section if you want to cancel this authorization. We are currently experiencing issues with our provider and site search tools. Additionally, a Level Two report is provided to your vendor, which is the only accepted proof of timely filing for electronic claims. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week. FBT: SharpHealthPlan.com no longer supports this Internet browser. For general information or questions about quotes, rates, or materials: For member-specific information or questions: Were here to help you help your patients. ", - Sherri R., Director of Benefits & HR Information Systems, Palomar Health. Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. Enjoy direct access to Sharp HealthCare and The Sharp Experience.*. Check your coverage documents through Sharp Connect. Box 2906Milwaukee, WI53201-2906. SharpHealthPlan.com no longer supports this Internet browser. 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. Your bill will list the services you received under the "Summary of Patient Services." This position provides support and assistance to the Claims Department. Contact us Coronavirus & COVID-19 resources for providers You will also be able to save your preferred payment method for future use. Send us an email instead. ) 1-800-359-2002. Please include all supporting documentation with the initial claim dispute submission. You can call us Monday to Friday, 8 am to 6 pm. For questions about this process, contact UPMC Health Plan Web Services at 1-800-937-0438 from 8 a.m. to 4:30 p.m., Monday through Friday. Mercy Care Claims Department P. O. AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. The hospital's bill will be for the technical resources and supplies, such as procedures and equipment, needles and scalpels or medications. Enrollment in SCAN Health Plan depends on contract renewal. Make sure your contact information is up to date. Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. Providers must register with the AHCCCS program to be eligible for payment reimbursement. For the best experience on our website, please upgrade your browser to the latest version. Messages received on holidays and outside of normal business hours will be returned within one business day. Sharp Health Plan is accepting enrollments all year, thanks to the 5-star special enrollment period. Please read our. 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. According to the Arizona Revised Statute, Arizona Administrative Code and AHCCCS guidelines, all claim disputes related to a claim for system covered services must be filed in writing and received by the administration or the prepaid capitated provider or program contractor: Contact your Provider Relations representative for more information about electronic billing. Learn about the basics of Medicare, how to enroll, andmore. The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. 1-877-863-3362 Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. For the best experience on our website, please upgrade your browser to the latest version. Please see the below for more contact options. Fax: 1-858-303-9062 Seffrah Orlando, Senior Public Relations Specialist You may submit your claim dispute in writing through the mail or send electronically to us through fax. Contact us. Were your neighbors, so you can count on us to be accessible. General office experience, preferably in a service oriented environment. Contact us Coronavirus & COVID-19 , Health (2 days ago) WebCall us at 1-858-499-8300. Helpful holiday tips, your 2023 coverage checklist and more. Sharp Health Plan . , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. If you feel under the weather or have certain long-term health problems, virtual care can 1-888-445-2038. Provider Relations Phone Number. Electronic billing ensures faster processing and payment of claims, eliminates the cost of sending paper claims, allows tracking of each claim sent and minimizes clerical data entry errors. SCAN Health Plan is an HMO plan with a Medicare contract. Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. For Providers. 1-562-308-3699 fax We are working to resolve this as quickly as possible. Many surgery and procedure names sound similar. 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: . Please do not use this form to convey personal or medical information. Recently completed plans and new plans may not display on the Hospital Payment Plans section within Sharp Account. Were here to help you help your patients. , , Sharp Health Plan, . The amount you are charged is the portion of your bill your insurance policy does not cover - it is based on what your insurance plan communicates to us on your explanation of benefits (EOB). 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. Medicare Crossover Send us an email instead. For your protection, we don't recommend using email to send personal medical information. 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. Encounter Data Team Encounters_Operations@scanhealthplan.com. Voz y TTY (telfono de texto):1-800-855-3000. 1-800-454-3730. Caregivers for SCAN Members can receive help with their login credentials here. Sharphealthplan.com Category: Health Detail Health Contact us - Phone numbers, email, mailing address Health (2 days ago) WebCall us at 1-858-499-8300. UPMC Health Plan claims. Were your neighbors so you can count on us to be accessible. If you believe that the determination is not correct, you or your authorized representative has the right to appeal the decision by filing a grievance with your health plan. We are available 7 am to 8 pm, seven days a week. 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. Awards and recognition are subject to change each year. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. 1-844-424-8886 (TTY: 1-800-716-3231) tel. Pay Your Premium direct access to Sharp HealthCare. Provider Account Management: Box 982975El Paso, TX 79998-2975. Hospital payments: 858-499-2400 Sharp Rees-Stealy payments: 858-499-2410 SharpCare payments: 858-499-2044 Monday through Friday: 8 am to 4:30 pm Need to pay your monthly Sharp Health Plan health insurance premium? Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 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 Go to www.sharphealthplan.com/payment to pay now. Box 90640Phoenix, AZ 85066. To provide a more personalized experience, please select a state where SCAN is offered. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, please Explore SCAN plans available in your area! If you cannot pay the entire amount, you can set up a payment plan via Sharp Account for qualifying or eligible hospital bills. Search for a doctor, hospital, pharmacy or drug name. It's easy to register. Electronic prescribing mandate information. Please do not use this form to convey personal or medical information. Sharp Direct Advantage is offered by Sharp Health Plan. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. Sharp Health Plan is an HMO with a Medicare contract. Need to pay a medical bill or copay? Call us at 1-858-499-8300. Every year, Medicare evaluates plans based on a 5-star rating system. Please check the box proving that you are not a robot. Need Member Help Logging In? Fee-for-Service Fee Schedules, Contact Us Enrollment in SCAN Health Plan depends on contract renewal. 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. Cancer Resource , Health (7 days ago) WebProvider Services / Claims ( 877 ) 853 - 8019 ( 855 ) 297 - 4247 Enrollment ( 855 ) 593 - 5757 Care Management ( 888 ) 995 - 1689 7(32) 421 - 4317 Mailing Address for , Edison health solutions provider portal eligibility, Online mba for healthcare professionals, Central texas transgender health coalition, Federal retirees open season health insurance, Atrium health one health family medicine, Eastern shore rural health patient portal, 2022 health-mental.org. P.O. FraudWaste&AbuseProg@scanhealthplan.com, Office of Inspector General, U.S. Department of Health & Human Services. Written claim disputes must be submitted to the MC Appeals 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. 562-508-6781 March is Colorectal Cancer Awareness Month. Find a local SCAN Representative in your neighborhood who speaks your language. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. Please check your email for your new password. Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. Sharp Health Plan Performance Plus UnitedHealthcare SignatureValue Alliance and SignatureValue Harmony UnitedHealthcare Group Medicare Advantage and Medicare Advantage Edge Western Health Advantage HMO and MyCare Select Medicare HMO Blue Shield of California and Kaiser Permanente administer their own Pharmacy Benefits. With our providers, patients and health plans working together, we can ensure the best possible outcome every time. 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. H.S. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. 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. min ph. Many surgery and procedure names sound similar. These important numbers are located on your billing statement. Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. Please contact Member Services. Call us at 1-858-499-8300. Cookies must be enabled to properly use this website. All rights reserved. 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. Visit your health plan's website to learn how benefits, claims, and payment of claims are covered, as well as the service limitations and exclusions that may apply. The General Data Protection Regulation (GDPR) governs the processing of personal information gathered from individuals while they are in the European Union (EU) and parts of the EEA (European Economic Area, which currently includes Iceland, Lichtenstein and Norway). Fax: 1-858-303-9049 We invite you to share our women's preventive care 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 We provide dedicated bilingual (English/Spanish) representatives to our members and free over-the-phone translation services in dozens of other languages. Click here. Enrollment with Sharp Health Plan depends on contract renewal. These hours may change during holidays see below. For member-specific information or questions: For our members' protection, we don't recommend using email to send personal medical information. email us at provider.relations@sharp.com or call1-858-499-8330. Coinsurance takes place when you reach your deductible and you and your insurance plan share in paying a percentage of the remaining costs. Please refer to our Billing, Collections and Bad Debt policy. Our fax number is 1-858-303-9049 . Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. For general questions or provider portal registration, contact our Provider Account Management team. Customer care representatives are available to assist you. For general information or questions about quotes, rates or materials: Quality care depends on clear communication between you and your patients. As reported in Medicare & You 2023 member rating of plan. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. Well help you choose the coverage thats right for you. