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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). Please read our. 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 Frequently Asked Billing Questions | Sharp HealthCare 1-360-975-7000, option 1. Claims :: The Health Plan Due to COVID-19 restrictions, the Sharp Health Plan office is not open to visitors at this time. 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. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. The percentage you pay of the remaining costs depends on your plan. year in a row. 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 Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. Subscribe to Newsletters A deductible is the annual amount that you must pay, out of pocket, before an insurance plan begins reimbursing for eligible services. If a provider does not receive an acknowledgement letter within five (5) business days, the provider must contact the Appeals Department. With our cost-saving benefits, you could put more money back into your monthly budget. Phone: 1-858-499-8200. To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. Due to California privacy regulations, the information you can access for minor patients will depend on their age. Please read our. All rights reserved. To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. Read the full disclaimer. 1-800-359-2002. Click here to read the full disclaimer. Get free, confidential 24/7 treatment referral and information from the National Helpline. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . MORE OPTIONS + Brokers Refer to your insurance card or call your insurance provider to determine your medical group. 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. 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. Talk to a real person. Your password has been reset. SCAN Claims Department 2023SCAN Health Plan. Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. Caregivers for SCAN Members can receive help with their login credentials here. If you choose to send via fax, please fax your disputes to 602 351-2300. Please check your email for your new password. Email your SCAN Network Management representative. Every year, Medicare evaluates plans based on a 5-star rating system. 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. Sharp is not-for-profit and relies on fundraising. The Health Plan encourages electronic claims submission . Thats why were committed to you. Box 982975 El Paso, TX 79998-2975. Send us an email instead. Medicare Crossover This position provides support and assistance to the Claims Department. Call us at 1-858-499-8300. Youve earned your Medicare benefits! Sharp Health Plan Claims Address Awards and recognition are subject to change each year. http://oig.hhs.gov/fraud/report-fraud/index.asp. [SBM Sharp Health Plan [ 1-800-359-2002. You can talk to a nurse 5 pm to 8am, Monday to Friday, and 24 hours a day on weekends by calling 1-800-359-2002. Mercy Care's electronic claim submission vendors, https://dentaquest.com/state-plans/regions/arizona/, Augmentative and Alternative Communication. PDF Auth for Use or Disclosure of Information (English) Letter 8.15.12 Plans & Rates - CalPERS Don't want to pick up the phone? 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. See if your doctor is covered under Sharp Direct Advantage Medicare plans. . Covered Services If you use FollowMyHealth, you may grant account access to any adult. Sharp Direct Advantage is offered by Sharp Health Plan. It only takes about 15 to 20 minutes to enroll online securely. The Sharp Experience - Sharp Health Plan 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). For member-specific information or questions: For our members' protection, we don't recommend using email to send personal medical information. Written claim disputes must be submitted to the MC Appeals Department. networkmgmt@scanhealthplan.com, Office Ally Clearinghouse , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. 1-858-499-8009 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. Call 1-800-827-4277 or view our detailed phone directory. If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. TTY/TDD users can dial 711 or use the California Relay Services toll-free phone numbers. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. Find your health plan's address (PDF). 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. Don't have a Sharp Account? SharpHealthPlan.com no longer supports this Internet browser. Sharp Health Plan . If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. 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). 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. min ph. These important numbers are located on your billing statement. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. Please include all supporting documentation with the initial claim dispute submission. 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. Hours may change during holidays. Sharp Health Plan 1.800.359.2002. [SBM Sharp Health Plan [ 1-800-359-2002. 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. You will also be able to save your preferred payment method for future use. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week. FBT: SharpHealthPlan.com no longer supports this Internet browser. 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. 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. SharpHealthPlan.com no longer supports this Internet browser. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Address. You can also use Sharp Account to view itemized bills, check your current balance and view your payment history. Dr. Alan Kadet's office New York, NY Check eligibility & benefits. 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. Sharp Community has been caring for San Diegans since 1989. Helpful holiday tips, your 2023 coverage checklist and more. Were your neighbors, so you can count on us to be accessible. Rated 4.5 out of 5 stars by Medicare six years in a row! You may need to complete a final step to connect to your family member in FollowMyHealth. If you believe your responsibility is inaccurate, please contact your insurance plan directly. FL 22: Resubmission Code field must be billed with a "7" and the Original Reference Number field . Our fax number is 1-858-303-9049 . April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday 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. Electronic Remittance Advice (835) [ERA]: YES. Sharp Direct Advantage is offered by Sharp Health Plan. 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. 2023 SCAN Health Plan. The claim dispute process should only be used after other attempts to resolve the matter have failed. For the best experience on our website, please upgrade your browser to the latest version. Cookies must be enabled to properly use this website. Learn More. 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. You may submit feedback about your Medicare Advantage health plan directly to Medicare. Enjoy retirement with a plan you cantrust. It's easy to register. You will need to provide your personal information and the invoice or visit number from your paper statement for each payment. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. ) 1-800-359-2002. If you do not want to leave our website, please click the X. 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? This year's theme is #EmbraceEquity. A copay is a predetermined (flat) fee that you pay for health care services, in addition to what your health insurance plan pays. Get helpful reminders about how to comply with the timely access laws, which outline maximum wait times for phone calls and appointment requests. Find out more , Stay informed. Following your medical procedure, our billing office files a claim with your primary health insurance for the services performed. See your patients' history. Can't find your answer below? Contacts - San Diego - Sharp Community Medical Group - SCMG 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. Cash is accepted at hospitals only. Caregivers for SCAN Members can receive help with their login credentials here. LEARN MORE , Let our members know about screening tests to help prevent or detect cervical cancer. 