Caregivers for SCAN Members can receive help with their login credentials here. Write: SCAN Claims Department P.O. Please clearly state State Fair Hearing Request on your correspondence. Sharp Health Plan is accepting enrollments all year, thanks to the 5-star special enrollment period. Read up on ways to protect your colorectal health. We are available 7 am to 8 pm, seven days a week. Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. If a provider does not receive an acknowledgement letter within five (5) business days, the provider must contact the Appeals Department. Thank you for your understanding as we work to ensure everyone remains healthy and safe. All of the points of contact are professional, committed and passionate about providing high-quality service. ", - Sherri R., Director of Benefits & HR Information Systems, Palomar Health. Get free, confidential 24/7 treatment referral and information from the National Helpline. , , Sharp Health Plan, . If you do not want to leave our website, please click the X. Can't find your answer below? Complete ALL required fields, and include additional documentation when necessary. Click here and follow the instructions. For general information or questions about quotes, rates, or materials: For member-specific information or questions: Were here to help you help your patients. 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. Call Member Services to request translation services. 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. Box 90640Phoenix, AZ 85066. 1-888-327-9791 tel. 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. 1-888-705-7226 Every year, Medicare evaluates plans based on a 5-star rating system. Write: Health Insurance for Children, Provider Enrollment Required Qualifications. It's National Drug & Alcohol Facts Week. 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. Sharp Community Medical Group (SCMG) - San Diego You may need to complete a final step to connect to your family member in FollowMyHealth. Enrollment with Sharp Health Plan depends on contract renewal. 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. TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. 1-844-424-8886 (TTY: 1-800-716-3231) tel. To include supporting documentation, such as members medical records, clearly label and send to the Claims Department at the correct address. REDUCE RISK , Learn how to reduce colon cancer risk by making healthy lifestyle changes. Send us an email instead. 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. Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. P.O. FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. CALL NOW. For questions about plans and benefits, members should call: April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday Iselin, New Jersey 08830. 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 . 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: . , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. Sharp is not-for-profit and relies on fundraising. For the best experience on our website, please upgrade your browser to the latest version. For more contact information, please click hereto access the Provider Operations Manual. Written claim disputes must be submitted to the MC Appeals Department. Awards and recognition are subject to change each year. Our fax number is 1-858-303-9049 . checklist. Contact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. Reduce risk , "We are thrilled with the support that we receive at all levels. Caregivers for SCAN Members can receive help with their login credentials here. Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of benefits. The physician's bill will be for the professional services. Para hablar con un intrprete, llame al 1-800-359-2002. Please read our. We offer high-quality, affordable health insurance for San Diegans of all ages with direct access to Sharp HealthCare. Contracted providers can find reimbursement information in their Mercy Care contracts. 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. 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. Due to COVID-19 restrictions, the Sharp Health Plan office is not open to visitors at this time. We offer high-quality, affordable health insurance for San Diegans of all ages with Encounter Data Team Encounters_Operations@scanhealthplan.com. http://oig.hhs.gov/fraud/report-fraud/index.asp. The provider should contact MC Claims and/or Network Management to seek additional information prior to initiating a claim dispute. This year's theme is #EmbraceEquity. and Nov. 30, 2023. Please contact Member Services. 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. All rights reserved. Every year, Medicare evaluates plans based on a 5-star rating system. 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). Sharp Direct Advantage is offered by Sharp Health Plan. o Or within 60 days after the date of the denial of a timely claim submission, whichever is later. Many surgery and procedure names sound similar. UPMC Health Plan claims. 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 1-360-975-7000, option 1. The provider must follow all applicable laws, policies and contractual requirements when filing. LEARN MORE , Let our members know about screening tests to help prevent or detect cervical cancer. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. . If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. Your password has been reset. 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. 1-858-499-8009 MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Cscs bill payer program volunteer application form return to: bill payer program council of senior centers and services of nyc, inc. 195 montague street, b-15 brooklyn, new york, ny 11201 phone: 718-858-2358 fax: 718-858-2702 personal: (this. 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. These important numbers are located on your billing statement. Click on the link for answers about Medicare Advantage and coverage. Sharp Health Plan is an HMO with a Medicare contract. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. o Within 12 months after the date that eligibility is posted. Refer to your insurance card or call your insurance provider to determine your medical group. Read the full disclaimer. If you choose to send via fax, please fax your disputes to 602 351-2300. 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. To provide a more personalized experience, please select a state where SCAN is offered. It's easy to register. Visit Medicare to compare other plan ratings and find detailed reports. Get started now. We are working to resolve this as quickly as possible. Please do not use this form to convey personal or medical information. It only takes about 15 to 20 minutes to enroll online securely. Need to pay a medical bill or copay? Caregivers for SCAN Members can receive help with their login credentials here. To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. You can join today, right from your laptop or phone. Health (6 days ago) WebContact Us . Were here to help you help your patients. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . Quality care depends on clear communication between you and your patients. SharpCare Medical Group patients can use this form to make online payments. Read the full disclaimer. 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. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. If a provider disagrees with the MC Notice of Decision, the provider may request a State Fair Hearing. General office experience, preferably in a service oriented environment. April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday . You have entered a ZIP code that is not currently accepting enrollments. Sharp Direct Advantage is offered by Sharp Health Plan. Easily submit pre-authorizations without extra steps. 