refill on a road trip. Address. Awards and recognition are subject to change each year. SharpHealthPlan.com no longer supports this Internet browser. FraudWaste&AbuseProg@scanhealthplan.com, Office of Inspector General, U.S. Department of Health & Human Services. Following your medical procedure, our billing office files a claim with your primary health insurance for the services performed. 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. 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. Please contact Member Services. 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. 1-800-359-2002 . Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) This position provides support and assistance to the Claims Department. 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. Please read our. 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. We're here to help shed light on the bills you may receive. Sharp Community Medical Group 8695 Spectrum Center Blvd., 4th Floor San Diego, CA 92123 Customer Service Department Phone Number: 858-499-2550 Toll Free Phone Number: 1-877-518-7264 TDD/TTY: 711 Fax Number: 858-636-2038 Appeals Department Address Sharp Community Medical Group Attention: Appeals Department 8695 Spectrum Center Boulevard, 4th Floor To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. To provide a more personalized experience, please select a state where SCAN is offered. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. , , Sharp Health Plan, . Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week. 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? 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. Many surgery and procedure names sound similar. 1-858-499-8009 These hours may change during holidays see below. 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. Out-of-State Toll Free: 1-800-523-0231, How to Apply 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. 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. Were here to help you help your patients. If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. Interfaces with other Sharp Health Plan employees to provide information as requested for other Departments. Fee-for-Service Fee Schedules, Contact Us Sharp HealthCare offers many payment options, including monthly payment installments for qualified or eligible hospital bills, which you can set up via Sharp Account. You can use your Sharp Account to make a partial payment on a bill. The provider should contact MC Claims and/or Network Management to seek additional information prior to initiating a claim dispute. Messages received on holidays and outside of our business hours will be returned within one business day. Sharp Health Plan | Login Sign in Email address Password Forgot your password? You can pay by credit or debit card or by check. FBT: SharpHealthPlan.com no longer supports this Internet browser. MORE OPTIONS + Brokers We're here to help you succeed. TTY/TDD users can dial 711 or use the California Relay Services toll-free phone numbers. Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of benefits. The provider must follow all applicable laws, policies and contractual requirements when filing. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. Contact your Network Management representative for more information about electronic billing. Never wonder about the status of your claims again. Messages received on holidays and outside of normal business hours will be returned within one business day. GET INFO , Share this information with our members to help reduce their heart disease risk. FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. http://oig.hhs.gov/fraud/report-fraud/index.asp. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. You will need to provide your personal information and the invoice or visit number from your paper statement for each payment. All rights reserved. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. 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. 3800 Kilroy Airport Way, Suite 100 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). Call 1-800-827-4277 or view our detailed phone directory. These important numbers are located on your billing statement. 1-800-HHS-TIPS (1-800-447-8477) Cancer Resource , Health (7 days ago) WebProvider Services / Claims ( 877 ) 853 - 8019 ( 855 ) 297 - 4247 Enrollment ( 855 ) 593 - 5757 Care Management ( 888 ) 995 - 1689 7(32) 421 - 4317 Mailing Address for , Edison health solutions provider portal eligibility, Online mba for healthcare professionals, Central texas transgender health coalition, Federal retirees open season health insurance, Atrium health one health family medicine, Eastern shore rural health patient portal, 2022 health-mental.org. To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. direct access to Sharp HealthCare. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. AI/AN members can switch their enrollment between AHCCCS AIHP and an AHCCCS managed health care plan and back again at any time. The website information you will be accessing is provided by another organization or vendor. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . Your password has been reset. See your patients' history. Contact us Coronavirus & COVID-19 resources for providers We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. 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. In many cases, payment is sent directly to us from your health insurance provider. Electronic submission*: Through Electronic Clearing House Mail-Order Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. Need Member Help Logging In? The physician's bill will be for the professional services. A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. Providers must register with the AHCCCS program to be eligible for payment reimbursement. Need Member Help Logging In? 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. 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. 1-877-863-3362 [SBM Sharp Health Plan [ 1-800-359-2002. You will also be able to save your preferred payment method for future use. 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. Sharp is not-for-profit and relies on fundraising. Call us We are available 7 am to 8 pm, seven days a week. Members Brokers Providers Employers Members Talk to a real person. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. Subscribe to Newsletters This means the hospital and each of your treating physicians will send you a bill for their parts of your care. 1-800-600-4441. To provide a more personalized experience, please select a state where SCAN is offered. Sharp Direct Advantage is offered by Sharp Health Plan. 1-800-837-0959 fax, Network Management A copay is a predetermined (flat) fee that you pay for health care services, in addition to what your health insurance plan pays. Send us an email instead. 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. This could result in the claim being denied for untimely filing. With our providers, patients and health plans working together, we can ensure the best possible outcome every time. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Explore SCAN plans available in your area! Read up on ways to protect your colorectal health. 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"). See if your doctor is covered under Sharp Direct Advantage Medicare plans. Get the right support so that no questions are left unanswered. As reported in Medicare & You 2023 member rating of plan. Our billing office will make several attempts to collect payment. Visit Medicare to compare other plan ratings and find detailed reports. General office experience, preferably in a service oriented environment. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. 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). LEARN MORE . Refer to your insurance card or call your insurance provider to determine your medical group. 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. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. 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). Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a Contact us. Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. Youve earned your Medicare benefits! 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. For more contact information, please click hereto access the Provider Operations Manual. 1-800-359-2002. 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. Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing information. Follow the prompts to set your billing preferences. Thank you for your understanding as we work to ensure everyone remains healthy and safe. CALL NOW. You can also use Sharp Account to view itemized bills, check your current balance and view your payment history. 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. 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. For general information or questions about quotes, rates or materials: Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31. Complete ALL required fields, and include additional documentation when necessary. Cash is accepted at hospitals only. Every year, Medicare evaluates plans based on a 5-star rating system. 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. Para hablar con un intrprete, llame al 1-800-359-2002. We are working to resolve this as quickly as possible. Typically, you will pay your percentage of costs until you reach your plan's annual out-of-pocket maximum. Please check your email for your new password. Visit our FAQ and get your questions answered. 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. Please check the box proving that you are not a robot. Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. Sharp Health Plan1-800-359-2002 . We are making improvements to how you can view and pay your bills through your Sharp Account. Please clearly state State Fair Hearing Request on your correspondence. For your protection, we don't recommend using email to send personal medical information. 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. Cookies must be enabled to properly use this website. If you have any questions about the process or your specific bill, please don't hesitate to send us an email or give us a call: We want to make it as easy as possible to manage your bills, which is why we offer paperless billing. You can call us Monday through Friday, 8 am to 5 pm. 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. 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. We are currently experiencing issues with our provider and site search tools. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. The claim dispute process should only be used after other attempts to resolve the matter have failed. March is Colorectal Cancer Awareness Month. Customer care representatives are available to assist you. Sharp is not-for-profit and relies on fundraising. FL 22: Resubmission Code field must be billed with a "7" and the Original Reference Number field . Many surgery and procedure names sound similar. Covered Services , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . 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. . Thats why were committed to you. April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday MORE OPTIONS + Brokers networkmgmt@scanhealthplan.com, Office Ally Clearinghouse Click here to read the full disclaimer. 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. Please do not use this form to convey personal or medical information. H.S. Don't want to pick up the phone? Please do not use this form to convey personal or medical information. Find a UPMC Health Plan claims. Search for a doctor, hospital, pharmacy or drug name. 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). Learn how to create one now. Careers Go to www.sharphealthplan.com/payment to pay now. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. If you believe your responsibility is inaccurate, please contact your insurance plan directly. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, please Please see the below for more contact options. If you'd like to pay a bill for a loved one, use our one-time payment form. 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: Box 982975El Paso, TX 79998-2975. PracticeBridge. instructions from the Health Plan and the Department of Managed Health Care. Electronic prescribing mandate information. Iselin, New Jersey 08830. Attn: Member Services Caregivers for SCAN Members can receive help with their login credentials here. We will review your request and send you an email invitation to complete the connection within 30 days. 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. To set up a hospital payment plan for a family member, call us at 858-499-2400. Refer to your insurance card or call your insurance provider to determine your medical group. We are currently experiencing issues with our provider and site search tools.