Box 22698 Long Beach, CA 90801-5616. Phone: 1-858-499-8330 , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. 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. Hours may change during holidays. Every hospital visit involves both physician and hospital resources. To provide a more personalized experience, please select a state where SCAN is offered. Payment plans are only for hospital bills, and are not available for Sharp Rees-Stealy bills or for connected family members at this time. Explore SCAN plans available in your area! This year's theme is #EmbraceEquity. . Learn More. Long Beach, CA 90801-5616. We know youre committed to your workforce. Talk to a real person. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. 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. Credentialing: Sharp Community has been caring for San Diegans since 1989. Get free, confidential 24/7 treatment referral and information from the National Helpline. If you believe your responsibility is inaccurate, please contact your insurance plan directly. Enrollment in SCAN Health Plan depends on contract renewal. Please see the below for more contact options. For member-specific information or questions: [SBM Sharp Health Plan [ 1-800-359-2002. If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. 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. Enjoy direct access to Sharp HealthCare and The Sharp Experience.*. All rights reserved. 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. This service is free of charge and also includes American Sign Language translators. Recently completed plans and new plans may not display on the Hospital Payment Plans section within Sharp Account. Learn how to create one now. We provide dedicated bilingual (English/Spanish) representatives to our members and free over-the-phone translation services in dozens of other languages. 1-800-359-2002. Search for a doctor, hospital, pharmacy or drug name. Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. Call us at 1-858-499-8300. If you have questions that include personal details, like your medical history, please call your doctor directly. Click here to read the full disclaimer. Call 1-800-827-4277 or view our detailed phone directory. Para hablar con un intrprete, llame al 1-800-359-2002. A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. Hours are 8 a.m. to 8 p.m. from April 1 to Sept. 30, Monday through Friday. Cash is accepted at hospitals only. Our billing office will make several attempts to collect payment. Electronic submission*: Through Electronic Clearing House MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com 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? Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a , , Sharp Health Plan , ' . 1-800-HHS-TIPS (1-800-447-8477) Send us an email instead. Write: SCAN Claims Department P.O. Read the full disclaimer. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. 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. Voz y TTY (telfono de texto):1-800-855-3000. . Your password has been reset. Eligibility, referrals, or claims: Health (1 days ago) WebSharp Health Plan Login Sign in Email address Password Forgot your password? Due to COVID-19 restrictions, the Sharp Health Plan office is not open to visitors at this time. The program also provides coverage for preventive and behavioral health care services. Interfaces with other Sharp Health Plan employees to provide information as requested for other Departments. Pay Your Premium be a great option. 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. 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. Every hospital visit involves both physician and hospital resources. Coverage Determinations You can call us Monday through Friday, 8 am to 5 pm. 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. Complete ALL required fields, and include additional documentation when necessary. If you do not pay the entire amount or contact the billing office to arrange a payment plan, your account will be sent to a collection agency. You can choose how you want to receive your billing statements and notifications via mail, email or both. Please check your email for your new password. You may submit your claim dispute in writing through the mail or send electronically to us through fax. If you use FollowMyHealth, you may grant account access to any adult. Awards and recognition are subject to change each year. All electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. 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. min ph. P.O. Read the update , Share these tips with our members to help them reduce their risk of colon cancer. Sharp is not-for-profit and relies on fundraising. 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 Easily submit pre-authorizations without extra steps. Click hereand follow the instructions. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. refill on a road trip. Need to pay a medical bill or copay? H5386_2022 Medicare Website_Rev10 Page Last Updated: 1/03/2023 Providers who are contracted with Mercy Care can use electronic billing software. When you connect to a loved one's Sharp Account, you can: To manage the care of a dependent adult, such as a parent, you will need to provide proof of conservatorship, power of attorney or an advance directive. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Get helpful reminders about how to comply with the timely access laws, which outline maximum wait times for phone calls and appointment requests. Don't want to pick up the phone? 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. The monthly premium for our new VIP Plan is $0. You may receive a bill from us after your health insurance plan processes our bill. 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. Please refer to our Billing, Collections and Bad Debt policy. *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. Thank you for serving our city and San Diegans like us. 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. 