Click on the link for answers about Medicare Advantage and coverage. P.O. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. You can call us Monday to Friday, 8 am to 6 pm. Read the full disclaimer. Looking for Provider Login or Agent/Broker Login? 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). Quality care depends on clear communication between you and your patients. 1-877-251-5896 fax Home Delivery from Express Scripts Pharmacy . Email your SCAN Network Management representative. 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. Enrollment with Sharp Health Plan depends on contract renewal. Find your doctor's phone number. Mercy Care's electronic claim submission vendors, https://dentaquest.com/state-plans/regions/arizona/, Augmentative and Alternative Communication. Health (1 days ago) WebSharp Health Plan Login Sign in Email address Password Forgot your password? Claims Mailing Address: Medical. direct access to Sharp HealthCare. Your password has been reset. Click here to read the full disclaimer. instructions from the Health Plan and the Department of Managed Health Care. FraudWaste&AbuseProg@scanhealthplan.com, Office of Inspector General, U.S. Department of Health & Human Services. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: As reported in Medicare & You 2023 member rating of plan. Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. Don't want to pick up the phone? Get free, confidential 24/7 treatment referral and information from the National Helpline. 1-888-445-2038. Box 22698 Long Beach, CA 90801-5616. Every year, Medicare evaluates plans based on a 5-star rating system. If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. 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. A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. Paper Corrected Claim Submission Updates | Fidelis Care You can pay by credit or debit card or by check. Enjoy direct access to Sharp HealthCare and The Sharp Experience.*. Every hospital visit involves both physician and hospital resources. 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. The physician's bill will be for the professional services. TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. For your employees' protection, we don't recommend using email to send personal medical information. For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, Phone: 1-858-499-8330 It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. 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. The percentage you pay of the remaining costs depends on your plan. Don't want to pick up the phone? All electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. Your most common questions, answered without playing phone tag. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. 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. Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. Toll-free 1-855-562-8853 TTY/TDD: 711 Our offices are closed on the following holidays in 2023: Email us You can send us an email at customer.service@sharp.com and we will get back to you. We're here to help shed light on the bills you may receive. 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. Clerical Assistant II- Claims / Finance /Healthplan- Tech Way / Full FBT: SharpHealthPlan.com no longer supports this Internet browser. March is Colorectal Cancer Awareness Month. 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. Health (3 days ago) Web101 Wood Avenue South, 8th Floor. The hospital's bill will be for the technical resources and supplies, such as procedures and equipment, needles and scalpels or medications. 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 For the best experience on our website, please upgrade your browser to the latest version. 1-800-837-0959 fax, Network Management Visit Medicare to compare other plan ratings and find detailed reports. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. Search for a doctor, hospital, pharmacy or drug name. Were your neighbors so you can count on us to be accessible. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. Box 22698 For the best experience on our website, please upgrade your browser to the latest version. Call 1-800-827-4277 or view our detailed phone directory. Hours may change during holidays. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. For general questions or provider portal registration, contact our Provider Account Management team. Sharp Health Plan 1.800.359.2002. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . SCAN Directory - SCAN Health Plan The provider must follow all applicable laws, policies and contractual requirements when filing. 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. [SBM Sharp Health Plan [ 1-800-359-2002. To set up a hospital payment plan for a family member, call us at 858-499-2400. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. PDF SHARP COMMUNITY MEDICAL GROUP/SHARP HEALTHCARE Billing and Claim - SCMG Required Qualifications. 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. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. 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. Electronic Remittance Advice (835) [ERA]: YES. 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"). , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. Write: If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. 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. GET INFO , Share this information with our members to help reduce their heart disease risk. 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. Talk to a real person. You should only sign this section if you want to cancel this authorization. Sharp Health Plan is an HMO with a Medicare contract. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. o Or within 60 days after the date of the denial of a timely claim submission, whichever is later. As the parent or guardian of a child aged 12 to 17, you cannot view billing information (including balances, statements and payment history) or other related items. OptumRx Pharmacy Benefits - CalPERS ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Find a Thank you for your understanding as we work to ensure everyone remains healthy and safe. 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. Well help you choose the coverage thats right for you. Providers who are contracted with Mercy Care can use electronic billing software. We provide dedicated bilingual (English/Spanish) representatives to our members and free over-the-phone translation services in dozens of other languages. Please visit Sharp.com or call your provider. 400, Wittman Drive Grand Rapids Itasca County MN - 55744 United . 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. To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. Sharp is not-for-profit and relies on fundraising. 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. This means the hospital and each of your treating physicians will send you a bill for their parts of your care. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. It only takes about 15 to 20 minutes to enroll online securely. Policy Manuals 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. Use your member ID number to sign 1-360-975-7000, option 1. If a provider does not receive an acknowledgement letter within five (5) business days, the provider must contact the Appeals Department. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. 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. Coverage Determinations Please clearly state State Fair Hearing Request on your correspondence. We are working to resolve this as quickly as possible. Contact Sharp Direct Advantage Medicare - Sharp Health Plan PDF Chapter H Claims Procedures - UPMC Health Plan 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 Seffrah Orlando, Senior Public Relations Specialist You may receive a bill from us after your health insurance plan processes our bill. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. With our providers, patients and health plan working together, we can ensure the best possible outcome every time. Members Brokers Providers Employers Members Talk to a real person. Please do not use this form to convey personal or medical information. 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). Call our dedicated Customer Care provider line: Recently completed plans and new plans may not display on the Hospital Payment Plans section within Sharp Account. 1-800-359-2002. 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). Please check your email for your new password. Read up on ways to protect your colorectal health. Learn about the basics of Medicare, how to enroll, andmore. In many cases, payment is sent directly to us from your health insurance provider. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. CLAIM.MD | Payer Information | Sharp Health Plan 1-877-251-5896 fax 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. 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). 1-800-HHS-TIPS (1-800-447-8477) H.S. Call Member Services to request translation services. Sharp Health Plan1-800-359-2002 . Fee-for-Service Fee Schedules, Contact Us Explore SCAN plans available in your area! With our providers, patients and health plans working together, we can ensure the best possible outcome every time. April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. News & Press Releases, Can't find what you're looking for? Claims Processor at Sharp HealthCare in San Diego 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 Financial assistance is available for qualified low-income patients to assist with all or part of a hospital bill. These hours may change during holidays see below. Talk to a real person. You can use your Sharp Account to make a partial payment on a bill. Box 90640Phoenix, AZ 85066. , , Sharp Health Plan , ' . We are making improvements to how you can view and pay your bills through your Sharp Account. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. 1-888-327-9791 tel. Contact us to learn how to get started with Sharp Direct Advantage today! 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. Youve earned your Medicare benefits! Caregivers for SCAN Members can receive help with their login credentials here. Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. Write: 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. We invite you to share our women's preventive care Empire Plan Toll free. AI/AN members can switch their enrollment between AHCCCS AIHP and an AHCCCS managed health care plan and back again at any time. 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. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time Claims information - Sharp Health Plan Click here to read the full disclaimer. Please include all supporting documentation with the initial claim dispute submission. If you do not have a Sharp Account yet, you can submit a completed authorization form to request access. You will also be able to save your preferred payment method for future use. Enjoy retirement with a plan you cantrust. Need to pay a medical bill or copay? 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.

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