Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. Click on the link for answers about Medicare Advantage and coverage. Our fax number is 1-858-303-9049. Diploma or Equivalent; Essential . 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. Para hablar con un intrprete, llame al 1-800-359-2002. These hours may change during holidays see below. Use your member ID number to sign b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. Compliance Officer Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of 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. For your protection, we don't recommend using email to send personal medical information. You can choose how you want to receive your billing statements and notifications via mail, email or both. Electronic submission*: Through Electronic Clearing House Sharp Health Plan , 1-800-359-2002. For the best experience on our website, please upgrade your browser to the latest version. be a great option. Interested in joining the SCAN provider network? You can also use Sharp Account to view itemized bills, check your current balance and view your payment history. Need to pay a medical bill or copay? Mercy Care Claims Department P. O. If you choose to send via fax, please fax your disputes to 602 351-2300. If you do not want to leave our website, please click the X. AHCCCSOnline Website 3800 Kilroy Airport Way, Suite 100 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. PracticeBridge. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. 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. Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. Health Insurance for Children, Provider Enrollment To see an example of a bill like yours, with descriptions for each section, please review our sample bill. year in a row. 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. 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. 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? For credentialing inquiries about your application or credentialing status, contact our Credentialing team. If you have questions that include personal details, like your medical history, please call your doctor directly. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Sharp Health Plan is an HMO with a Medicare contract. Our updated Mercy Care Claims Processing Manualis now available to assist you with any claims or billing questions you may have. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. http://oig.hhs.gov/fraud/report-fraud/index.asp. MC will acknowledge a claim dispute request within five (5) business days after receipt. You can join today, right from your laptop or phone. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. Call us at 1-858-499-8300. LEARN MORE , Let our members know about screening tests to help prevent or detect cervical cancer. One of our financial counselors will provide estimated out-of-pocket costs for your care with us. email us at provider.relations@sharp.com or call1-858-499-8330. 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. You will need to provide your personal information and the invoice or visit number from your paper statement for each payment. Click here to read the full disclaimer. This service is free of charge and also includes American Sign Language translators. 1-360-975-7000, option 1. Click here. Sharp Health Plan 8520 Tech Way, Ste. http://oig.hhs.gov/fraud/report-fraud/index.asp. Fee-for-Service Fee Schedules, Contact Us 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. , , Sharp Health Plan , ' . , , Sharp Health Plan, . Call 1-800-827-4277 or view our detailed phone directory. Please clearly state State Fair Hearing Request on your correspondence. 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). Find a 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. ) 1-800-359-2002. Thats why were committed to you. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. Careers *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. A copay is a predetermined (flat) fee that you pay for health care services, in addition to what your health insurance plan pays. You may receive a bill from us after your health insurance plan processes our bill. Sharp Direct Advantage is offered by Sharp Health Plan. Thank you for making us the highest member-rated health plan in California for the eighth Send us an email instead. 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. If you do not have a Sharp Account yet, you can submit a completed authorization form to request access. am, Monday through Friday, and 24 hours a day on weekends. The General Data Protection Regulation (GDPR) governs the processing of personal information gathered from individuals while they are in the European Union (EU) and parts of the EEA (European Economic Area, which currently includes Iceland, Lichtenstein and Norway). You can call us Monday through Friday, 8 am to 5 pm. [SBM Sharp Health Plan [ 1-800-359-2002. 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. Payment plans are only for hospital bills, and are not available for Sharp Rees-Stealy bills or for connected family members at this time. Please visit Sharp.com or call your provider. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. SCAN Health Plan is an HMO plan with a Medicare contract. All rights reserved. Shop plans 1 2 3 4 5 6 Enroll online Talk to a , Health (8 days ago) WebThe original claim must be received by The Health Plan 180 days from the date of service. We're here to help shed light on the bills you may receive. Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. Please contact Member Services. Can't find your answer below? You can also search for your primary care doctor to find the medical group you and your doctor belong to. 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. If you prefer not to create an account, you can still pay your bill online by using our one-time payment form. For the best experience on our website, please upgrade your browser to the latest version. See your patients' history. Sharp Health Plan . The provider must follow all applicable laws, policies and contractual requirements when filing. . 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. 