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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. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Encounters_Operations@scanhealthplan.com, Contact Express Scripts for Part D Coverage Reviews Every hospital visit involves both physician and hospital resources. For the best experience on our website, please upgrade your browser to the latest version. Para hablar con un intrprete, llame al 1-800-359-2002. Click here to read the full disclaimer. Electronic submission*: Through Electronic Clearing House Dr. Alan Kadet's office New York, NY Check eligibility & benefits. Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Preferred Qualifications. CALL NOW. March is Colorectal Cancer Awareness Month. If you feel under the weather or have certain long-term health problems, virtual care can Sharp Health Plan1-800-359-2002 . 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 general questions or provider portal registration, contact our Provider Account Management team. We are currently experiencing issues with our provider and site search tools. We were named in the 2023 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage inCalifornia. Long Beach, CA 90801-5616, Encounter Data Team Contracted providers can find reimbursement information in their Mercy Care contracts. Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. AI/AN members can switch their enrollment between AHCCCS AIHP and an AHCCCS managed health care plan and back again at any time. If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. Please clearly state State Fair Hearing Request on your correspondence. 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"). Read up on ways to protect your colorectal health. Send us an email instead. 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. These hours may change during holidays see below. 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. SCAN Health Plan is an HMO plan with a Medicare contract. P.O. and Nov. 30, 2023. You can also use Sharp Account to view itemized bills, check your current balance and view your payment history. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. Please check your email for your new password. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, 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. You can also search for your primary care doctor to find the medical group you and your doctor belong to. 1-800-359-2002 . Our fax number is 1-858-303-9049 . Rated 4.5 out of 5 stars by Medicare six years in a row! The physician's bill will be for the professional services. Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 Your bill will list the services you received under the "Summary of Patient Services." 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. 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. Easily submit pre-authorizations without extra steps. If you use FollowMyHealth, you may grant account access to any adult. 1-800-454-3730. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. Helpful holiday tips, your 2023 coverage checklist and more. SharpHealthPlan.com no longer supports this Internet browser. Sharp Health Plan is an HMO with a Medicare contract. Phone: 1-858-499-8330 Providers must register with the AHCCCS program to be eligible for payment reimbursement. * Every year, Medicare evaluates plans based on a 5-star rating system. Thats why were committed to you. Find a local SCAN Representative in your neighborhood who speaks your language. Learn how to create one now. 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. 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. Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. These important numbers are located on your billing statement. You can send us an email at customer.service@sharp.com and we will get back toyou. Attn: Member Services Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. For example, if you had an emergency room visit that required X-rays and lab tests, you may receive a bill from the hospital for technical resources, a bill from the emergency room physician for professional services, a bill from the radiologist for interpreting your X-rays and a bill from the pathologist for analyzing specimens from your lab tests. Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. 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. Every hospital visit involves both physician and hospital resources. Enrollment with Sharp Health Plan depends on contract renewal. Claims and EDI 1-877-778-7226. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. Submit authorizations. Sharp Health Plan | Login Sign in Email address Password Forgot your password? Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . The amount you are charged is the portion of your bill your insurance policy does not cover - it is based on what your insurance plan communicates to us on your explanation of benefits (EOB). Call our Customer Care team at (855) 995-5004 or submit a form. b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. Hours may change during holidays. For the best experience on our website, please upgrade your browser to the latest version. Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. You can choose how you want to receive your billing statements and notifications via mail, email or both. Contact us Coronavirus & COVID-19 resources for providers min ph. These hours may change during holidays see below. 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. Our updated Mercy Care Claims Processing Manualis now available to assist you with any claims or billing questions you may have. 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. ) 1-800-359-2002. Find your health plan's address (PDF). Get helpful reminders about how to comply with the timely access laws, which outline maximum wait times for phone calls and appointment requests. Read the full disclaimer. 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). 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. 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. Financial assistance is available for qualified low-income patients to assist with all or part of a hospital bill. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Health (6 days ago) WebContact Us . A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. Please refer to our Billing, Collections and Bad Debt policy. LEARN MORE , Let our members know about screening tests to help prevent or detect cervical cancer. Sharp Community has been caring for San Diegans since 1989. 1-800-HHS-TIPS (1-800-447-8477) For questions about plans and benefits, members should call: April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. Sharphealthplan.com Category: Health Detail Health Contact us - Phone numbers, email, mailing address Health (2 days ago) WebCall us at 1-858-499-8300. Refer to your insurance card or call your insurance provider to determine your medical group. For the best experience on our website, please upgrade your browser to the latest version. All of the points of contact are professional, committed and passionate about providing high-quality service. Fee-for-Service Fee Schedules, Contact Us FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. Think of us as your personal health care assistant. Caregivers for SCAN Members can receive help with their login credentials here. You can call us Monday to Friday, 8 am to 6 pm. . 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. You can report potential compliance issues and/or issues with fraud, waste and abuse through any of the following channels: Hours: You can call us Monday through Friday, 8 am to 5 pm. Electronic Remittance Advice (835) [ERA]: YES. To pay by credit card over the phone, please call Patient Financial Services: Check, cashier's check, money order and major credits cards are accepted at all Sharp HealthCare hospital and clinic locations. Can't find your answer below? April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday To include supporting documentation, such as members medical records, clearly label and send to the Claims Department at the correct address. Address. Sharp Health Plan1-800-359-2002 . Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. , , Sharp Health Plan, . 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. 2023 SCAN Health Plan. 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. networkmgmt@scanhealthplan.com, Office Ally Clearinghouse 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). From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. For your employees' protection, we don't recommend using email to send personal medical information. Send us an email instead. Call us at 1-858-499-8300. Please check your email for your new password. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. FL 22: Resubmission Code field must be billed with a "7" and the Original Reference Number field . GET INFO , Share this information with our members to help reduce their heart disease risk. 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? Read the full disclaimer. Sharp Health Plan . To provide a more personalized experience, please select a state where SCAN is offered. Find a 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. 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. Sharp HealthCare offers financial assistance for qualifying patients who need help with emergency or medically necessary care received in a Sharp hospital. Visit our FAQ and get your questions answered. Box 22698 Long Beach, CA 90801-5616. If you believe that the determination is not correct, you or your authorized representative has the right to appeal the decision by filing a grievance with your health plan. email us at provider.relations@sharp.comor call 1-858-499-8330. MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com Claims denied for timely filing must have an explanation for the delay as well as specific documentation. The website information you will be accessing is provided by another organization or vendor. Provider Relations Phone Number. 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. Thank you for your understanding as we work to ensure everyone remains healthy and safe. If you do not want to leave our website, please click the X. This year's theme is #EmbraceEquity. Complete ALL required fields, and include additional documentation when necessary. Caregivers for SCAN Members can receive help with their login credentials here. The monthly premium for our new VIP Plan is $0. Electronic prescribing mandate information. *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) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention. 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. Policy Manuals If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. Email your SCAN Network Management representative. You can call us Monday through Friday, 8 am to 5 pm. Real Time Claim Status (RTS): NO. It is important to note that balance billing members is prohibited under all Mercy Care health plans. 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 A provider may file a claim dispute based on: Before a provider initiates a claims dispute, the following needs to occur: o Within 12 months after the date of service. Interfaces with other Sharp Health Plan employees to provide information as requested for other Departments. Never wonder about the status of your claims again. Find a The SCAN Sales Support team works with brokers and broker agencies to answer questions regarding plan benefits, eligibility, enrollment, network, formulary and other issues. Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. Get the right support so that no questions are left unanswered. Mercy Care Claims Department P. O. Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. Iselin, New Jersey 08830. 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? With our providers, patients and health plans working together, we can ensure the best possible outcome every time. Compliance Officer Contact your Network Management representative for more information about electronic billing. 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 When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. If you have questions that include personal details, like your medical history, please call your doctor directly. 1-800-359-2002. Please do not use this form to convey personal or medical information. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time Many surgery and procedure names sound similar. Learn about the basics of Medicare, how to enroll, andmore. 1-855-562-8853 (TTY/TDD: 711) 7 am to 8 pm Pacific Time Follow the prompts to set your billing preferences. SharpHealthPlan.com no longer supports this Internet browser. For member-specific information or questions: For our members' protection, we don't recommend using email to send personal medical information. Click below to learn more about which plans, benefits and doctors are available in your area. Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. Learn how you can help your patients through the Shingrix shortage. LEARN MORE . Sharp Health Plan , 1-800-359-2002. 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. All rights reserved. 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. At this time, the Sharp Health Plan . Make sure your contact information is up to date. Cash is accepted at hospitals only. 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. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. 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 We are currently experiencing issues with our provider and site search tools. We offer high-quality, affordable health insurance for San Diegans of all ages with We're your neighbors, so you can count on us to be accessible. Please visit Sharp.com or call your provider. 8 a.m. to 8 p.m., Seven days a week, from October 1 to March 31. Rated 4.5 out of 5 stars by Medicare six years in a row! Sharp Health Plan 8520 Tech Way, Ste. Due to COVID-19 restrictions, the Sharp Health Plan office is not open to visitors at this time. Eligibility, referrals, or claims: MC will acknowledge a claim dispute request within five (5) business days after receipt. Sharp HealthCare offers many payment options, including monthly payment installments for qualified or eligible hospital bills, which you can set up via Sharp Account. Use your member ID number to sign If you have questions about eligibility, costs or what kind of coverage you can expect give us a call today! SharpCare Medical Group patients can use this form to make online payments. Payment plans are only for hospital bills, and are not available for Sharp Rees-Stealy bills or for connected family members at this time. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. See your patients' history. b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. Ready for comprehensive Medicare Advantage coverage that could save you money? Hours may change during holidays see below. up. 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 You have entered a ZIP code that is not currently accepting enrollments. Sharp is not-for-profit and relies on fundraising. Please see the below for more contact options. FBT: SharpHealthPlan.com no longer supports this Internet browser. 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. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. You may submit your claim dispute in writing through the mail or send electronically to us through fax. It's easy to register. Find your doctor's phone number. ) 1-800-359-2002. You will need to provide your personal information and the invoice or visit number from your paper statement for each payment. 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 do not have a Sharp Account yet, you can submit a completed authorization form to request access. Enrollment in SCAN Health Plan depends on contract renewal. Sharp Health Plan . It only takes about 15 to 20 minutes to enroll online securely. For member-specific information or questions: MORE OPTIONS + Brokers We're here to help you succeed. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. 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. Refer to our Provider Manual for more detailed information. Member Services Phone Number. 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. Go to www.sharphealthplan.com/payment to pay now. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Sharp Health Plan is an HMO with a Medicare contract. 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. Health Insurance for Children, Provider Enrollment Awards and recognition are subject to change each year. You can also log in to myCalPERS to use the Search Health Plans tool to research the health plan coverage and benefits most important to you and your family. If you choose to send via fax, please fax your disputes to 602 351-2300. 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. The claim dispute process should only be used after other attempts to resolve the matter have failed. 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. Click here. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor.