sharp health plan claims address

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. Rated 4.5 out of 5 stars by Medicare six years in a row! Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. 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. SharpCare Medical Group patients can use this form to make online payments. Phone: 1-858-499-8200. Health (6 days ago) WebContact Us . Home Delivery from Express Scripts PharmacySM Click hereand follow the instructions. SharpHealthPlan.com no longer supports this Internet browser. 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 Member Services Phone Number. Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. TTY/TDD users can dial 711 or use the California Relay Services toll-free phonenumbers. 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. 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. Recently completed plans and new plans may not display on the Hospital Payment Plans section within Sharp Account. Please do not use this form to convey personal or medical information. Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. Every hospital visit involves both physician and hospital resources. Call us at 1-858-499-8300. 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. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. You may submit feedback about your Medicare Advantage health plan directly to Medicare. Sharp Health Plan 1.800.359.2002. 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 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. 1-562-308-3699 fax email us at provider.relations@sharp.com or call1-858-499-8330. Find a 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. Fee-for-Service Fee Schedules, Contact Us If you choose to send via fax, please fax your disputes to 602 351-2300. Please clearly state State Fair Hearing Request on your correspondence. Helpful holiday tips, your 2023 coverage checklist and more. We were named in the 2023 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage inCalifornia. Write: 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. 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. Sharp Health Plan 8520 Tech Way, Ste. You should only sign this section if you want to cancel this authorization. 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: . 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 a 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 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. 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. You may submit your claim dispute in writing through the mail or send electronically to us through fax. *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. GET INFO , Share this information with our members to help reduce their heart disease risk. This means the hospital and each of your treating physicians will send you a bill for their parts of your care. If you use FollowMyHealth, you may grant account access to any adult. Sharp Health Plan . FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. [SBM Sharp Health Plan [ 1-800-359-2002. be a great option. You can call us Monday through Friday, 8 am to 5 pm. ", - Sherri R., Director of Benefits & HR Information Systems, Palomar Health. 1-800-359-2002 . For the best experience on our website, please upgrade your browser to the latest version. Our updated Mercy Care Claims Processing Manualis now available to assist you with any claims or billing questions you may have. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. Many surgery and procedure names sound similar. Refer to our Provider Manual for more detailed information. 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. Call us at 1-858-499-8300. Enrollment with Sharp Health Plan depends on contract renewal. Hours may change during holidays. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. Effective January 1, 2022, all California health care practitioners who are authorized to prescribe will be required to issue prescriptions electronically. LEARN MORE . You can call us Monday to Friday, 8 am to 6 pm. 1-800-359-2002. 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. . If a provider disagrees with the MC Notice of Decision, the provider may request a State Fair Hearing. Thank you for your understanding as we work to ensure everyone remains healthy and safe. MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. ) 1-800-359-2002. With our cost-saving benefits, you could put more money back into your monthly budget. Think of us as your personal health care assistant. 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. Visit Medicare to compare other plan ratings and find detailed reports. Covered Services We're your neighbors, so you can count on us to be accessible. You can send us an email at customer.service@sharp.com and we will get back toyou. Sharp Health Plan is an HMO with a Medicare contract. Electronic prescribing mandate information. Hours may change during holidays. The Health Plan encourages electronic claims submission . For general questions or provider portal registration, contact our Provider Account Management team. It's National Drug & Alcohol Facts Week. Youve earned your Medicare benefits! We are available 7 am to 8 pm, seven days a week. If you have questions about eligibility, costs or what kind of coverage you can expect give us a call today! Caregivers for SCAN Members can receive help with their login credentials here. 1-800-837-0959 fax, Network Management Find out more , Stay informed. If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. 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. P.O. Coverage Determinations Don't have a Sharp Account? Compliance Officer MORE OPTIONS + Brokers We're here to help you succeed. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. Provider Account Management: Box 982975 El Paso, TX 79998-2975. You can use your Sharp Account to make a partial payment on a bill. For the best experience on our website, please upgrade your browser to the latest version. Can't find your answer below? SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Thank you for serving our city and San Diegans like us. For general information or questions about quotes, rates or materials: Messages received on holidays and outside of our business hours will be returned within one business day. 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. Sharp Direct Advantage is offered by Sharp Health Plan. If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. Reduce risk , "We are thrilled with the support that we receive at all levels. MORE OPTIONS + Brokers We're here to help you succeed. 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. 1-800-600-4441. It's easy to register. o Within 12 months after the date that eligibility is posted. Health (3 days ago) Web101 Wood Avenue South, 8th Floor. Enjoy direct access to Sharp HealthCare and The Sharp Experience.*. 1-858-499-8300. You can also search for your primary care doctor to find the medical group you and your doctor belong to. For Providers. 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. Due to COVID-19 restrictions, the Sharp Health Plan office is not open to visitors at this time. Use your member ID number to sign . Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. You may receive a bill from us after your health insurance plan processes our bill. 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. Follow the prompts to set your billing preferences. Need Member Help Logging In? See your patients' history. 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. Get free, confidential 24/7 treatment referral and information from the National Helpline. Iselin, New Jersey 08830. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. Diploma or Equivalent; Essential . However, a member can change from one managed health care plan to another (for example, Mercy Care Plan to Molina Healthcare) only once a year. If you do not have a Sharp Account yet, you can submit a completed authorization form to request access. Contact us to learn how to get started with Sharp Direct Advantage today! Long Beach, CA 90806, EthicsPoint Read the full disclaimer. Address. Claim Form - Conference and Travel - Cerritos College - cms cerritos 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. You may need to complete a final step to connect to your family member in FollowMyHealth. If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. Contact your Network Management representative for more information about electronic billing. Instructions on how to fill out the claim forms can be found at the following AHCCCS website addresses: Submit original copies of claims electronically or through the mail (do NOT fax). Please refer to our Billing, Collections and Bad Debt policy. Easily submit pre-authorizations without extra steps. 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. Get the right support so that no questions are left unanswered. For the best experience on our website, please upgrade your browser to the latest version. Find a local SCAN Representative in your neighborhood who speaks your language. The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. 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). Thank you for making us the highest member-rated health plan in California for the eighth Sharp Health Plan , 1-800-359-2002. This year's theme is #EmbraceEquity. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. Complete testing with UPMC Health Plan. Hours may change during holidays see below. If you do not want to leave our website, please click the X. Visit our FAQ and get your questions answered. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. . All rights reserved. Contact your software vendor directly for questions about your electronic billing. Email your SCAN Network Management representative. Our fax number is 1-858-303-9049 . The SCAN Sales Support team works with brokers and broker agencies to answer questions regarding plan benefits, eligibility, enrollment, network, formulary and other issues. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Your password has been reset. AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. 1-800-HHS-TIPS (1-800-447-8477) Cookies must be enabled to properly use this website. 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. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., seven days a week. FraudWaste&AbuseProg@scanhealthplan.com, Office of Inspector General, U.S. Department of Health & Human Services. Learn More. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. Contact Sharp Health Plan to get answers on anything from paying a bill to signing up for coverage. Call Member Services to request translation services. 2023SCAN Health Plan. These hours may change during holidays see below. 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. Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a Click here. , , Sharp Health Plan , ' . It's easy to register. 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. The hospital's bill will be for the technical resources and supplies, such as procedures and equipment, needles and scalpels or medications. checklist. AHCCCSOnline Website Many surgery and procedure names sound similar. Awards and recognition are subject to change each year. Thank you for your understanding as we work to ensure everyone remains healthy and safe. The provider must follow all applicable laws, policies and contractual requirements when filing. SharpHealthPlan.com no longer supports this Internet browser. 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. It only takes about 15 to 20 minutes to enroll online securely. min ph. year in a row. 1-877-251-5896 fax 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. Please see the below for more contact options. Health (1 days ago) WebSharp Health Plan Login Sign in Email address Password Forgot your password? *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. Find your doctor's phone number. Messages received on holidays and outside of our business hours will be returned within one business day. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. 1-877-863-3362 If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. Now its our turn to serveyou. Learn More. Sharp Health Plan . 1-858-499-8009 sorlando@scanhealthplan.com. 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: For member-specific information or questions: Were here to help you help your patients. The monthly premium for our new VIP Plan is $0. UPMC Health Plan claims. Seffrah Orlando, Senior Public Relations Specialist By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. FL 22: Resubmission Code field must be billed with a "7" and the Original Reference Number field . 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"). Mercy Care Claims Department P. O. Were your neighbors so you can count on us to be accessible. These hours may change during holidays see below. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. If you have a health question or concern after regular business hours, you can talk to a nurse through our after-hours nurse line.Call Sharp Nurse Connection at 1-855-562-8853 from 5 pm to 8 Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing information. , Sharp Health Plan , ,1-800-359-2002 , 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. 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 have your name removed from our advertising mailing list, please complete and submit the Mailing List Removal form. Send us an email instead. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. Make sure your contact information is up to date. 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). LEARN MORE , Let our members know about screening tests to help prevent or detect cervical cancer. These hours may change during holidays see below. 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. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. Contact us Coronavirus & COVID-19 resources for providers Call our dedicated Customer Care provider line: Search for a doctor, hospital, pharmacy or drug name. 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. Mail-Order This position provides support and assistance to the Claims Department. Health Insurance for Children, Provider Enrollment Sharp HealthCare offers financial assistance for qualifying patients who need help with emergency or medically necessary care received in a Sharp hospital. b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. P.O. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. The program also provides coverage for preventive and behavioral health care services. If you have questions that include personal details, like your medical history, please call your doctor directly. At this time, the Sharp Health Plan . 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. o Or within 60 days after the date of the denial of a timely claim submission, whichever is later. Long Beach, CA 90801-5616. Need Member Help Logging In? News & Press Releases, Can't find what you're looking for? Submit authorizations. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. Sharp is not-for-profit and relies on fundraising. Call 1-800-827-4277 or view our detailed phone directory. 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. Sharp Health Plan is an HMO with a Medicare contract. Cash is accepted at hospitals only. Click below to learn more about which plans, benefits and doctors are available in your area. SCAN Health Plan Eligibility, referrals, or claims: Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week. Due to California privacy regulations, the information you can access for minor patients will depend on their age. We are making improvements to how you can view and pay your bills through your Sharp Account. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. As reported in Medicare & You 2023 member rating of plan. When you connect to a loved one's Sharp Account, you can: To manage the care of a dependent adult, such as a parent, you will need to provide proof of conservatorship, power of attorney or an advance directive. Our fax number is 1-858-303-9049 . MC will acknowledge a claim dispute request within five (5) business days after receipt. We invite you to share our women's preventive care 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. 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. Get helpful reminders about how to comply with the timely access laws, which outline maximum wait times for phone calls and appointment requests. 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. Sharp Health Plan . We offer high-quality, affordable health insurance for San Diegans of all ages with direct access to Sharp HealthCare. 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. Call 1-800-827-4277 or view our detailed phone directory. 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. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002.

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