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. To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. 1-888-445-2038. If you feel under the weather or have certain long-term health problems, virtual care can 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time Call us We are available 7 am to 8 pm, seven days a week. Rated 4.5 out of 5 stars by Medicare six years in a row! If you have questions that include personal details, like your medical history, please call your doctor directly. 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. SharpHealthPlan.com no longer supports this Internet browser. Credentialing: We are making improvements to how you can view and pay your bills through your Sharp Account. Please check your email for your new password. News & Press Releases, Can't find what you're looking for? If a provider disagrees with the MC Notice of Decision, the provider may request a State Fair Hearing. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. Click here and follow the instructions. 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 are experiencing a medical emergency, call 911 or visit the nearest emergency room. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. Not only do we now have the ability to receive disputes by fax, but we can also respond back to our providers via fax, allowing you to receive faster decisions. H5386_2022 Medicare Website_Rev10 Page Last Updated: 1/03/2023 Read up on ways to protect your colorectal health. It is important to note that balance billing members is prohibited under all Mercy Care health plans. Search for a doctor, hospital, pharmacy or drug name. Sharp Health Plan | Login Sign in Email address Password Forgot your password? FBT: SharpHealthPlan.com no longer supports this Internet browser. 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. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. Write: Encounter Data Team Encounters_Operations@scanhealthplan.com. 1-877-863-3362 Contact your Network Management representative for more information about electronic billing. About the billing process Paying your bill Payment plans Understanding your bill Paying a family member's bills Consumer protections from surprise billing About the billing process. You can join today, right from your laptop or phone. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. This could result in the claim being denied for untimely filing. It's easy to register. Sharp Health Plan . For member-specific information or questions: If you choose to send via fax, please fax your disputes to 602 351-2300. Every hospital visit involves both physician and hospital resources. We're your neighbors, so you can count on us to be accessible. The physician's bill will be for the professional services. Learn how to create one now. PracticeBridge. A copay is a predetermined (flat) fee that you pay for health care services, in addition to what your health insurance plan pays. Contact us Coronavirus & COVID-19 resources for providers The website information you will be accessing is provided by another organization or vendor. 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. 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. Contact us to learn how to get started with Sharp Direct Advantage today! 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. Preferred Qualifications. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. a) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention. Learn More. Looking for Provider Login or Agent/Broker Login? If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. For the best experience on our website, please upgrade your browser to the latest version. Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. sorlando@scanhealthplan.com. Learn More. 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. For general information or questions about quotes, rates or materials: See if your doctor is covered under Sharp Direct Advantage Medicare plans. Send us an email instead. Go to www.sharphealthplan.com/payment to pay now. The program also provides coverage for preventive and behavioral health care services. Address. 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. Subscribe to Newsletters Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. Never wonder about the status of your claims again. Click hereand follow the instructions. 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. We were named in the 2023 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage inCalifornia. MORE OPTIONS + Brokers We're here to help you succeed. To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. All rights reserved. ) 1-800-359-2002. SCAN Health Plan is an HMO plan with a Medicare contract. You can also use this form to pay a bill for another person. Although physicians are licensed to practice at Sharp's hospitals, they are not Sharp HealthCare employees. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. You can call us Monday through Friday, 8 am to 5 pm. Get started now. Find a local SCAN Representative in your neighborhood who speaks your language. 1-877-251-5896 fax Home Delivery from Express Scripts Pharmacy . Phone: 1-858-499-8100 Long Beach, CA 90801-5616. Explore SCAN plans available in your area! You can use your Sharp Account to make a partial payment on a bill. It's National Drug & Alcohol Facts Week. Submit authorizations. Interested in joining the SCAN provider network? Sharp Health Plan is an HMO with a Medicare contract. Sharp hospitals: 858-499-2400 Sharp Rees-Stealy: 858-499-2410 SharpCare: 858-499-2044 Sharp Specialty Groups: 858-346-4321 We look forward to helping you. It only takes about 15 to 20 minutes to enroll online securely. We know youre committed to your workforce. ", - Sherri R., Director of Benefits & HR Information Systems, Palomar Health. MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com Sharp Health Plan 1.800.359.2002. Provider Account Management: Call us at 1-858-499-8300. Providers who are contracted with Mercy Care can use electronic billing software. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. . Written claim disputes must be submitted to the MC Appeals Department. Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, Sharp Community has been caring for San Diegans since 1989. Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of benefits. Think of us as your personal health care assistant. To provide a more personalized experience, please select a state where SCAN is offered. You can send us an email at customer.service@sharp.com and we will get back toyou. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. Sharp Health Plan is accepting enrollments all year, thanks to the 5-star special enrollment period. You should only sign this section if you want to cancel this authorization. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. o Or within 60 days after the date of the denial of a timely claim submission, whichever is later. 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. 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. SharpHealthPlan.com no longer supports this Internet browser. At this time, the Sharp Health Plan . Please read our. Search Sharp Health Plan PayerID SHP01 and find the complete info about Sharp Health Plan Insurance Type, LOB, ENR, RTE, RTS, ERA, SEC, Customer Service Number and more . We invite you to share our women's preventive care SharpCare Medical Group patients can use this form to make online payments. Now its our turn to serveyou. These hours may change during holidays see below. Ready for comprehensive Medicare Advantage coverage that could save you money? All rights reserved. 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. Thank you for your understanding as we work to ensure everyone remains healthy and safe. You can call us Monday to Friday, 8 am to 6 pm. 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. 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. 1-858-499-8009 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. To include supporting documentation, such as members medical records, clearly label and send to the Claims Department at the correct address. Please do not use this form to convey personal or medical information. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. 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. Your most common questions, answered without playing phone tag. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. , , Sharp Health Plan, . min ph. Please check your email for your new password. Our fax number is 1-858-303-9049 . 400, Wittman Drive Grand Rapids Itasca County MN - 55744 United . 1-858-499-8211 Click below to learn more about which plans, benefits and doctors are available in your area. 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. Hours are 8 a.m. to 8 p.m. from April 1 to Sept. 30, Monday through Friday. Coinsurance takes place when you reach your deductible and you and your insurance plan share in paying a percentage of the remaining costs. networkmgmt@scanhealthplan.com, Office Ally Clearinghouse LEARN MORE . Contracted providers can find reimbursement information in their Mercy Care contracts. Call 1-800-827-4277 or view our detailed phone directory. Find a Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, please SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. 1-800-HHS-TIPS (1-800-447-8477) Contact us. 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: SCAN Health Plan Para hablar con un intrprete, llame al 1-800-359-2002. Youve earned your Medicare benefits! 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. 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 MC may request an extension of up to 45 days, if necessary. 8 a.m. to 8 p.m., Seven days a week, from October 1 to March 31. Awards and recognition are subject to change each year. Careers Messages received on holidays and outside of normal business hours will be returned within one business day. 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. Complete ALL required fields, and include additional documentation when necessary. Looking for Provider Login or Agent/Broker Login? , , Sharp Health Plan , ' . All electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. Eligibility, referrals, or claims: Enrollment with Sharp Health Plan depends on contract renewal. 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. Health (6 days ago) WebContact Us . Contact us Coronavirus & COVID-19 , Health (2 days ago) WebCall us at 1-858-499-8300. 1-855-562-8853 (TTY/TDD: 711) 7 am to 8 pm Pacific Time When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. Learn about the basics of Medicare, how to enroll, andmore. 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. You can pay by credit or debit card or by check. Your password has been reset. TTY/TDD users can dial 711 or use the California Relay Services toll-free phone numbers. Refer to your insurance card or call your insurance provider to determine your medical group. Provider Relations Phone Number. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. Don't want to pick up the phone? Messages received on holidays and outside of our business hours will be returned within one business day. Mercy Care's electronic claim submission vendors, https://dentaquest.com/state-plans/regions/arizona/, Augmentative and Alternative Communication. 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. Write: SCAN Claims Department P.O. It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. 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. Many surgery and procedure names sound similar. Sharp Health Plan1-800-359-2002 . Required Qualifications. We are currently experiencing issues with our provider and site search tools. For Providers. If you prefer not to create an account, you can still pay your bill online by using our one-time payment form. However, making a partial payment will not prevent a past-due bill from going to a collections agency. You can also search for your primary care doctor to find the medical group you and your doctor belong to. 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. Health Insurance for Children, Provider Enrollment , , Sharp Health Plan, . Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. It's easy to register. b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. Sharp health plan provider phone number, Health (2 days ago) WebFor eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, email us at [emailprotected] or call 1-858-499-8330. Complete testing with UPMC Health Plan. Need to pay a medical bill or copay? Use your member ID number to sign Refer to our Provider Manual for more detailed information. Thank you for your understanding as we work to ensure everyone remains healthy and safe. FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Visit Medicare to compare other plan ratings and find detailed reports. If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. The monthly premium for our new VIP Plan is $0. Typically, you will pay your percentage of costs until you reach your plan's annual out-of-pocket maximum. You may also mail your payment to the address listed on your statement. Cash is accepted at hospitals only. Diploma or Equivalent; Essential . MC will acknowledge a claim dispute request within five (5) business days after receipt. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . Click here to read the full disclaimer. Phone: 1-858-499-8330 1-800-600-4441. Sharp Health Plan 8520 Tech Way, Ste. Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a 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). 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). checklist. 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. Were here to help you help your patients. Effective January 1, 2022, all California health care practitioners who are authorized to prescribe will be required to issue prescriptions electronically. Please see the below for more contact options. 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? For example, if your deductible has been met and your coinsurance is 20 percent, your plan will cover the remaining 80 percent of covered services. BOX 22616 Please contact Member Services. A deductible is the annual amount that you must pay, out of pocket, before an insurance plan begins reimbursing for eligible services. Long Beach, CA 90806, EthicsPoint 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. 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 For your protection, we don't recommend using email to send personal medical information. www.ethicspoint.com, SCAN SIU Team Sharp Health Plan , 1-800-359-2002. These important numbers are located on your billing statement. UPMC Health Plan claims. Box 22698 If you believe your responsibility is inaccurate, please contact your insurance plan directly. Sharp Direct Advantage is offered by Sharp Health Plan. Member Services Phone Number. 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. 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. If you use FollowMyHealth, you may grant account access to any adult. Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. 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. Please visit Sharp.com or call your provider. In many cases, payment is sent directly to us from your health insurance provider. email us at provider.relations@sharp.comor call 1-858-499-8330. Read the full disclaimer. We are available 7 am to 8 pm, seven days a week. GET INFO , Half of Americans have at least one risk factor for heart disease. Enrollment in SCAN Health Plan depends on contract renewal. The Health Plan encourages electronic claims submission . FBT: SharpHealthPlan.com no longer supports this Internet browser. instructions from the Health Plan and the Department of Managed Health Care. Our offices are closed on the followingholidays in 2023: You can send us an email at customer.service@sharp.com and we will get back toyou. Fee-for-Service Fee Schedules, Contact Us For questions about plans and benefits, members should call: April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday . email us at provider.relations@sharp.com or call1-858-499-8330. 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. Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. Your insurance plan also mails you an EOB, which details how they processed our bill and calculated your responsibility based on your individual insurance plan.
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