And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. FBT: SharpHealthPlan.com no longer supports this Internet browser. 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. These hours may change during holidays see below. 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. Health (1 days ago) WebSharp Health Plan Login Sign in Email address Password Forgot your password? Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. Out-of-State Toll Free: 1-800-523-0231, How to Apply Caregivers for SCAN Members can receive help with their login credentials here. LEARN MORE . Box 982975 El Paso, TX 79998-2975. Box 982975El Paso, TX 79998-2975. You can call us Monday through Friday, 8 am to 5 pm. Find out more , Stay informed. 1-800-359-2002. One of our financial counselors will provide estimated out-of-pocket costs for your care with us. Can't find your answer below? Your bill will list the services you received under the "Summary of Patient Services." 3800 Kilroy Airport Way, Suite 100 Thats why were committed to you. Click on the link for answers about Medicare Advantage and coverage. SCAN Claims Department We know youre committed to your workforce. SCAN Health Plan ) 1-800-359-2002. However, making a partial payment will not prevent a past-due bill from going to a collections agency. Hours may change during holidays. Phone: 1-858-499-8330 Read the full disclaimer. Sharp Health Plan | Login Sign in Email address Password Forgot your password? You can call us Monday through Friday, 8 am to 5 pm. 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. Looking for Provider Login or Agent/Broker Login? You may submit your claim dispute in writing through the mail or send electronically to us through fax. Your most common questions, answered without playing phone tag. Careers 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 Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. 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. For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, A deductible is the annual amount that you must pay, out of pocket, before an insurance plan begins reimbursing for eligible services. Many surgery and procedure names sound similar. The physician's bill will be for the professional services. Typically, you will pay your percentage of costs until you reach your plan's annual out-of-pocket maximum. Sharp Health Plan , 1-800-359-2002. 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 electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. Claims and EDI 1-877-778-7226. Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. We are working to resolve this as quickly as possible. For your employees' protection, we don't recommend using email to send personal medical information. and Nov. 30, 2023. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week. Call Member Services to request translation services. Sharp Health Plan Claims Address 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. Sharp Community has been caring for San Diegans since 1989. Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. Empire Plan Toll free. Diploma or Equivalent; Essential . Write: 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. If you feel under the weather or have certain long-term health problems, virtual care can sorlando@scanhealthplan.com. Awards and recognition are subject to change each year. These hours may change during holidays see below. To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. 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. Sharp Health Plan is an HMO with a Medicare contract. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. Phone: 1-858-499-8200. Contact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. 1-855-562-8853 (TTY/TDD: 711) 7 am to 8 pm Pacific Time By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Fax: 1-858-303-9062 Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing information. Box 90640Phoenix, AZ 85066. Cookies must be enabled to properly use this website. Sharp Health Plan | Login 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. Please read our. Don't have a Sharp Account? FBT: SharpHealthPlan.com no longer supports this Internet browser. Claims information - Sharp Health Plan 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. Claim Form - Conference and Travel - Cerritos College - cms cerritos Coinsurance takes place when you reach your deductible and you and your insurance plan share in paying a percentage of the remaining costs. Were your neighbors, so you can count on us to be accessible. We are making improvements to how you can view and pay your bills through your Sharp Account. CLAIM.MD | Payer Information | Sharp Health Plan Due to COVID-19 restrictions, the Sharp Health Plan office is not open to visitors at this time. Please check the box proving that you are not a robot. Thank you for your understanding as we work to ensure everyone remains healthy and safe. See your patients' history. At this time, the Sharp Health Plan . Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. Learn More. Don't want to pick up the phone? Go to www.sharphealthplan.com/payment to pay now. Credentialing: Hours are 8 a.m. to 8 p.m. from April 1 to Sept. 30, Monday through Friday. You can use your Sharp Account to make a partial payment on a bill. Sharp Health Plan - HMO 2022-23 Edition - California Welcome to SCAN Health Plan! 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 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. Seffrah Orlando, Senior Public Relations Specialist If you have questions that include personal details, like your medical history, please call your doctor directly. 2023 SCAN Health Plan. You can choose how you want to receive your billing statements and notifications via mail, email or both. Electronic prescribing mandate information. We will review your request and send you an email invitation to complete the connection within 30 days. 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. The provider should contact MC Claims and/or Network Management to seek additional information prior to initiating a claim dispute. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. Caregivers for SCAN Members can receive help with their login credentials here. Click here and follow the instructions. The percentage you pay of the remaining costs depends on your plan. Box 22698 Long Beach, CA 90801-5616. To set up a hospital payment plan for a family member, call us at 858-499-2400. 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. 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. Member Services Phone Number. Clerical Assistant II- Claims / Finance /Healthplan- Tech Way / Full 1-877-251-5896 fax Home Delivery from Express Scripts Pharmacy . Please include all supporting documentation with the initial claim dispute submission. Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. SHARP HEALTH PLAN - 19 Photos & 207 Reviews - 8520 Tech Way, San Diego Attn: Member Services Click hereand follow the instructions. Refer to our Provider Manual for more detailed information. We provide dedicated bilingual (English/Spanish) representatives to our members and free over-the-phone translation services in dozens of other languages. Encounter Data Team Encounters_Operations@scanhealthplan.com. Enjoy direct access to Sharp HealthCare and The Sharp Experience.*. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. In the event the claim requires resubmission, health care providers have 180 days from , Health (6 days ago) WebContact Sharp Health Plan to learn about our plans or ask questions about your current coverage. Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. 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 *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. http://oig.hhs.gov/fraud/report-fraud/index.asp. Make sure your contact information is up to date. 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. 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). SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. MC will acknowledge a claim dispute request within five (5) business days after receipt. Rated 4.5 out of 5 stars by Medicare six years in a row! Sharp Health Plan is accepting enrollments all year, thanks to the 5-star special enrollment period. The provider must follow all applicable laws, policies and contractual requirements when filing. If you prefer not to create an account, you can still pay your bill online by using our one-time payment form. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. 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. Hours may change during holidays. Messages received on holidays and outside of our business hours will be returned within one business day. The claim dispute process should only be used after other attempts to resolve the matter have failed. REDUCE RISK , Learn how to reduce colon cancer risk by making healthy lifestyle changes. Please do not use this form to convey personal or medical information. Sharp Health Plan . 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. Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 For credentialing inquiries about your application or credentialing status, contact our Credentialing team. Contact Sharp Health Plan to get answers on anything from paying a bill to signing up for coverage. For general information or questions about quotes, rates or materials: 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 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. Dr. Alan Kadet's office New York, NY Check eligibility & benefits. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. 1-888-445-2038. Contact Express Scripts for Part D Coverage Reviews Coverage Determinations 1-844-424-8886 (TTY: 1-800-716-3231) tel. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. With our providers, patients and health plans working together, we can ensure the best possible outcome every time. 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). [SBM Sharp Health Plan [ 1-800-359-2002. If you'd like to pay a bill for a loved one, use our one-time payment form. Our fax number is 1-858-303-9049 . Although physicians are licensed to practice at Sharp's hospitals, they are not Sharp HealthCare employees. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. GET INFO , Share this information with our members to help reduce their heart disease risk.
