This service is free of charge and also includes American Sign Language translators. Messages received on holidays and outside of our business hours will be returned within one business day. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. If you prefer not to create an account, you can still pay your bill online by using our one-time payment form. The physician's bill will be for the professional services. Every year, Medicare evaluates plans based on a 5-star rating system. American Indians and Alaska Natives (AI/AN) enrolled in AHCCCS or Children's Health Insurance Program (KidsCare) may choose to receive their coverage through the AHCCCS American Indian Health Program (AIHP) or one of the AHCCCS-contracted managed health plans called AHCCCS Complete Care Plans ("ACC"). For general information or questions about quotes, rates or materials: Awards and recognition are subject to change each year. Provider Account Management: 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 Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. Health Insurance for Children, Provider Enrollment 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. Phone: 1-858-499-8330 ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Go to www.sharphealthplan.com/payment to pay now. Need to pay a medical bill or copay? Credentialing: We provide dedicated bilingual (English/Spanish) representatives to our members and free over-the-phone translation services in dozens of other languages. *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. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . You can call us Monday through Friday, 8 am to 5 pm. 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. 1-888-705-7226 The provider should contact MC Claims and/or Network Management to seek additional information prior to initiating a claim dispute. Please check the box proving that you are not a robot. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. Every year, Medicare evaluates plans based on a 5-star rating system. Electronic Remittance Advice (835) [ERA]: YES. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. 1-877-251-5896 fax Home Delivery from Express Scripts Pharmacy . 1-888-445-2038. Phone: 1-858-499-8200. We're here to help shed light on the bills you may receive. *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. For general questions or provider portal registration, contact our Provider Account Management team. Sharp Health Plan1-800-359-2002 . 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 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. Sharp Direct Advantage is offered by Sharp Health Plan. Our billing office will make several attempts to collect payment. Iselin, New Jersey 08830. Don't want to pick up the phone? 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. 1-858-499-8211 We are currently experiencing issues with our provider and site search tools. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. Box 2906Milwaukee, WI53201-2906. 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? Complete ALL required fields, and include additional documentation when necessary. http://oig.hhs.gov/fraud/report-fraud/index.asp. For your employees' protection, we don't recommend using email to send personal medical information. Manage your claims. Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. 1-858-499-8009 GET INFO , Share this information with our members to help reduce their heart disease risk. Sharp Health Plan . When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. Preferred Qualifications. Click on the link for answers about Medicare Advantage and coverage. Easily submit pre-authorizations without extra steps. Please check your email for your new password. 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. You can call us Monday to Friday, 8 am to 6 pm. Looking for Provider Login or Agent/Broker Login? Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31. Required Qualifications. AHCCCSOnline Website Sharp Community has been caring for San Diegans since 1989. 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. year in a row. 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. Diploma or Equivalent; Essential . GET INFO , Half of Americans have at least one risk factor for heart disease. SharpHealthPlan.com no longer supports this Internet browser. Get helpful reminders about how to comply with the timely access laws, which outline maximum wait times for phone calls and appointment requests. 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. 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 Please visit Sharp.com or call your provider. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, email us at provider.relations@sharp.com or call 1-858-499-8330. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . A copay is a predetermined (flat) fee that you pay for health care services, in addition to what your health insurance plan pays. LEARN MORE . AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. Failure to specifically state the factual and legal basis may result in denial of the claim dispute. Give us a call with any additional questions: At this time, we are only able to grant access to accounts for dependent adults and minor children. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. Find a Talk to a real person. If you believe your responsibility is inaccurate, please contact your insurance plan directly. 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. email us at provider.relations@sharp.comor call 1-858-499-8330. Rated 4.5 out of 5 stars by Medicare six years in a row! If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. MC will acknowledge a claim dispute request within five (5) business days after receipt. min ph. You can also search for your primary care doctor to find the medical group you and your doctor belong to. 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. Contact your software vendor directly for questions about your electronic billing. 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. am, Monday through Friday, and 24 hours a day on weekends. TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. 