Use your member ID number to sign , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . Additionally, a Level Two report is provided to your vendor, which is the only accepted proof of timely filing for electronic claims. 1-858-499-8009 To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. 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. Your password has been reset. You can call us Monday through Friday, 8 am to 5 pm. 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. Call 1-800-827-4277 or view our detailed phone directory. Hours may change during holidays. We provide dedicated bilingual (English/Spanish) representatives to our members and free over-the-phone translation services in dozens of other languages. Contact Sharp Health Plan to get answers on anything from paying a bill to signing up for coverage. If you have questions that include personal details, like your medical history, please call your doctor directly. 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. When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. Please see the below for more contact options. 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. 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. 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 , ' . Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. Iselin, New Jersey 08830. You have entered a ZIP code that is not currently accepting enrollments. Diploma or Equivalent; Essential . 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 email us at provider.relations@sharp.com or call1-858-499-8330. Sharp Health Plan is an HMO with a Medicare contract. If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. You will need to provide your personal information and the invoice or visit number from your paper statement for each payment. . 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. Para hablar con un intrprete, llame al 1-800-359-2002. You can report potential compliance issues and/or issues with fraud, waste and abuse through any of the following channels: Hours: Give us a call with any additional questions: At this time, we are only able to grant access to accounts for dependent adults and minor children. Make sure your contact information is up to date. Medicare Crossover If you do not want to leave our website, please click the X. Messages received on holidays and outside of normal business hours will be returned within one business day. This means the hospital and each of your treating physicians will send you a bill for their parts of your care. Sharp Direct Advantage is offered by Sharp Health Plan. FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. Sharphealthplan.com Category: Health Detail Health Contact us - Phone numbers, email, mailing address Health (2 days ago) WebCall us at 1-858-499-8300. Mail-Order year in a row. It's National Drug & Alcohol Facts Week. Provider Account Management: In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) , , Sharp Health Plan, . By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Once received, the claim dispute will be reviewed, and a decision will be rendered within 30 days after receipt. Please refer to our Billing, Collections and Bad Debt policy. BOX 22616 Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. 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. up. Learn how you can help your patients through the Shingrix shortage. If a provider does not receive an acknowledgement letter within five (5) business days, the provider must contact the Appeals Department. 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. Read the full disclaimer. Please visit Sharp.com or call your provider. Interested in joining the SCAN provider network? Sharp Community has been caring for San Diegans since 1989. This service is free of charge and also includes American Sign Language translators. 562-508-6781 If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. These important numbers are located on your billing statement. FBT: SharpHealthPlan.com no longer supports this Internet browser. . Health (3 days ago) Web101 Wood Avenue South, 8th Floor. If you use FollowMyHealth, you may grant account access to any adult. SharpHealthPlan.com no longer supports this Internet browser. Sharp is not-for-profit and relies on fundraising. Long Beach, CA 90806, EthicsPoint Voz y TTY (telfono de texto):1-800-855-3000. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time A provider may file a claim dispute based on: Before a provider initiates a claims dispute, the following needs to occur: o Within 12 months after the date of service. Find a 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. *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 Failure to specifically state the factual and legal basis may result in denial of the claim dispute. 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. direct access to Sharp HealthCare. 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. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: 1-800-359-2002. Click hereand follow the instructions. TTY/TDD users can dial 711 or use the California Relay Services toll-free phonenumbers. Hours may change during holidays. 1-844-424-8886 (TTY: 1-800-716-3231) tel. Our fax number is 1-858-303-9049. 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. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Enrollment in SCAN Health Plan depends on contract renewal. These hours may change during holidays see below. A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. For member-specific information or questions: All electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. Your bill will list the services you received under the "Summary of Patient Services." Messages received on holidays and outside of our business hours will be returned within one business day. Sharp HealthCare offers financial assistance for qualifying patients who need help with emergency or medically necessary care received in a Sharp hospital. You should only sign this section if you want to cancel this authorization. Your password has been reset. We are available 7 am to 8 pm, seven days a week. Caregivers for SCAN Members can receive help with their login credentials here. Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. Well help you choose the coverage thats right for you. Sharp Health Plan , 1-800-359-2002. http://oig.hhs.gov/fraud/report-fraud/index.asp. For any claims, eligibility, or referral inquiries, contact our dedicated Customer Care team. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . MC may request an extension of up to 45 days, if necessary. It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. 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. Explore SCAN plans available in your area! 1-360-975-7000, option 1. All rights reserved | Email: [emailprotected], Edison health solutions provider portal eligibility, Central texas transgender health coalition, Federal retirees open season health insurance, Eastern shore rural health patient portal. If you prefer not to create an account, you can still pay your bill online by using our one-time payment form. 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. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, please Learn More. Electronic Remittance Advice (835) [ERA]: YES. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. You can also use Sharp Account to view itemized bills, check your current balance and view your payment history. We are making improvements to how you can view and pay your bills through your Sharp Account. Sharp Health Plan is an HMO with a Medicare contract. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. There is a problem with enrollment at this time. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. 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? You can call us Monday through Friday, 8 am to 5 pm. Your insurance plan also mails you an EOB, which details how they processed our bill and calculated your responsibility based on your individual insurance plan. If 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. 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. Customer Service Information To find doctors who accept Sharp Health Plan - HMO and their office locations, and more go to http://www.sharphealthplan.com/ Customer service phone number: 1-800-359-2002 Customer service TTY/TDD number: 711 (state relay service) Customer service hours/availability: 8:00am-6:00pm M-F Sharp is not-for-profit and relies on fundraising. 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. 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. , , Sharp Health Plan, . Subscribe to Newsletters Hours may change during holidays. Don't want to pick up the phone? 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. Find out more , Stay informed. For your protection, we don't recommend using email to send personal medical information. Sharp Health Plan is an HMO with a Medicare contract. 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 . Thank you for serving our city and San Diegans like us. refill on a road trip. It is important to note that balance billing members is prohibited under all Mercy Care health plans. Talk to a real person. min ph. LEARN MORE . Compliance Officer ) 1-800-359-2002. 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. Click on the link for answers about Medicare Advantage and coverage. Can't find your answer below? and Nov. 30, 2023. 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. Every year, Medicare evaluates plans based on a 5-star rating system. Eligibility, referrals, or claims: Caregivers for SCAN Members can receive help with their login credentials here. Typically, you will pay your percentage of costs until you reach your plan's annual out-of-pocket maximum. am, Monday through Friday, and 24 hours a day on weekends. 1-800-359-2002 . However, making a partial payment will not prevent a past-due bill from going to a collections agency. You may submit your claim dispute in writing through the mail or send electronically to us through fax. Box 982975El Paso, TX 79998-2975. Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. We are working to resolve this as quickly as possible. Sharp Health Plan | Login Sign in Email address Password Forgot your password? Sharp HealthCare offers many payment options, including monthly payment installments for qualified or eligible hospital bills, which you can set up via Sharp Account. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. DentaQuest administers dental benefits for Mercy Care and Mercy Care Advantage. If you have questions about eligibility, costs or what kind of coverage you can expect give us a call today! Phone: 1-858-499-8330 Don't have a Sharp Account? Refer to our Provider Manual for more detailed information. You can also use this form to pay a bill for another person. Please read our. For more contact information, please click hereto access the Provider Operations Manual. Thank you for your understanding as we work to ensure everyone remains healthy and safe. Need to pay a medical bill or copay? Box 90640Phoenix, AZ 85066. Cookies must be enabled to properly use this website. GET INFO , Half of Americans have at least one risk factor for heart disease. Contact your software vendor directly for questions about your electronic billing. 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. Please contact Member Services. 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. For general information or questions about quotes, rates or materials: The Health Plan encourages electronic claims submission . Looking for Provider Login or Agent/Broker Login? 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. Para hablar con un intrprete, llame al 1-800-359-2002. Sharp Community Medical Group 8695 Spectrum Center Blvd., 4th Floor San Diego, CA 92123 Customer Service Department Phone Number: 858-499-2550 Toll Free Phone Number: 1-877-518-7264 TDD/TTY: 711 Fax Number: 858-636-2038 Appeals Department Address Sharp Community Medical Group Attention: Appeals Department 8695 Spectrum Center Boulevard, 4th Floor Encounters_Operations@scanhealthplan.com, Contact Express Scripts for Part D Coverage Reviews ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. 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 Box 2906Milwaukee, WI53201-2906. 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). Call us at 1-858-499-8300. Sharp Health Plan . Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. Award-winning service, comprehensive coverage, plus more. 1-800-600-4441. Fax: 1-858-303-9049 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. With our providers, patients and health plan working together, we can ensure the best possible outcome every time. You may submit feedback about your Medicare Advantage health plan directly to Medicare.
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