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, email us at provider.relations@sharp.com or call 1-858-499-8330. . Get helpful reminders about how to comply with the timely access laws, which outline maximum wait times for phone calls and appointment requests. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. 1-877-251-5896 fax If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. Follow the prompts to set your billing preferences. 1-800-359-2002. 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. Find out more , Stay informed. 1-800-359-2002 . Find your health plan's address (PDF). 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time Para hablar con un intrprete, llame al 1-800-359-2002. *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 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: Health (6 days ago) WebContact Us . All electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. Electronic submission*: Through Electronic Clearing House Can't find your answer below? Write: To provide a more personalized experience, please select a state where SCAN is offered. The monthly premium for our new VIP Plan is $0. You have entered a ZIP code that is not currently accepting enrollments. We were named in the 2023 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage inCalifornia. You can use your Sharp Account to make a partial payment on a bill. Sharp Health Plan1-800-359-2002 . If you have questions about your covered services, copays or deductibles - or which providers are in-network or out-of-network in your insurance plan - please call your health insurance company to confirm your coverage. MORE OPTIONS + Brokers The program also provides coverage for preventive and behavioral health care services. 1-858-499-8211 SHARP HEALTH PLAN - 16 Photos & 197 Reviews - Insurance - 8520 Tech Way, San Diego, CA - Phone Number - Yelp Sharp Health Plan 197 reviews Claimed Insurance Closed 8:00 AM - 5:00 PM Steve Lyons - State Farm Insurance Agent Rich Nye - State Farm Insurance Agent Frequently Asked Questions about Sharp Health Plan How is Sharp Health Plan rated? If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. 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. www.ethicspoint.com, SCAN SIU Team Please check the box proving that you are not a robot. TTY/TDD users can dial 711 or use the California Relay Services toll-free phone numbers. Messages received on holidays and outside of normal business hours will be returned within one business day. Need to pay a medical bill or copay? Find your doctor's phone number. MORE OPTIONS + Brokers We're here to help you succeed. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. 1-877-251-5896 fax Home Delivery from Express Scripts Pharmacy . 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. Every hospital visit involves both physician and hospital resources. 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. To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. refill on a road trip. BOX 22616 AI/AN members can switch their enrollment between AHCCCS AIHP and an AHCCCS managed health care plan and back again at any time. Call Member Services to request translation services. Visit our FAQ and get your questions answered. If you have a billing question that does not relate to a Sharp hospital or to Sharp Rees-Stealy Medical Group, please contact your doctor's office directly. , , Sharp Health Plan , ' . Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. Encounters_Operations@scanhealthplan.com, Contact Express Scripts for Part D Coverage Reviews If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. Sharp Health Plan 1.800.359.2002. For member-specific information or questions: In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Manage your claims. Sharp Direct Advantage is offered by Sharp Health Plan. Enrollment with Sharp Health Plan depends on contract renewal. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. AHCCCSOnline Website This service is free of charge and also includes American Sign Language translators. If you use FollowMyHealth, you may grant account access to any adult. 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. Sharp Direct Advantage is offered by Sharp Health Plan. Click here to read the full disclaimer. Call us We are available 7 am to 8 pm, seven days a week. However, making a partial payment will not prevent a past-due bill from going to a collections agency. 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. Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. Financial assistance is available for qualified low-income patients to assist with all or part of a hospital bill. Get free, confidential 24/7 treatment referral and information from the National Helpline. The SCAN Sales Support team works with brokers and broker agencies to answer questions regarding plan benefits, eligibility, enrollment, network, formulary and other issues. ) 1-800-359-2002. Visit Medicare to compare other plan ratings and find detailed reports. b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. Health Insurance for Children, Provider Enrollment Read the full disclaimer. Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing information. min ph. 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. 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. If you have questions about eligibility, costs or what kind of coverage you can expect give us a call today! This year's theme is #EmbraceEquity. 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.
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