Send us an email instead. The percentage you pay of the remaining costs depends on your plan. Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from , Health (9 days ago) WebContact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. * Every year, Medicare evaluates plans based on a 5-star rating system. 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). Payment plans are only for hospital bills, and are not available for Sharp Rees-Stealy bills or for connected family members at this time. Caregivers for SCAN Members can receive help with their login credentials here. You may submit feedback about your Medicare Advantage health plan directly to Medicare. www.ethicspoint.com, SCAN SIU Team 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 Plans & Rates - CalPERS Please do not use this form to convey personal or medical information. 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 use FollowMyHealth, you may grant account access to any adult. Covered Services Health (6 days ago) WebContact Us . April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday 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. GET INFO , Half of Americans have at least one risk factor for heart disease. 1-800-359-2002. Read the full disclaimer. Enrollment with Sharp Health Plan depends on contract renewal. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: 1-855-562-8853 (TTY/TDD: 711) 7 am to 8 pm Pacific Time direct access to Sharp HealthCare. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. Sharp Health Plan . 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. If you have questions that include personal details, like your medical history, please call your doctor directly. Complete testing with UPMC Health Plan. The claim dispute process should only be used after other attempts to resolve the matter have failed. You can join today, right from your laptop or phone. Refer to your insurance card or call your insurance provider to determine your medical group. Our updated Mercy Care Claims Processing Manualis now available to assist you with any claims or billing questions you may have. Please read our. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. For general information or questions about quotes, rates or materials: MORE OPTIONS + Brokers We're here to help you succeed. 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: Don't have a Sharp Account? 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. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. Electronic Remittance Advice (835) [ERA]: YES. You can call us Monday through Friday, 8 am to 6 pm. year in a row. Claims Processor at Sharp HealthCare in San Diego Cash is accepted at hospitals only. 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. Enjoy retirement with a plan you cantrust. If you choose to send via fax, please fax your disputes to 602 351-2300. Coverage Determinations Health (1 days ago) WebSharp Health Plan Login Sign in Email address Password Forgot your password? Hours may change during holidays. Box 982975El Paso, TX 79998-2975. 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. 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. Read up on ways to protect your colorectal health. To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. With our providers, patients and health plans working together, we can ensure the best possible outcome every time. Call our Customer Care team at (855) 995-5004 or submit a form. Members Brokers Providers Employers Members Talk to a real person. 1-800-837-0959 fax, Network Management To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. 1-858-499-8211 am, Monday through Friday, and 24 hours a day on weekends. AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. Messages received on holidays and outside of normal business hours will be returned within one business day. FraudWaste&AbuseProg@scanhealthplan.com, Office of Inspector General, U.S. Department of Health & Human Services. Sharp Direct Advantage is offered by Sharp Health Plan. 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. Box 982975 El Paso, TX 79998-2975. Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. Contact your Network Management representative for more information about electronic billing. Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. Box 2906Milwaukee, WI53201-2906. CALL NOW. Every year, Medicare evaluates plans based on a 5-star rating system. 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. You have entered a ZIP code that is not currently accepting enrollments. Learn about the basics of Medicare, how to enroll, andmore. ) 1-800-359-2002. min ph. We will review your request and send you an email invitation to complete the connection within 30 days. 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. Click below to learn more about which plans, benefits and doctors are available in your area. Claims and EDI 1-877-778-7226. up. Contact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. Preferred Qualifications. Contact us. 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. 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. Youve earned your Medicare benefits! Manage your claims. To learn more about our community programs and how these may work for your organization or event, call 1-877-806-7226 or email us. The website information you will be accessing is provided by another organization or vendor. Call 1-800-827-4277 or view our detailed phone directory. Explore SCAN plans available in your area! Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. Please visit Sharp.com or call your provider. 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 - HMO 2022-23 Edition - California Box 90640Phoenix, AZ 85066. 