400, Wittman Drive Grand Rapids Itasca County MN - 55744 United . You can also use this form to pay a bill for another person. 562-508-6781 Now its our turn to serveyou. Interfaces with other Sharp Health Plan employees to provide information as requested for other Departments. Hours are 8 a.m. to 8 p.m. from April 1 to Sept. 30, Monday through Friday. Sharp Health Plan , 1-800-359-2002. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. Find out more , Stay informed. 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: For member-specific information or questions: For our members' protection, we don't recommend using email to send personal medical information. As reported in Medicare & You 2023 member rating of plan. Please see the below for more contact options. Claims and EDI 1-877-778-7226. The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. Please read our. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. Encounter Data Team Encounters_Operations@scanhealthplan.com. The physician's bill will be for the professional services. 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. Please include all supporting documentation with the initial claim dispute submission. . Make sure your contact information is up to date. You can use this special enrollment period only once between Dec. 8, 2022, Enrollment with Sharp Health Plan depends on contract renewal. For member-specific information or questions: Coinsurance takes place when you reach your deductible and you and your insurance plan share in paying a percentage of the remaining costs. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. Member Services Phone Number. Caregivers for SCAN Members can receive help with their login credentials here. Customer care representatives are available to assist you. Although physicians are licensed to practice at Sharp's hospitals, they are not Sharp HealthCare employees. Effective January 1, 2022, all California health care practitioners who are authorized to prescribe will be required to issue prescriptions electronically. If you cannot pay the entire amount, you can set up a payment plan via Sharp Account for qualifying or eligible hospital bills. 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. It's National Drug & Alcohol Facts Week. Write: up. From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., seven days a week. FBT: SharpHealthPlan.com no longer supports this Internet browser. 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 Cash is accepted at hospitals only. Sharp Health Plan | Login Sign in Email address Password Forgot your password? Following your medical procedure, our billing office files a claim with your primary health insurance for the services performed. We provide dedicated bilingual (English/Spanish) representatives to our members and free over-the-phone translation services in dozens of other languages. The claim dispute process should only be used after other attempts to resolve the matter have failed. Find a Don't want to pick up the phone? If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. Fax: 1-858-303-9062 Contact your software vendor directly for questions about your electronic billing. Learn how you can help your patients through the Shingrix shortage. The percentage you pay of the remaining costs depends on your plan. 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. Long Beach, CA 90801-5616, Encounter Data Team 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. Cookies must be enabled to properly use this website. 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. Our fax number is 1-858-303-9049 . To set up a hospital payment plan for a family member, call us at 858-499-2400. Click here to read the full disclaimer. Please read our. 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. 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. 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. Refer to your insurance card or call your insurance provider to determine your medical group. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time March is Colorectal Cancer Awareness Month. Preferred Qualifications. Read the full disclaimer. *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. Messages received on holidays and outside of normal business hours will be returned within one business day. Our fax number is 1-858-303-9049 . GET INFO , Share this information with our members to help reduce their heart disease risk. Additionally, a Level Two report is provided to your vendor, which is the only accepted proof of timely filing for electronic claims. Please contact Member Services. TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. Sharp Health Plan . Send us an email instead. min ph. Address. Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. 1-562-308-3699 fax Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. Follow the prompts to set your billing preferences. Were your neighbors so you can count on us to be accessible. Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. Your most common questions, answered without playing phone tag. TTY/TDD users can dial 711 or use the California Relay Services toll-free phone numbers. direct access to Sharp HealthCare. Pay Your Premium For general information or questions about quotes, rates or materials: These important numbers are located on your billing statement. If you use FollowMyHealth, you may grant account access to any adult. Thank you for your understanding as we work to ensure everyone remains healthy and safe. Providers must register with the AHCCCS program to be eligible for payment reimbursement. 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? Contact us Coronavirus & COVID-19 , Health (2 days ago) WebCall us at 1-858-499-8300. Caregivers for SCAN Members can receive help with their login credentials here. . For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, o Within 12 months after the date that eligibility is posted. A deductible is the annual amount that you must pay, out of pocket, before an insurance plan begins reimbursing for eligible services. Our billing office will make several attempts to collect payment. When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. This year's theme is #EmbraceEquity. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. TTY/TDD users can dial 711 or use the California Relay Services toll-free phonenumbers. 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. We offer high-quality, affordable health insurance for San Diegans of all ages with 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. Sharp Health Plan1-800-359-2002 . Call our Customer Care team at (855) 995-5004 or submit a form. Get free, confidential 24/7 treatment referral and information from the National Helpline. Click hereand follow the instructions. Every year, Medicare evaluates plans based on a 5-star rating system. H5386_2022 Medicare Website_Rev10 Page Last Updated: 1/03/2023 Voz y TTY (telfono de texto):1-800-855-3000. To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. We are making improvements to how you can view and pay your bills through your Sharp Account. Attn: Member Services These important numbers are located on your billing statement. , , Sharp Health Plan , ' . For credentialing inquiries about your application or credentialing status, contact our Credentialing team. 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 Sharp is not-for-profit and relies on fundraising. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. o Or within 60 days after the date of the denial of a timely claim submission, whichever is later. Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. Need to pay a medical bill or copay? It only takes about 15 to 20 minutes to enroll online securely. You can call us Monday through Friday, 8 am to 5 pm. Sharp Direct Advantage is offered by Sharp Health Plan. With our cost-saving benefits, you could put more money back into your monthly budget. You may submit your claim dispute in writing through the mail or send electronically to us through fax. Send us an email instead. Health (6 days ago) WebContact Us . Hours may change during holidays. 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. At this time, the Sharp Health Plan . You can report potential compliance issues and/or issues with fraud, waste and abuse through any of the following channels: Hours: Hours may change during holidays. It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. Looking for Provider Login or Agent/Broker Login? Sharp HealthCare offers financial assistance for qualifying patients who need help with emergency or medically necessary care received in a Sharp hospital. We are available 7 am to 8 pm, seven days a week. Box 2906Milwaukee, WI53201-2906. 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. 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. Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. Box 90640Phoenix, AZ 85066. We were named in the 2023 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage inCalifornia. a) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention. The SCAN Sales Support team works with brokers and broker agencies to answer questions regarding plan benefits, eligibility, enrollment, network, formulary and other issues. P.O. Covered Services Sharp Health Plan . 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. Credentialing: Reduce risk , "We are thrilled with the support that we receive at all levels. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. Out-of-State Toll Free: 1-800-523-0231, How to Apply Were here to help you help your patients. 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. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. Thank you for your understanding as we work to ensure everyone remains healthy and safe. The provider should contact MC Claims and/or Network Management to seek additional information prior to initiating a claim dispute. www.ethicspoint.com, SCAN SIU Team 2023SCAN Health Plan. See if your doctor is covered under Sharp Direct Advantage Medicare plans. Complete ALL required fields, and include additional documentation when necessary. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . Email your SCAN Network Management representative. Box 22698 Long Beach, CA 90801-5616. 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. *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 Every hospital visit involves both physician and hospital resources. 1-888-705-7226 Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. instructions from the Health Plan and the Department of Managed Health Care. We know youre committed to your workforce. Providers who are contracted with Mercy Care can use electronic billing software. Please do not use this form to convey personal or medical information. Think of us as your personal health care assistant. Provider Account Management: Your bill will list the services you received under the "Summary of Patient Services." Policy Manuals Messages received on holidays and outside of our business hours will be returned within one business day. ) 1-800-359-2002. . You can use your Sharp Account to make a partial payment on a bill. 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. 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. 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. For the best experience on our website, please upgrade your browser to the latest version. Messages received on holidays and outside of normal business hours will be returned within one business day. 1-800-HHS-TIPS (1-800-447-8477) 1-800-454-3730. Rated 4.5 out of 5 stars by Medicare six years in a row! You should only sign this section if you want to cancel this authorization. For general questions or provider portal registration, contact our Provider Account Management team. SCAN Claims Department AIHP members may receive health care services from Indian Health Facilities (the Indian Health Service, tribally-operated "638" health programs, urban Indian health clinics) and other AHCCCS-registered providers. Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. If you have questions about eligibility, costs or what kind of coverage you can expect give us a call today! Check your coverage documents through Sharp Connect. SCAN Health Plan Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week.
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