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. MORE OPTIONS + Brokers We're here to help you succeed. 1-800-359-2002 . Write: 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. Rated 4.5 out of 5 stars by Medicare six years in a row! 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. Additionally, a Level Two report is provided to your vendor, which is the only accepted proof of timely filing for electronic claims. For general information or questions about quotes, rates or materials: Coinsurance takes place when you reach your deductible and you and your insurance plan share in paying a percentage of the remaining costs. Contact us Coronavirus & COVID-19 , Health (2 days ago) WebCall us at 1-858-499-8300. The SCAN Sales Support team works with brokers and broker agencies to answer questions regarding plan benefits, eligibility, enrollment, network, formulary and other issues. 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. * Every year, Medicare evaluates plans based on a 5-star rating system. We're your neighbors, so you can count on us to be accessible. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time 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? Medicare Crossover Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. For the best experience on our website, please upgrade your browser to the latest version. Don't have a Sharp Account? Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. 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. Sharp Health Plan is an HMO with a Medicare contract. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. If you feel under the weather or have certain long-term health problems, virtual care can Provider Relations Phone Number. Send us an email instead. Thank you for your understanding as we work to ensure everyone remains healthy and safe. Sharp Health Plan . We're here to help shed light on the bills you may receive. Submit authorizations. Every year, Medicare evaluates plans based on a 5-star rating system. When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. Contact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. Think of us as your personal health care assistant. TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. Please visit Sharp.com or call your provider. All rights reserved. These hours may change during holidays see below. Long Beach, CA 90801-5616, Encounter Data Team We are making improvements to how you can view and pay your bills through your Sharp Account. Mail-Order sorlando@scanhealthplan.com. TTY/TDD users can dial 711 or use the California Relay Services toll-free phonenumbers. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. We offer high-quality, affordable health insurance for San Diegans of all ages with Find a 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 min ph. Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. Sharp HealthCare offers many payment options, including monthly payment installments for qualified or eligible hospital bills, which you can set up via Sharp Account. 2023 SCAN Health Plan. Messages received on holidays and outside of our business hours will be returned within one business day. Cookies must be enabled to properly use this website. Contact your software vendor directly for questions about your electronic billing. Youve earned your Medicare benefits! Claims and EDI 1-877-778-7226. Fee-for-Service Fee Schedules, Contact Us Click below to learn more about which plans, benefits and doctors are available in your area. Our fax number is 1-858-303-9049 . Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. Click here. Sharp Direct Advantage is offered by Sharp Health Plan. AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31. Hours may change during holidays. FraudWaste&AbuseProg@scanhealthplan.com, Office of Inspector General, U.S. Department of Health & Human Services. Get the right support so that no questions are left unanswered. SharpCare Medical Group patients can use this form to make online payments. Financial assistance is available for qualified low-income patients to assist with all or part of a hospital bill. 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. Subscribe to Newsletters Your bill will list the services you received under the "Summary of Patient Services." Learn how , These two screening tests can help prevent cervical cancer or detect it early. Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. CALL NOW. MC may request an extension of up to 45 days, if necessary. Sharp Health Plan1-800-359-2002 . 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. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. Messages received on holidays and outside of normal business hours will be returned within one business day. News & Press Releases, Can't find what you're looking for? You can call us Monday through Friday, 8 am to 5 pm. Go to www.sharphealthplan.com/payment to pay now. Out-of-State Toll Free: 1-800-523-0231, How to Apply Preferred Qualifications. Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. 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. . You can call us Monday through Friday, 8 am to 6 pm. Providers must register with the AHCCCS program to be eligible for payment reimbursement. H.S. If you do not want to leave our website, please click the X. Failure to specifically state the factual and legal basis may result in denial of the claim dispute. 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. The Health Plan encourages electronic claims submission . Mercy Care's electronic claim submission vendors, https://dentaquest.com/state-plans/regions/arizona/, Augmentative and Alternative Communication. However, making a partial payment will not prevent a past-due bill from going to a collections agency. 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. Hours may change during holidays. 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. Please visit Sharp.com or call your provider. It's National Drug & Alcohol Facts Week. 1-800-600-4441. 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. Please read our. Don't want to pick up the phone? Following your medical procedure, our billing office files a claim with your primary health insurance for the services performed. Call our Customer Care team at (855) 995-5004 or submit a form. For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, 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. 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. For any claims, eligibility, or referral inquiries, contact our dedicated Customer Care team. 1-844-424-8886 (TTY: 1-800-716-3231) tel. We are currently experiencing issues with our provider and site search tools. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time 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. 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. We are working to resolve this as quickly as possible. Sharp HealthCare offers financial assistance for qualifying patients who need help with emergency or medically necessary care received in a Sharp hospital. Phone: 1-858-499-8100 Please check the box proving that you are not a robot. 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. REDUCE RISK , Learn how to reduce colon cancer risk by making healthy lifestyle changes. Members Brokers Providers Employers Members Talk to a real person. Ready for comprehensive Medicare Advantage coverage that could save you money? Refer to your insurance card or call your insurance provider to determine your medical group. Our fax number is 1-858-303-9049. Enrollment with Sharp Health Plan depends on contract renewal. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week. 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 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. 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. 562-508-6781 For general information or questions about quotes, rates or materials: For general questions or provider portal registration, contact our Provider Account Management team. Thank you for making us the highest member-rated health plan in California for the eighth Empire Plan Toll free. You may also mail your payment to the address listed on your statement. The hospital's bill will be for the technical resources and supplies, such as procedures and equipment, needles and scalpels or medications. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. , , Sharp Health Plan, . 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. We were named in the 2023 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage inCalifornia. It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. See if your doctor is covered under Sharp Direct Advantage Medicare plans. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. am, Monday through Friday, and 24 hours a day on weekends. As reported in Medicare & You 2023 member rating of plan. Your password has been reset. Provider Account Management: UPMC Health Plan claims. Electronic prescribing mandate information. Visit Medicare to compare other plan ratings and find detailed reports. Iselin, New Jersey 08830. The website information you will be accessing is provided by another organization or vendor. In many cases, payment is sent directly to us from your health insurance provider. You can call us Monday through Friday, 8 am to 5 pm. Mercy Care Claims Department P. O. You can use this special enrollment period only once between Dec. 8, 2022, 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. Need to pay a medical bill or copay? 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). 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 The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. Box 22698 Find out more , Stay informed. MORE OPTIONS + Brokers We're here to help you succeed. Encounter Data Team Encounters_Operations@scanhealthplan.com. Caregivers for SCAN Members can receive help with their login credentials here. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. Sharp Health Plan 1.800.359.2002. 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: We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. Health (3 days ago) Web101 Wood Avenue South, 8th Floor. You can call us Monday to Friday, 8 am to 6 pm. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. For the best experience on our website, please upgrade your browser to the latest version. direct access to Sharp HealthCare. Were here to help you help your patients. www.ethicspoint.com, SCAN SIU 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. You can pay by credit or debit card or by check. 1-855-562-8853 (TTY/TDD: 711) 7 am to 8 pm Pacific Time Manage your claims. Awards and recognition are subject to change each year. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: Learn More. To include supporting documentation, such as members medical records, clearly label and send to the Claims Department at the correct address. a) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention. These hours may change during holidays see below. If you have questions about eligibility, costs or what kind of coverage you can expect give us a call today! You can also use this form to pay a bill for another person. Thats why were committed to you. 1-800-359-2002 . Attn: Member Services 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. If you'd like to pay a bill for a loved one, use our one-time payment form. 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 information or questions about quotes, rates or materials: At this time, the Sharp Health Plan office is not open to visitors due to coronavirus (COVID-19) restrictions. ) 1-800-359-2002. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Fax: 1-858-303-9062 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. Quality care depends on clear communication between you and your patients. You can also search for your primary care doctor to find the medical group you and your doctor belong to. [SBM Sharp Health Plan [ 1-800-359-2002. Address. 1-888-705-7226 You have entered a ZIP code that is not currently accepting enrollments. Covered Services 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.
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