3800 Kilroy Airport Way, Suite 100 If a provider disagrees with the MC Notice of Decision, the provider may request a State Fair Hearing. 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. FL 22: Resubmission Code field must be billed with a "7" and the Original Reference Number field . Your password has been reset. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. Follow the prompts to set your billing preferences. Sharp Health Plan | Login Sign in Email address Password Forgot your password? Awards and recognition are subject to change each year. We know youre committed to your workforce. 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 By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. 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. 2023SCAN Health Plan. Sharp Health Plan is accepting enrollments all year, thanks to the 5-star special enrollment period. 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). 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. You can report potential compliance issues and/or issues with fraud, waste and abuse through any of the following channels: Hours: Contact us to learn how to get started with Sharp Direct Advantage today! 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. If you do not want to leave our website, please click the X. We provide dedicated bilingual (English/Spanish) representatives to our members and free over-the-phone translation services in dozens of other languages. Sharp Health Plan | Login Click here to read the full disclaimer. Contact your software vendor directly for questions about your electronic billing. Your password has been reset. You can also search for your primary care doctor to find the medical group you and your doctor belong to. Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing information. sorlando@scanhealthplan.com. You can also use this form to pay a bill for another person. At this time, the Sharp Health Plan . Messages received on holidays and outside of our business hours will be returned within one business day. Read the update , Share these tips with our members to help them reduce their risk of colon cancer. The program also provides coverage for preventive and behavioral health care services. The monthly premium for our new VIP Plan is $0. Send us an email instead. Sharp Health Plan . For the best experience on our website, please upgrade your browser to the latest version. Sharp Health Plan: Fill & Download for Free - cocodoc.com Submit authorizations. Rated 4.5 out of 5 stars by Medicare six years in a row! For the best experience on our website, please upgrade your browser to the latest version. *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. Need to pay a medical bill or copay? Fee-for-Service Fee Schedules, Contact Us When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. Voz y TTY (telfono de texto):1-800-855-3000. However, a member can change from one managed health care plan to another (for example, Mercy Care Plan to Molina Healthcare) only once a year. TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. Find your health plan's address (PDF). Don't want to pick up the phone? It's easy to register. Go to www.sharphealthplan.com/payment to pay now. At this time, paperless billing is only available for Sharp Rees-Stealy and Sharp hospital bills. Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. For questions about plans and benefits, members should call: April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. Sharp Health Plan , 1-800-359-2002. You may need to complete a final step to connect to your family member in FollowMyHealth. You can call us Monday through Friday, 8 am to 5 pm. With our cost-saving benefits, you could put more money back into your monthly budget. These important numbers are located on your billing statement. 1-844-424-8886 (TTY: 1-800-716-3231) tel. Find a Contact Express Scripts for Part D Coverage Reviews Coverage Determinations 1-844-424-8886 (TTY: 1-800-716-3231) tel. We offer high-quality, affordable health insurance for San Diegans of all ages with REDUCE RISK , Learn how to reduce colon cancer risk by making healthy lifestyle changes. Get free, confidential 24/7 treatment referral and information from the National Helpline. , , Sharp Health Plan , ' . Sharp is not-for-profit and relies on fundraising. MORE OPTIONS + Brokers We're here to help you succeed. Every year, Medicare evaluates plans based on a 5-star rating system. Call us at 1-858-499-8300. Seffrah Orlando, Senior Public Relations Specialist Iselin, New Jersey 08830. This means the hospital and each of your treating physicians will send you a bill for their parts of your care. , , Sharp Health Plan, . Call us We are available 7 am to 8 pm, seven days a week. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. Quality care depends on clear communication between you and your patients. 1-877-863-3362 Enrollment with Sharp Health Plan depends on contract renewal. email us at provider.relations@sharp.comor call 1-858-499-8330. Policy Manuals FBT: SharpHealthPlan.com no longer supports this Internet browser. Call Member Services to request translation services. It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. 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. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. For general information or questions about quotes, rates, or materials: For member-specific information or questions: Were here to help you help your patients. If you have questions about eligibility, costs or what kind of coverage you can expect give us a call today! Every hospital visit involves both physician and hospital resources. email us at provider.relations@sharp.com or call1-858-499-8330. 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
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