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? MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com GET INFO , Half of Americans have at least one risk factor for heart disease. 1-562-308-3699 fax refill on a road trip. To include supporting documentation, such as members medical records, clearly label and send to the Claims Department at the correct address. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. Long Beach, CA 90801-5616, Encounter Data Team Many surgery and procedure names sound similar. Every hospital visit involves both physician and hospital resources. SCAN Health Plan direct access to Sharp HealthCare. AHCCCSOnline Website Real Time Claim Status (RTS): NO. Box 90640Phoenix, AZ 85066. Additionally, a Level Two report is provided to your vendor, which is the only accepted proof of timely filing for electronic claims. Sharp HealthCare Phone Numbers and Email - San Diego Sharp Health Plan is an HMO with a Medicare contract. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . You can report potential compliance issues and/or issues with fraud, waste and abuse through any of the following channels: Hours: 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 Write: 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. Health Insurance for Children, Provider Enrollment Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. Coinsurance takes place when you reach your deductible and you and your insurance plan share in paying a percentage of the remaining costs. We're your neighbors, so you can count on us to be accessible. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. 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. Click below to learn more about which plans, benefits and doctors are available in your area. All State Fair Hearing Requests must be sent in writing to the follow address: Attention: Hearing Coordinator4500 E. Cotton Center Blvd.Phoenix, AZ 85040, Vendor: Southwestern Provider Services (SPSI). Claims information - Sharp Health Plan Sharp Health Plan Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. Long Beach, CA 90801-5616. 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. Effective January 1, 2022, all California health care practitioners who are authorized to prescribe will be required to issue prescriptions electronically. Please check your email for your new password. H.S. For the best experience on our website, please upgrade your browser to the latest version. Many surgery and procedure names sound similar. All electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. Required Qualifications. Please check the box proving that you are not a robot. We're here to help shed light on the bills you may receive. Hours are 8 a.m. to 8 p.m. from April 1 to Sept. 30, Monday through Friday. Empire Plan Toll free. Typically, you will pay your percentage of costs until you reach your plan's annual out-of-pocket maximum. Caregivers for SCAN Members can receive help with their login credentials here. Quality care depends on clear communication between you and your patients. 1-858-499-8300. 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. 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. 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. Caregivers for SCAN Members can receive help with their login credentials here. There are three ways for AHCCCS members to change their AHCCCS enrollment: If you need to request an ID card replacement there are four options: Phone: 602-417-4000 We are currently experiencing issues with our provider and site search tools. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Submit authorizations. DentaQuest administers dental benefits for Mercy Care and Mercy Care Advantage. Our updated Mercy Care Claims Processing Manualis now available to assist you with any claims or billing questions you may have. As reported in Medicare & You 2023 member rating of plan. Box 982975El Paso, TX 79998-2975. If you do not have a Sharp Account yet, you can submit a completed authorization form to request access. Explore SCAN plans available in your area! For the best experience on our website, please upgrade your browser to the latest version. Fee-for-Service Fee Schedules, Contact Us 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. Read the full disclaimer. Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. Get free, confidential 24/7 treatment referral and information from the National Helpline. 1-800-454-3730. , , Sharp Health Plan , ' . We are working to resolve this as quickly as possible. Sharp is not-for-profit and relies on fundraising. 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. Contact us. Claims Processor at Sharp HealthCare in San Diego Para hablar con un intrprete, llame al 1-800-359-2002. 1-877-251-5896 fax Home Delivery from Express Scripts Pharmacy . Cookies must be enabled to properly use this website. 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. Follow the prompts to set your billing preferences. Our billing office will make several attempts to collect payment. Complete ALL required fields, and include additional documentation when necessary. If you have questions that include personal details, like your medical history, please call your doctor directly. 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. 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. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Clerical Assistant II- Claims / Finance /Healthplan- Tech Way / Full Our fax number is 1-858-303-9049 . Use your member ID number to sign General office experience, preferably in a service oriented environment. Home Delivery from Express Scripts PharmacySM o Or within 60 days after the date of the denial of a timely claim submission, whichever is later. 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. 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. 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. 400, Wittman Drive Grand Rapids Itasca County MN - 55744 United . You can also search for your primary care doctor to find the medical group you and your doctor belong to. Credentialing: For any claims, eligibility, or referral inquiries, contact our dedicated Customer Care team. You can call us Monday to Friday, 8 am to 6 pm. MC will acknowledge a claim dispute request within five (5) business days after receipt. 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. Encounters_Operations@scanhealthplan.com, Contact Express Scripts for Part D Coverage Reviews Claim Form - Conference and Travel - Cerritos College - cms cerritos Sharp Health Plan . UPMC Health Plan claims. We offer high-quality, affordable health insurance for San Diegans of all ages with Send us an email instead. Need Member Help Logging In? American Indian Health Program - azahcccs.gov Out-of-State Toll Free: 1-800-523-0231, How to Apply PracticeBridge. Phone: 1-858-499-8330 Refer to our Provider Manual for more detailed information. For example, if your deductible has been met and your coinsurance is 20 percent, your plan will cover the remaining 80 percent of covered services. Sharp Health Plan , 1-800-359-2002. For general information or questions about quotes, rates or materials: 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. You can use your Sharp Account to make a partial payment on a bill. This means the hospital and each of your treating physicians will send you a bill for their parts of your care. Financial assistance is available for qualified low-income patients to assist with all or part of a hospital bill. FraudWaste&AbuseProg@scanhealthplan.com, Office of Inspector General, U.S. Department of Health & Human Services. Talk to a real person. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time SharpCare Medical Group patients can use this form to make online payments. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time Enrollment with Sharp Health Plan depends on contract renewal. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. Sharp Direct Advantage is offered by Sharp Health Plan. 1-877-251-5896 fax Every year, Medicare evaluates plans based on a 5-star rating system. 1-800-600-4441.