Search for a doctor, hospital, pharmacy or drug name. FL 22: Resubmission Code field must be billed with a "7" and the Original Reference Number field . Awards and recognition are subject to change each year. Sharp Health Plan1-800-359-2002 . We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. Please check the box proving that you are not a robot. 1-800-359-2002. 1-800-359-2002 . up. Manage your claims. See your patients' history. Address. Were here to help you help your patients. If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. 2023 SCAN Health Plan. Send us an email instead. Thank you for your understanding as we work to ensure everyone remains healthy and safe. 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. 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 , 1-800-359-2002. 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. These important numbers are located on your billing statement. 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. Every year, Medicare evaluates plans based on a 5-star rating system. We know youre committed to your workforce. Messages received on holidays and outside of normal business hours will be returned within one business day. April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday Para hablar con un intrprete, llame al 1-800-359-2002. We are available 7 am to 8 pm, seven days a week. Get free, confidential 24/7 treatment referral and information from the National Helpline. Fax: 1-858-303-9049 Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) If you choose to send via fax, please fax your disputes to 602 351-2300. Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 Payment plans are only for hospital bills, and are not available for Sharp Rees-Stealy bills or for connected family members at this time. Well help you choose the coverage thats right for you. 1-888-445-2038. Provider Account Management: 1-858-499-8009 You can join today, right from your laptop or phone. a) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention. refill on a road trip. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. Please check the box proving that you are not a robot. LEARN MORE , Let our members know about screening tests to help prevent or detect cervical cancer. For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, 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. This could result in the claim being denied for untimely filing. 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. For general questions or provider portal registration, contact our Provider Account Management team. Diploma or Equivalent; Essential . 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time AHCCCSOnline Website In many cases, payment is sent directly to us from your health insurance provider. Required Qualifications. Follow the prompts to set your billing preferences. About the billing process Paying your bill Payment plans Understanding your bill Paying a family member's bills Consumer protections from surprise billing About the billing process. Phone: 1-858-499-8200. The program also provides coverage for preventive and behavioral health care services. Write: At this time, the Sharp Health Plan . Complete testing with UPMC Health Plan. However, making a partial payment will not prevent a past-due bill from going to a collections agency. For general questions or provider portal registration, contact our Provider Account Management team. This service is free of charge and also includes American Sign Language translators. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. 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. Many surgery and procedure names sound similar. Recently completed plans and new plans may not display on the Hospital Payment Plans section within Sharp Account. Messages received on holidays and outside of our business hours will be returned within one business day. Refer to your insurance card or call your insurance provider to determine your medical group. It's National Drug & Alcohol Facts Week. Caregivers for SCAN Members can receive help with their login credentials here. 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). The website information you will be accessing is provided by another organization or vendor. 1-858-499-8300. Once you have submitted our request form, we will review your request and send you an email invitation to complete the connection within 30 business days. Thank you for making us the highest member-rated health plan in California for the eighth Our billing office will make several attempts to collect payment. Seffrah Orlando, Senior Public Relations Specialist When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. 1-844-424-8886 (TTY: 1-800-716-3231) tel. FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. MORE OPTIONS + Brokers Never wonder about the status of your claims again. www.ethicspoint.com, SCAN SIU Team Mail-Order If you believe your responsibility is inaccurate, please contact your insurance plan directly. min ph. Learn how you can help your patients through the Shingrix shortage. Sharp Health Plan . Following your medical procedure, our billing office files a claim with your primary health insurance for the services performed. 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. Please see the below for more contact options. Complete ALL required fields, and include additional documentation when necessary. Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. For more contact information, please click hereto access the Provider Operations Manual. Click here to read the full disclaimer. You can call us Monday through Friday, 8 am to 5 pm. Enrollment in SCAN Health Plan depends on contract renewal. Find a Get the right support so that no questions are left unanswered. To have your name removed from our advertising mailing list, please complete and submit the Mailing List Removal form. You may submit feedback about your Medicare Advantage health plan directly to Medicare. Looking for Provider Login or Agent/Broker Login? Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. 1-562-308-3699 fax With our providers, patients and health plan working together, we can ensure the best possible outcome every time. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. Looking for Provider Login or Agent/Broker Login? We offer high-quality, affordable health insurance for San Diegans of all ages with Sharp HealthCare offers many payment options, including monthly payment installments for qualified or eligible hospital bills, which you can set up via Sharp Account. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. Enrollment with Sharp Health Plan depends on contract renewal. 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. FBT: SharpHealthPlan.com no longer supports this Internet browser. , , Sharp Health Plan , ' . , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . To include supporting documentation, such as members medical records, clearly label and send to the Claims Department at the correct address. Please clearly state State Fair Hearing Request on your correspondence. MC will acknowledge a claim dispute request within five (5) business days after receipt. * Every year, Medicare evaluates plans based on a 5-star rating system. Box 22698 Long Beach, CA 90801-5616. Every hospital visit involves both physician and hospital resources. 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: . Although physicians are licensed to practice at Sharp's hospitals, they are not Sharp HealthCare employees. sorlando@scanhealthplan.com. Empire Plan Toll free. SCAN Claims Department For general information or questions about quotes, rates or materials: Preferred Qualifications. Caregivers for SCAN Members can receive help with their login credentials here. Policy Manuals 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 cannot pay the entire amount, you can set up a payment plan via Sharp Account for qualifying or eligible hospital bills. Encounters_Operations@scanhealthplan.com, Contact Express Scripts for Part D Coverage Reviews To see an example of a bill like yours, with descriptions for each section, please review our sample bill. email us at provider.relations@sharp.com or call1-858-499-8330. Thank you for your understanding as we work to ensure everyone remains healthy and safe. Coverage Determinations 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). 