It's easy to register. FBT: SharpHealthPlan.com no longer supports this Internet browser. Health Insurance for Children, Provider Enrollment 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. Send us an email instead. Many surgery and procedure names sound similar. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. Learn More. This position provides support and assistance to the Claims Department. Diploma or Equivalent; Essential . Click here. Kung ikaw, o ang iyong tinutulangan, ay may mga katanungan tungkol sa Sharp Health Plan, may karapatan ka na makakuha ng tulong at impormasyon sa iyong wika ng walang gastos. Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. Please contact Member Services. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. instructions from the Health Plan and the Department of Managed Health Care. Rated 4.5 out of 5 stars by Medicare six years in a row! SCAN Health Plan is an HMO plan with a Medicare contract. We will review your request and send you an email invitation to complete the connection within 30 days. For the best experience on our website, please upgrade your browser to the latest version. Cookies must be enabled to properly use this website. Caregivers for SCAN Members can receive help with their login credentials here. To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. Make sure your contact information is up to date. Box 982975El Paso, TX 79998-2975. Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 For general questions or provider portal registration, contact our Provider Account Management team. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. be a great option. Once received, the claim dispute will be reviewed, and a decision will be rendered within 30 days after receipt. To set up a hospital payment plan for a family member, call us at 858-499-2400. refill on a road trip. There is a problem with enrollment at this time. 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. Enrollment with Sharp Health Plan depends on contract renewal. Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. checklist. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, email us at provider.relations@sharp.com or call 1-858-499-8330. General office experience, preferably in a service oriented environment. We offer high-quality, affordable health insurance for San Diegans of all ages with direct access to Sharp HealthCare. At this time, the Sharp Health Plan . MC may request an extension of up to 45 days, if necessary. Interfaces with other Sharp Health Plan employees to provide information as requested for other Departments. At this time, paperless billing is only available for Sharp Rees-Stealy and Sharp hospital bills. Sharp Direct Advantage is offered by Sharp Health Plan. Sharp Health Plan | Login Sign in Email address Password Forgot your password? You can pay by credit or debit card or by check. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . LEARN MORE , Let our members know about screening tests to help prevent or detect cervical cancer. Sharp Health Plan is an HMO with a Medicare contract. Don't want to pick up the phone? Mercy Care Claims Department P. O. For your employees' protection, we don't recommend using email to send personal medical information. For your protection, we don't recommend using email to send personal medical information. Learn More. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, please 1-562-308-3699 fax 1-858-499-8211 Electronic billing ensures faster processing and payment of claims, eliminates the cost of sending paper claims, allows tracking of each claim sent and minimizes clerical data entry errors. Write: Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. 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. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Call our dedicated Customer Care provider line: Fax: 1-858-303-9049 Sharp Health Plan , 1-800-359-2002. These important numbers are located on your billing statement. Find your health plan's address (PDF). min ph. If you have questions about eligibility, costs or what kind of coverage you can expect give us a call today! 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. Sharp Health Plan 1.800.359.2002. 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. 1-360-975-7000, option 1. For any claims, eligibility, or referral inquiries, contact our dedicated Customer Care team. It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. Click here to read the full disclaimer. Email your SCAN Network Management representative. You can call us Monday through Friday, 8 am to 5 pm. Find a local SCAN Representative in your neighborhood who speaks your language. AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. Please do not use this form to convey personal or medical information. The provider should contact MC Claims and/or Network Management to seek additional information prior to initiating a claim dispute. 1-855-562-8853 (TTY/TDD: 711) 7 am to 8 pm Pacific Time You can choose how you want to receive your billing statements and notifications via mail, email or both. Sharphealthplan.com Category: Health Detail Health Contact us - Phone numbers, email, mailing address Health (2 days ago) WebCall us at 1-858-499-8300. 8 a.m. to 8 p.m., Seven days a week, from October 1 to March 31. Click hereand follow the instructions. If you do not want to leave our website, please click the X. 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). Don't want to pick up the phone? 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. You can use this special enrollment period only once between Dec. 8, 2022, Phone: 1-858-499-8330 Thats why were committed to you. Contracted providers can find reimbursement information in their Mercy Care contracts. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Submit authorizations. Visit Medicare to compare other plan ratings and find detailed reports. Address. Failure to specifically state the factual and legal basis may result in denial of the claim dispute. We are making improvements to how you can view and pay your bills through your Sharp Account. Encounter Data Team Encounters_Operations@scanhealthplan.com. Please visit Sharp.com or call your provider. email us at provider.relations@sharp.comor call 1-858-499-8330. 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). Messages received on holidays and outside of normal business hours will be returned within one business day. When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time 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. Call us We are available 7 am to 8 pm, seven days a week. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week. Write: 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. In the event the claim requires resubmission, health care providers have 180 days from , Health (6 days ago) WebContact Sharp Health Plan to learn about our plans or ask questions about your current coverage. H.S. 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 P.O. 1-800-454-3730. Messages received on holidays and outside of our business hours will be returned within one business day. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. Can't find your answer below? Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: View past statements and payment history from the last 18 months, Save a payment method for quicker check out, Access patient portals and other digital tools. ) 1-800-359-2002. 1-888-445-2038. Youve earned your Medicare benefits! Sharp HealthCare offers financial assistance for qualifying patients who need help with emergency or medically necessary care received in a Sharp hospital. 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 2023, Help me find urgent care centers in my network, Consumer protections from surprise billing, permission to discuss protected health information form, Sharp Mary Birch Hospital for Women & Newborns. Get free, confidential 24/7 treatment referral and information from the National Helpline. For the best experience on our website, please upgrade your browser to the latest version. If a provider does not receive an acknowledgement letter within five (5) business days, the provider must contact the Appeals Department. Pay Your Premium Enrollment in SCAN Health Plan depends on contract renewal. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. Award-winning service, comprehensive coverage, plus more. 1-877-863-3362 Financial assistance is available for qualified low-income patients to assist with all or part of a hospital bill. You can report potential compliance issues and/or issues with fraud, waste and abuse through any of the following channels: Hours: It only takes about 15 to 20 minutes to enroll online securely. Get started now. We're here to help shed light on the bills you may receive. Sharp Health Plan , 1-800-359-2002. direct access to Sharp HealthCare. It's easy to register. www.ethicspoint.com, SCAN SIU Team Box 2906Milwaukee, WI53201-2906. Our fax number is 1-858-303-9049 . GET INFO , Share this information with our members to help reduce their heart disease risk. Call our Customer Care team at (855) 995-5004 or submit a form. 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. Learn how to create one now. You can call us Monday to Friday, 8 am to 6 pm. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. This could result in the claim being denied for untimely filing. Every hospital visit involves both physician and hospital resources. For general information or questions about quotes, rates or materials: 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. Explore SCAN plans available in your area! 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. [SBM Sharp Health Plan [ 1-800-359-2002. If a provider disagrees with the MC Notice of Decision, the provider may request a State Fair Hearing. Looking for Provider Login or Agent/Broker Login? 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? 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 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: 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. Additionally, a Level Two report is provided to your vendor, which is the only accepted proof of timely filing for electronic claims. 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. 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. Messages received on holidays and outside of normal business hours will be returned within one business day. DentaQuest administers dental benefits for Mercy Care and Mercy Care Advantage. 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. Learn about the basics of Medicare, how to enroll, andmore. , , Sharp Health Plan , ' . Providers must register with the AHCCCS program to be eligible for payment reimbursement. Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. One of our financial counselors will provide estimated out-of-pocket costs for your care with us. Refer to your insurance card or call your insurance provider to determine your medical group. Sharp Direct Advantage is offered by Sharp Health Plan. Your bill will list the services you received under the "Summary of Patient Services." Enjoy retirement with a plan you cantrust. up. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. Sharp Health Plan is an HMO with a Medicare contract. 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. 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. 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. Although physicians are licensed to practice at Sharp's hospitals, they are not Sharp HealthCare employees. Get free, confidential 24/7 treatment referral and information from the National Helpline. Hours may change during holidays. Click here and follow the instructions. Read up on ways to protect your colorectal health. These important numbers are located on your billing statement. Call us at 1-858-499-8300. , , Sharp Health Plan, . Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. Please see the below for more contact options. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. Sharp Direct Advantage is offered by Sharp Health Plan. Sharp Health Plan Payer ID: SHP01; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Electronic Remittance (ERA) YES: ERA Enrollment Required: This insurance is also known as: . REVOCATION You may revoke this authorization at any time by signing and dating this section of the form and returning it to Sharp Health Plan. *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 If you feel under the weather or have certain long-term health problems, virtual care can Every year, Medicare evaluates plans based on a 5-star rating system. Sharp Health Plan . The percentage you pay of the remaining costs depends on your plan. These hours may change during holidays see below. Long Beach, CA 90801-5616, Encounter Data Team Eligibility, referrals, or claims: 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). Our fax number is 1-858-303-9049. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Interested in joining the SCAN provider network? SCAN Health Plan However, making a partial payment will not prevent a past-due bill from going to a collections agency. The website information you will be accessing is provided by another organization or vendor. , , Sharp Health Plan, . Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. Get helpful reminders about how to comply with the timely access laws, which outline maximum wait times for phone calls and appointment requests. Visit your health plan's website to learn how benefits, claims, and payment of claims are covered, as well as the service limitations and exclusions that may apply. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 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. The claim dispute process should only be used after other attempts to resolve the matter have failed. 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"). Written claim disputes must be submitted to the MC Appeals Department. Search for a doctor, hospital, pharmacy or drug name. April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday ) 1-800-359-2002. o Within 12 months after the date that eligibility is posted. 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. News & Press Releases, Can't find what you're looking for? Call us at 1-858-499-8300. We offer high-quality, affordable health insurance for San Diegans of all ages with Thank you for serving our city and San Diegans like us. We are available 7 am to 8 pm, seven days a week. Contact your software vendor directly for questions about your electronic billing. This year's theme is #EmbraceEquity. Visit our FAQ and get your questions answered. 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. Contact us Coronavirus & COVID-19 , Health (2 days ago) WebCall us at 1-858-499-8300. You can join today, right from your laptop or phone. Contact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. Encounters_Operations@scanhealthplan.com, Contact Express Scripts for Part D Coverage Reviews 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 All electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31. You can also search for your primary care doctor to find the medical group you and your doctor belong to. The provider must follow all applicable laws, policies and contractual requirements when filing. Follow the prompts to set your billing preferences. Sharp Health Plan . March is Colorectal Cancer Awareness Month. 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. Ready for comprehensive Medicare Advantage coverage that could save you money? Our updated Mercy Care Claims Processing Manualis now available to assist you with any claims or billing questions you may have. You can call us Monday through Friday, 8 am to 6 pm. Talk to a real person. Compliance Officer Long Beach, CA 90801-5616. Caregivers for SCAN Members can receive help with their login credentials here. Hours may change during holidays. 1-888-705-7226 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. 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. 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). Please visit Sharp.com or call your provider. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. . ", - Sherri R., Director of Benefits & HR Information Systems, Palomar Health. o Or within 60 days after the date of the denial of a timely claim submission, whichever is later. 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. Hours may change during holidays. You can also search for your primary care doctor to find the medical group you and your doctor belong to. Claims Mailing Address: Medical. Mail-Order 1-800-HHS-TIPS (1-800-447-8477) Box 90640Phoenix, AZ 85066. The Health Plan encourages electronic claims submission . We are currently experiencing issues with our provider and site search tools. , , Sharp Health Plan , ' . Your most common questions, answered without playing phone tag. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. With our cost-saving benefits, you could put more money back into your monthly budget. Medicare Crossover The SCAN Sales Support team works with brokers and broker agencies to answer questions regarding plan benefits, eligibility, enrollment, network, formulary and other issues. Quality care depends on clear communication between you and your patients. Thank you for your understanding as we work to ensure everyone remains healthy and safe. To have your name removed from our advertising mailing list, please complete and submit the Mailing List Removal form. Hours are 8 a.m. to 8 p.m. from April 1 to Sept. 30, Monday through Friday. 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. Contact us to learn how to get started with Sharp Direct Advantage today! 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.

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