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. Use your member ID number to sign Fax: 1-858-303-9062 Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. Seffrah Orlando, Senior Public Relations Specialist Failure to specifically state the factual and legal basis may result in denial of the claim dispute. b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. Don't want to pick up the phone? 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. Thats why were committed to you. Sharp Health Plan 8520 Tech Way, Ste. 1-800-359-2002 . Please visit Sharp.com or call your provider. Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. Find out more , Stay informed. Contact your Network Management representative for more information about electronic billing. Learn how to create one now. 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. Send us an email instead. Talk to a real person. You may receive a bill from us after your health insurance plan processes our bill. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. You can use your Sharp Account to make a partial payment on a bill. With our providers, patients and health plans working together, we can ensure the best possible outcome every time. Due to California privacy regulations, the information you can access for minor patients will depend on their age. Messages received on holidays and outside of our business hours will be returned within one business day. email us at provider.relations@sharp.comor call 1-858-499-8330. 400, Wittman Drive Grand Rapids Itasca County MN - 55744 United . 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). Please check your email for your new password. Sharp Health Plan For any claims, eligibility, or referral inquiries, contact our dedicated Customer Care team. Read the update , Share these tips with our members to help them reduce their risk of colon cancer. SharpHealthPlan.com no longer supports this Internet browser. SharpHealthPlan.com no longer supports this Internet browser. A deductible is the annual amount that you must pay, out of pocket, before an insurance plan begins reimbursing for eligible services. Click hereand follow the instructions. If you prefer not to create an account, you can still pay your bill online by using our one-time payment form. Learn More. 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. If you are submitting via mail, the claim dispute, including all supporting documentation, should be sent to: Mercy Care Grievance System Department4500 E. Cotton Center Blvd.Phoenix, AZ 85040. Follow the prompts to set your billing preferences. Mail-Order There is a problem with enrollment at this time. 1-800-837-0959 fax, Network Management You can also log in to myCalPERS to use the Search Health Plans tool to research the health plan coverage and benefits most important to you and your family. 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. 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. Helpful holiday tips, your 2023 coverage checklist and more. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. Contact Sharp Direct Advantage Medicare - Sharp Health Plan The claim dispute process should only be used after other attempts to resolve the matter have failed. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, please SharpHealthPlan.com no longer supports this Internet browser. *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. Sharp Health Plan is an HMO with a Medicare contract. 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). Messages received on holidays and outside of normal business hours will be returned within one business day. It is important to note that balance billing members is prohibited under all Mercy Care health plans. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Box 982975 El Paso, TX 79998-2975. AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. Hours may change during holidays. Rated 4.5 out of 5 stars by Medicare six years in a row! Please include all supporting documentation with the initial claim dispute submission. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. For Providers. Financial assistance is available for qualified low-income patients to assist with all or part of a hospital bill. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. Contact us Coronavirus & COVID-19 resources for providers Refer to your insurance card or call your insurance provider to determine your medical group. Sharp HealthCare Phone Numbers and Email - San Diego AI/AN members can switch their enrollment between AHCCCS AIHP and an AHCCCS managed health care plan and back again at any time. You can also search for your primary care doctor to find the medical group you and your doctor belong to. Phone: 1-858-499-8330 You will also be able to save your preferred payment method for future use. These hours may change during holidays see below. 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. For credentialing inquiries about your application or credentialing status, contact our Credentialing 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. Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. You can call us Monday to Friday, 8 am to 6 pm. 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. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. Every year, Medicare evaluates plans based on a 5-star rating system. Click below to learn more about which plans, benefits and doctors are available in your area. refill on a road trip. Please check the box proving that you are not a robot. Please refer to our Billing, Collections and Bad Debt policy. Please read our. Need Member Help Logging In? Sharp Health Plan Claims Address Well help you choose the coverage thats right for you. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. The SCAN Sales Support team works with brokers and broker agencies to answer questions regarding plan benefits, eligibility, enrollment, network, formulary and other issues. MC will acknowledge a claim dispute request within five (5) business days after receipt. Additionally, a Level Two report is provided to your vendor, which is the only accepted proof of timely filing for electronic claims. H.S. The monthly premium for our new VIP Plan is $0. CLAIM.MD | Payer Information | Sharp Health Plan SHARP HEALTH PLAN - 19 Photos & 207 Reviews - 8520 Tech Way, San Diego Provider Tools | Oscar Health - hioscar.com 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 American Indian Health Program - azahcccs.gov Once received, the claim dispute will be reviewed, and a decision will be rendered within 30 days after receipt. Click here. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. . The Health Plan encourages electronic claims submission . March is Colorectal Cancer Awareness Month. Explore SCAN plans available in your area! Call our Customer Care team at (855) 995-5004 or submit a form. Thank you for making us the highest member-rated health plan in California for the eighth 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. However, making a partial payment will not prevent a past-due bill from going to a collections agency. The percentage you pay of the remaining costs depends on your plan. Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. For the best experience on our website, please upgrade your browser to the latest version. Search for a doctor, hospital, pharmacy or drug name. Long Beach, CA 90801-5616. Learn about the basics of Medicare, how to enroll, andmore. 3800 Kilroy Airport Way, Suite 100 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. 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.

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