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. Call our Customer Care team at (855) 995-5004 or submit a form. Health (1 days ago) WebSharp Health Plan Login Sign in Email address Password Forgot your password? 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. 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. Careers . Please visit Sharp.com or call your provider. MORE OPTIONS + Brokers We're here to help you succeed. Fee-for-Service Fee Schedules, Contact Us At this time, paperless billing is only available for Sharp Rees-Stealy and Sharp hospital bills. 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. Read the update , Share these tips with our members to help them reduce their risk of colon cancer. Learn More. Need Member Help Logging In? direct access to Sharp HealthCare. Financial assistance is available for qualified low-income patients to assist with all or part of a hospital bill. Call 1-800-827-4277 or view our detailed phone directory. Box 90640Phoenix, AZ 85066. The monthly premium for our new VIP Plan is $0. 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 Written claim disputes must be submitted to the MC Appeals Department. Box 2906Milwaukee, WI53201-2906. Read the full disclaimer. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Hours may change during holidays. For any claims, eligibility, or referral inquiries, contact our dedicated Customer Care team. 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. Sharp Health Plan 8520 Tech Way, Ste. 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. Click here and follow the instructions. networkmgmt@scanhealthplan.com, Office Ally Clearinghouse The hospital's bill will be for the technical resources and supplies, such as procedures and equipment, needles and scalpels or medications. AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. If you have questions that include personal details, like your medical history, please call your doctor directly. Electronic Remittance Advice (835) [ERA]: YES. For your employees' protection, we don't recommend using email to send personal medical information. 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. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. Click hereand follow the instructions. Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com Box 22698 Find a You can send us an email at customer.service@sharp.com and we will get back toyou. Rated 4.5 out of 5 stars by Medicare six years in a row! Due to COVID-19 restrictions, the Sharp Health Plan office is not open to visitors at this time. Contact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. Phone: 1-858-499-8330 Were your neighbors so you can count on us to be accessible. Please do not use this form to convey personal or medical information. Dr. Alan Kadet's office New York, NY Check eligibility & benefits. 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. TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. Contact us. Once received, the claim dispute will be reviewed, and a decision will be rendered within 30 days after receipt. You should only sign this section if you want to cancel this authorization. When you create an account on sharp.com, you will be able to view your statements for Sharp Rees-Stealy and Sharp hospitals in one place, make payments and pay all your invoices by credit card, debit card or via your checking account in one transaction. All rights reserved. Sharp Health Plan , 1-800-359-2002. Visit our FAQ and get your questions answered. Long Beach, CA 90806, EthicsPoint FBT: SharpHealthPlan.com no longer supports this Internet browser. 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. Explore SCAN plans available in your area! Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. Call us at 1-858-499-8300. am, Monday through Friday, and 24 hours a day on weekends. 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. You can call us Monday to Friday, 8 am to 6 pm. Easily submit pre-authorizations without extra steps. Contracted providers can find reimbursement information in their Mercy Care contracts. You can use your Sharp Account to make a partial payment on a bill. 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. . The provider must follow all applicable laws, policies and contractual requirements when filing. 1-888-705-7226 If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. 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: It's easy to register. UPMC Health Plan claims. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. 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. Our fax number is 1-858-303-9049. Sharp Community has been caring for San Diegans since 1989. 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. For general information or questions about quotes, rates or materials: If a provider disagrees with the MC Notice of Decision, the provider may request a State Fair Hearing. Need to pay a medical bill or copay? To set up a payment plan for a Sharp Rees-Stealy bill or to inquire about a payment plan for a family member's bill, call us at 858-499-2400. FraudWaste&AbuseProg@scanhealthplan.com, Office of Inspector General, U.S. Department of Health & Human Services. 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. 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. 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 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. 1-360-975-7000, option 1. Get helpful reminders about how to comply with the timely access laws, which outline maximum wait times for phone calls and appointment requests. Contact your software vendor directly for questions about your electronic billing. 1-800-359-2002. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Out-of-State Toll Free: 1-800-523-0231, How to Apply You have entered a ZIP code that is not currently accepting enrollments. Long Beach, CA 90801-5616, Encounter Data Team 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. 3800 Kilroy Airport Way, Suite 100 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. All rights reserved. http://oig.hhs.gov/fraud/report-fraud/index.asp. Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. instructions from the Health Plan and the Department of Managed Health Care. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. H.S. We are currently experiencing issues with our provider and site search tools. Claim Form - Conference and Travel - Cerritos College - cms cerritos These hours may change during holidays see below. Sharp is not-for-profit and relies on fundraising. This means the hospital and each of your treating physicians will send you a bill for their parts of your care. We were named in the 2023 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage inCalifornia. Compliance Officer SCAN Health Plan is an HMO plan with a Medicare contract. Were your neighbors, so you can count on us to be accessible. Find your health plan's address (PDF). Sharp hospitals: 858-499-2400 Sharp Rees-Stealy: 858-499-2410 SharpCare: 858-499-2044 Sharp Specialty Groups: 858-346-4321 We look forward to helping you. and Nov. 30, 2023. Claims and EDI 1-877-778-7226. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. 562-508-6781 Pay Your Premium 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. min ph. Sharp Health Plan . Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. o Within 12 months after the date that eligibility is posted. 1-800-359-2002 . Submit authorizations. 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. Contact Sharp Health Plan to get answers on anything from paying a bill to signing up for coverage. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. With our providers, patients and health plans working together, we can ensure the best possible outcome every time. Medicare Crossover Make sure your contact information is up to date. Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. You can use this special enrollment period only once between Dec. 8, 2022, Learn how to create one now. 1-800-454-3730. P.O. 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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