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. See if your doctor is covered under Sharp Direct Advantage Medicare plans. Hours may change during holidays. We know youre committed to your workforce. 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 Medicares 5-star special enrollment period to switch from your current Medicare plan to a Medicare plan with a 5-star quality rating. Were here to help you help your patients. min ph. Our fax number is 1-858-303-9049. We offer high-quality, affordable health insurance for San Diegans of all ages with direct access to Sharp HealthCare. If you believe your responsibility is inaccurate, please contact your insurance plan directly. Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing information. These important numbers are located on your billing statement. Please contact Member Services. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. You may submit feedback about your Medicare Advantage health plan directly to Medicare. AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. Our fax number is 1-858-303-9049 . News & Press Releases, Can't find what you're looking for? Real Time Claim Status (RTS): NO. Claims and EDI 1-877-778-7226. TTY/TDD users can dial 711 or use the California Relay Services toll-free phonenumbers. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. Box 22698 Long Beach, CA 90801-5616. See your patients' history. Hours may change during holidays see below. If you do not want to leave our website, please click the X. Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. You will need to provide your personal information and the invoice or visit number from your paper statement for each payment. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. Eligibility, referrals, or claims: Find a Sharp Community has been caring for San Diegans since 1989. 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. Contact your Network Management representative for more information about electronic billing. up. 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. Home Delivery from Express Scripts PharmacySM 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. Members Brokers Providers Employers Members Talk to a real person. 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. Click on the link for answers about Medicare Advantage and coverage. *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 We provide dedicated bilingual (English/Spanish) representatives to our members and free over-the-phone translation services in dozens of other languages. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Please clearly state State Fair Hearing Request on your correspondence. Please do not use this form to convey personal or medical information. We're here to help shed light on the bills you may receive. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. 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? AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Your most common questions, answered without playing phone tag. 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. Call Member Services to request translation services. , , Sharp Health Plan , ' . With our providers, patients and health plans working together, we can ensure the best possible outcome every time. Recently completed plans and new plans may not display on the Hospital Payment Plans section within Sharp Account. 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. You can join today, right from your laptop or phone. 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). Write: 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. 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. Credentialing: Please contact Member Services. MORE OPTIONS + Brokers You can call us Monday through Friday, 8 am to 5 pm. For member-specific information or questions: For our members' protection, we don't recommend using email to send personal medical information. If you feel under the weather or have certain long-term health problems, virtual care can 3800 Kilroy Airport Way, Suite 100 Learn how , These two screening tests can help prevent cervical cancer or detect it early. To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. a) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention. Well help you choose the coverage thats right for you. 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. Sharp is not-for-profit and relies on fundraising. Although physicians are licensed to practice at Sharp's hospitals, they are not Sharp HealthCare employees. At this time, the Sharp Health Plan . All of the points of contact are professional, committed and passionate about providing high-quality service. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: GET INFO , Share this information with our members to help reduce their heart disease risk. Caregivers for SCAN Members can receive help with their login credentials here. Mail-Order These hours may change during holidays see below. 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. This means the hospital and each of your treating physicians will send you a bill for their parts of your care. Send us an email instead. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. All rights reserved. This service is free of charge and also includes American Sign Language translators. Learn how to create one now. Health (6 days ago) WebContact Us . Box 22698 Call 1-800-827-4277 or view our detailed phone directory. March is Colorectal Cancer Awareness Month. For Providers. Interfaces with other Sharp Health Plan employees to provide information as requested for other Departments. You can call us Monday through Friday, 8 am to 6 pm. Sharp Health Plan 8520 Tech Way, Ste. Customer care representatives are available to assist you. Please read our. 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: . Please check the box proving that you are not a robot. SCAN Health Plan Coinsurance takes place when you reach your deductible and you and your insurance plan share in paying a percentage of the remaining costs. Para hablar con un intrprete, llame al 1-800-359-2002. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, 1-800-454-3730. 1-888-445-2038. 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. Call our dedicated Customer Care provider line: Thats why were committed to you. Many surgery and procedure names sound similar. You can also search for your primary care doctor to find the medical group you and your doctor belong to. ) 1-800-359-2002. When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. 1-844-424-8886 (TTY: 1-800-716-3231) tel. UPMC Health Plan claims. Complete ALL required fields, and include additional documentation when necessary. Phone: 1-858-499-8330 Click here to read the full disclaimer. We offer high-quality, affordable health insurance for San Diegans of all ages with Para hablar con un intrprete, llame al 1-800-359-2002. You can use your Sharp Account to make a partial payment on a bill. Write: SCAN Claims Department P.O. SCAN Claims Department 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. Please check the box proving that you are not a robot. You can use this special enrollment period only once between Dec. 8, 2022, Phone: 1-858-499-8100 These important numbers are located on your billing statement. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. Follow the prompts to set your billing preferences. Contact us. From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., seven days a week. 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. Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. Every year, Medicare evaluates plans based on a 5-star rating system. These hours may change during holidays see below. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. This year's theme is #EmbraceEquity. These hours may change during holidays see below. We're your neighbors, so you can count on us to be accessible. 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. Need to pay a medical bill or copay? Thank you for your understanding as we work to ensure everyone remains healthy and safe. Member Services Phone Number. Were your neighbors, so you can count on us to be accessible. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. Get free, confidential 24/7 treatment referral and information from the National Helpline. be a great option. 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. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. 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. Write: Enrollment with Sharp Health Plan depends on contract renewal. 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. For general questions or provider portal registration, contact our Provider Account Management team. Due to COVID-19 restrictions, the Sharp Health Plan office is not open to visitors at this time. Contact Sharp Health Plan to get answers on anything from paying a bill to signing up for coverage. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. ", - Sherri R., Director of Benefits & HR Information Systems, Palomar Health. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. 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: 1-877-251-5896 fax Please do not use this form to convey personal or medical information. Iselin, New Jersey 08830. You can call us Monday through Friday, 8 am to 5 pm. 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). Thank you for serving our city and San Diegans like us. Every hospital visit involves both physician and hospital resources. Awards and recognition are subject to change each year. Find out more , Stay informed. Sharp Direct Advantage is offered by Sharp Health Plan. Interested in joining the SCAN provider network? Providers who are contracted with Mercy Care can use electronic billing software. For the best experience on our website, please upgrade your browser to the latest version. 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. If you have questions about eligibility, costs or what kind of coverage you can expect give us a call today! To include supporting documentation, such as members medical records, clearly label and send to the Claims Department at the correct address. If you use FollowMyHealth, you may grant account access to any adult. 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. Read the full disclaimer. Make sure your contact information is up to date. Read the full disclaimer. Mercy Care Claims Department P. O. H.S. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. Contact us Coronavirus & COVID-19 , Health (2 days ago) WebCall us at 1-858-499-8300. 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. You may receive a bill from us after your health insurance plan processes our bill. Enjoy retirement with a plan you cantrust. A deductible is the annual amount that you must pay, out of pocket, before an insurance plan begins reimbursing for eligible services. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. You can choose how you want to receive your billing statements and notifications via mail, email or both. 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. 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). Please visit Sharp.com or call your provider. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. We are currently experiencing issues with our provider and site search tools. With our providers, patients and health plan working together, we can ensure the best possible outcome every time. 1-800-359-2002. 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. 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. For general information or questions about quotes, rates or materials: Need Member Help Logging In? 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. Your password has been reset. 2023 SCAN Health Plan. Box 2906Milwaukee, WI53201-2906. 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 If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. Fee-for-Service Fee Schedules, Contact Us 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. Complete testing with UPMC Health Plan. Learn about the basics of Medicare, how to enroll, andmore. The website information you will be accessing is provided by another organization or vendor. 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. Electronic Remittance Advice (835) [ERA]: YES. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. 1-800-359-2002 . Don't want to pick up the phone? , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. For the best experience on our website, please upgrade your browser to the latest version. The provider must follow all applicable laws, policies and contractual requirements when filing. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. Provider Account Management: TTY/TDD users can dial 711 or use the California Relay Services toll-free phone numbers. Due to California privacy regulations, the information you can access for minor patients will depend on their age. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time You can send us an email at customer.service@sharp.com and we will get back toyou. TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. Quality care depends on clear communication between you and your patients. AI/AN members can switch their enrollment between AHCCCS AIHP and an AHCCCS managed health care plan and back again at any 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. 1-877-863-3362 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. Never wonder about the status of your claims again. 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. Compliance Officer Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. Hours are 8 a.m. to 8 p.m. from April 1 to Sept. 30, Monday through Friday. PracticeBridge. 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). Get the right support so that no questions are left unanswered. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. If you choose to send via fax, please fax your disputes to 602 351-2300. Enrollment with Sharp Health Plan depends on contract renewal. Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. Sharp Health Plan is accepting enrollments all year, thanks to the 5-star special enrollment period. To set up a hospital payment plan for a family member, call us at 858-499-2400. Reduce risk , "We are thrilled with the support that we receive at all levels. DentaQuest administers dental benefits for Mercy Care and Mercy Care Advantage. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. Once received, the claim dispute will be reviewed, and a decision will be rendered within 30 days after receipt. Now its our turn to serveyou. 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. Contact your software vendor directly for questions about your electronic billing. For the best experience on our website, please upgrade your browser to the latest version. For member-specific information or questions: Learn More. Health (1 days ago) WebSharp Health Plan Login Sign in Email address Password Forgot your password? Award-winning service, comprehensive coverage, plus more. The monthly premium for our new VIP Plan is $0. Sharp Health Plan , 1-800-359-2002. 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. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . 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").
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