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). AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Never wonder about the status of your claims again. Box 982975 El Paso, TX 79998-2975. 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. Cookies must be enabled to properly use this website. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. Every hospital visit involves both physician and hospital resources. If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. 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. Please do not use this form to convey personal or medical information. All electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing information. Provider Relations Phone Number. With our providers, patients and health plan working together, we can ensure the best possible outcome every time. 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. 1-855-562-8853 (TTY/TDD: 711) 7 am to 8 pm Pacific Time Click here and follow the instructions. ) 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. Sharp HealthCare offers many payment options, including monthly payment installments for qualified or eligible hospital bills, which you can set up via Sharp Account. Phone: 1-858-499-8100 We offer high-quality, affordable health insurance for San Diegans of all ages with direct access to Sharp HealthCare. , , Sharp Health Plan, . Need Member Help Logging In? FraudWaste&AbuseProg@scanhealthplan.com, Office of Inspector General, U.S. Department of Health & Human Services. You may receive a bill from us after your health insurance plan processes our bill. H.S. FBT: SharpHealthPlan.com no longer supports this Internet browser. You can also search for your primary care doctor to find the medical group you and your doctor belong to. MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com Caregivers for SCAN Members can receive help with their login credentials here. You may submit your claim dispute in writing through the mail or send electronically to us through fax. 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. 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. Please visit Sharp.com or call your provider. 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. It is important to note that balance billing members is prohibited under all Mercy Care health plans. Get free, confidential 24/7 treatment referral and information from the National Helpline. Financial assistance is available for qualified low-income patients to assist with all or part of a hospital bill. Thank you for your understanding as we work to ensure everyone remains healthy and safe. Thank you for your understanding as we work to ensure everyone remains healthy and safe. P.O. 2023SCAN Health Plan. Sharp Health Plan 1.800.359.2002. 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. We're your neighbors, so you can count on us to be accessible. Sharphealthplan.com Category: Health Detail Health Contact us - Phone numbers, email, mailing address Health (2 days ago) WebCall us at 1-858-499-8300. A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. In many cases, payment is sent directly to us from your health insurance provider. If you have questions about eligibility, costs or what kind of coverage you can expect give us a call today! MORE OPTIONS + Brokers We're here to help you succeed. Para hablar con un intrprete, llame al 1-800-359-2002. For the best experience on our website, please upgrade your browser to the latest version. Ready for comprehensive Medicare Advantage coverage that could save you money? Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. The hospital's bill will be for the technical resources and supplies, such as procedures and equipment, needles and scalpels or medications. Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. 1-877-251-5896 fax The claim dispute process should only be used after other attempts to resolve the matter have failed. 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. It's National Drug & Alcohol Facts Week. Providers must register with the AHCCCS program to be eligible for payment reimbursement. Don't have a Sharp Account? You may submit feedback about your Medicare Advantage health plan directly to Medicare. Learn about the basics of Medicare, how to enroll, andmore. The program also provides coverage for preventive and behavioral health care services. Your password has been reset. PracticeBridge. Sharp Health Plan is accepting enrollments all year, thanks to the 5-star special enrollment period. These important numbers are located on your billing statement. Customer care representatives are available to assist you. Thank you for serving our city and San Diegans like us. Learn how , These two screening tests can help prevent cervical cancer or detect it early. Dr. Alan Kadet's office New York, NY Check eligibility & benefits. To provide a more personalized experience, please select a state where SCAN is offered. AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. 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: . As reported in Medicare & You 2023 member rating of plan. See your patients' history. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. For your protection, we don't recommend using email to send personal medical information. sorlando@scanhealthplan.com. Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. Refer to your insurance card or call your insurance provider to determine your medical group. 562-508-6781 Can't find your answer below? 1-888-327-9791 tel. Learn how to create one now. Box 90640Phoenix, AZ 85066. 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. Enjoy direct access to Sharp HealthCare and The Sharp Experience.*. Refer to your insurance card or call your insurance provider to determine your medical group. There is a problem with enrollment at this time. Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 , , Sharp Health Plan , ' . SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Our fax number is 1-858-303-9049 . Medicare Crossover MORE OPTIONS + Brokers Messages received on holidays and outside of normal business hours will be returned within one business day. Enjoy retirement with a plan you cantrust. If you use FollowMyHealth, you may grant account access to any adult. *Original Claim Number: (If multiple claims, use attached spreadsheet), or Original Referral Number: * Health Plan ID Number: Patient Account Number: Service "From/To" Date: ( * Required for Claim, Billing, and Reimbursement Of Overpayment Disputes) Original Claim Amount Billed: Original Claim Amount Paid: *DISPUTE TYPE 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. Member Services Phone Number. We are working to resolve this as quickly as possible. Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. 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. 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. Sharp Health Plan is an HMO with a Medicare contract. Contact Sharp Health Plan to get answers on anything from paying a bill to signing up for coverage. 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. 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. These hours may change during holidays see below. Hours may change during holidays. Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of benefits. 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. To provide a more personalized experience, please select a state where SCAN is offered. For member-specific information or questions: For our members' protection, we don't recommend using email to send personal medical information. Health (6 days ago) WebContact Us . Read the full disclaimer. b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. Cookies must be enabled to properly use this website. Careers If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. Call our dedicated Customer Care provider line: UPMC Health Plan claims. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. Send us an email instead. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. 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. For the best experience on our website, please upgrade your browser to the latest version. 1-800-359-2002 . In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) SCAN Health Plan is an HMO plan with a Medicare contract. 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. If you believe that your needs have not been met, please use the above numbers to contact the hospital where the services were performed and ask to speak to a patient representative. . This year's theme is #EmbraceEquity. Written claim disputes must be submitted to the MC Appeals Department. The SCAN Sales Support team works with brokers and broker agencies to answer questions regarding plan benefits, eligibility, enrollment, network, formulary and other issues. Check your coverage documents through Sharp Connect. We will review your request and send you an email invitation to complete the connection within 30 days. To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. Hours may change during holidays. Sharp Health Plan . Address. If a provider does not receive an acknowledgement letter within five (5) business days, the provider must contact the Appeals Department. If you choose to send via fax, please fax your disputes to 602 351-2300. 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. If you feel under the weather or have certain long-term health problems, virtual care can We offer high-quality, affordable health insurance for San Diegans of all ages with Long Beach, CA 90801-5616. If you cannot pay the entire amount, you can set up a payment plan via Sharp Account for qualifying or eligible hospital bills. Your most common questions, answered without playing phone tag. VISIT THE HELPLINE Sharp Health Plan rated 5 out of 5 stars by Medicare for 2023 Every year, Medicare evaluates plans based on a 5-star rating system. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. Sharp Health Plan is an HMO with a Medicare contract. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Click here. 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. email us at provider.relations@sharp.com or call1-858-499-8330. Covered Services One of our financial counselors will provide estimated out-of-pocket costs for your care with us. Box 22698 Long Beach, CA 90801-5616. Providers who are contracted with Mercy Care can use electronic billing software. . At this time, the Sharp Health Plan . Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. Home Delivery from Express Scripts PharmacySM 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time A deductible is the annual amount that you must pay, out of pocket, before an insurance plan begins reimbursing for eligible services. Out-of-State Toll Free: 1-800-523-0231, How to Apply Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. Click hereand follow the instructions. MORE OPTIONS + Brokers We're here to help you succeed. Many surgery and procedure names sound similar. Get free, confidential 24/7 treatment referral and information from the National Helpline. You can also use Sharp Account to view itemized bills, check your current balance and view your payment history. Need Member Help Logging In? Were here to help you help your patients. Hours may change during holidays see below. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. Hours may change during holidays. Subscribe to Newsletters Submit authorizations. Caregivers for SCAN Members can receive help with their login credentials here. According to the Arizona Revised Statute, Arizona Administrative Code and AHCCCS guidelines, all claim disputes related to a claim for system covered services must be filed in writing and received by the administration or the prepaid capitated provider or program contractor: Contact your Provider Relations representative for more information about electronic billing. With our providers, patients and health plans working together, we can ensure the best possible outcome every time. If a provider disagrees with the MC Notice of Decision, the provider may request a State Fair Hearing. If you do not want to leave our website, please click the X. b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. March is Colorectal Cancer Awareness Month. 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 Recently completed plans and new plans may not display on the Hospital Payment Plans section within Sharp Account. 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.
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