These important numbers are located on your billing statement. Refer to our Provider Manual for more detailed information. Were your neighbors so you can count on us to be accessible. Contact Sharp Health Plan to get answers on anything from paying a bill to signing up for coverage. Providers who are contracted with Mercy Care can use electronic billing software. 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? 1-858-499-8300. You can call us Monday through Friday, 8 am to 5 pm. Learn how to create one now. Our updated Mercy Care Claims Processing Manualis now available to assist you with any claims or billing questions you may have. For your employees' protection, we don't recommend using email to send personal medical information. A deductible is the annual amount that you must pay, out of pocket, before an insurance plan begins reimbursing for eligible services. It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. 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. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. Electronic prescribing mandate information. Please see the below for more contact options. To provide a more personalized experience, please select a state where SCAN is offered. 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. 1-800-359-2002 . refill on a road trip. For the best experience on our website, please upgrade your browser to the latest version. These hours may change during holidays see below. April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday 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. Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. If you do not have a Sharp Account yet, you can submit a completed authorization form to request access. BOX 22616 Call Member Services to request translation services. FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. 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). Well help you choose the coverage thats right for you. Contact us. Enrollment with Sharp Health Plan depends on contract renewal. Providers must register with the AHCCCS program to be eligible for payment reimbursement. 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? Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. 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). Click here and follow the instructions. We offer high-quality, affordable health insurance for San Diegans of all ages with We are available 7 am to 8 pm, seven days a week. Member Services Phone Number. You can call us Monday through Friday, 8 am to 6 pm. Read the full disclaimer. 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 Pay Your Premium Complete testing with UPMC Health Plan. b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. The claim dispute process should only be used after other attempts to resolve the matter have failed. Phone: 1-858-499-8330 If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. 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). Real Time Claim Status (RTS): NO. It's easy to register. Find your doctor's phone number. Typically, you will pay your percentage of costs until you reach your plan's annual out-of-pocket maximum. Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time Please read our. Our fax number is 1-858-303-9049. Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. Sharp Health Plan . Sharp Health Plan is accepting enrollments all year, thanks to the 5-star special enrollment period. Need to pay a medical bill or copay? You can pay by credit or debit card or by check. We offer high-quality, affordable health insurance for San Diegans of all ages with direct access to Sharp HealthCare. In many cases, payment is sent directly to us from your health insurance provider. The monthly premium for our new VIP Plan is $0. The percentage you pay of the remaining costs depends on your plan. 1-360-975-7000, option 1. Read the full disclaimer. 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. 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. Cookies must be enabled to properly use this website. Contact us Coronavirus & COVID-19 resources for providers Manage your claims. Failure to specifically state the factual and legal basis may result in denial of the claim dispute. All of the points of contact are professional, committed and passionate about providing high-quality service. Dr. Alan Kadet's office New York, NY Check eligibility & benefits. The provider must follow all applicable laws, policies and contractual requirements when filing. 2023SCAN Health Plan. http://oig.hhs.gov/fraud/report-fraud/index.asp. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Submit authorizations. 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. Visit our FAQ and get your questions answered. 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. Caregivers for SCAN Members can receive help with their login credentials here. H5386_2022 Medicare Website_Rev10 Page Last Updated: 1/03/2023 The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. [SBM Sharp Health Plan [ 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. FBT: SharpHealthPlan.com no longer supports this Internet browser. 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. 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. However, making a partial payment will not prevent a past-due bill from going to a collections agency. Please refer to our Billing, Collections and Bad Debt policy. Sharp Health Plan , 1-800-359-2002. To set up a hospital payment plan for a family member, call us at 858-499-2400. Out-of-State Toll Free: 1-800-523-0231, How to Apply 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. Subscribe to Newsletters Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. 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. Claim Form - Conference and Travel - Cerritos College - cms cerritos UPMC Health Plan claims. FL 22: Resubmission Code field must be billed with a "7" and the Original Reference Number field . Find a local SCAN Representative in your neighborhood who speaks your language. Don't want to pick up the phone? 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 For member-specific information or questions: 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. 1-877-863-3362 You can also use this form to pay a bill for another person. For the best experience on our website, please upgrade your browser to the latest version. 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 The hospital's bill will be for the technical resources and supplies, such as procedures and equipment, needles and scalpels or medications. 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. Written claim disputes must be submitted to the MC Appeals Department. You may need to complete a final step to connect to your family member in FollowMyHealth. Hours may change during holidays. instructions from the Health Plan and the Department of Managed Health Care. Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of benefits. Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31. Please check the box proving that you are not a robot. Awards and recognition are subject to change each year. For general information or questions about quotes, rates or materials: 1-888-327-9791 tel. For general questions or provider portal registration, contact our Provider Account Management team. This year's theme is #EmbraceEquity. At this time, paperless billing is only available for Sharp Rees-Stealy and Sharp hospital bills. Policy Manuals Don't have a Sharp Account? . 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. Caregivers for SCAN Members can receive help with their login credentials here. Your password has been reset. AI/AN members can switch their enrollment between AHCCCS AIHP and an AHCCCS managed health care plan and back again at any time. Due to COVID-19 restrictions, the Sharp Health Plan office is not open to visitors at this time. Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. Explore SCAN plans available in your area! From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., seven days a week. PracticeBridge. 1-800-600-4441. 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. Following your medical procedure, our billing office files a claim with your primary health insurance for the services performed. Click here to read the full disclaimer. Search for a doctor, hospital, pharmacy or drug name. 1-800-454-3730. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Please contact Member Services. 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. You will need to provide your personal information and the invoice or visit number from your paper statement for each payment. 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. min ph. There is a problem with enrollment at this time. Learn More. Voz y TTY (telfono de texto):1-800-855-3000. Email your SCAN Network Management representative. If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. Now its our turn to serveyou. Thank you for making us the highest member-rated health plan in California for the eighth Contracted providers can find reimbursement information in their Mercy Care contracts. 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. Use your member ID number to sign MORE OPTIONS + Brokers We're here to help you succeed. For your protection, we don't recommend using email to send personal medical information. 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. Sharp HealthCare offers many payment options, including monthly payment installments for qualified or eligible hospital bills, which you can set up via Sharp Account. Cash is accepted at hospitals only. Credentialing: Your password has been reset. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week. GET INFO , Share this information with our members to help reduce their heart disease risk. Enrollment in SCAN Health Plan depends on contract renewal. We were named in the 2023 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage inCalifornia. A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. Helpful holiday tips, your 2023 coverage checklist and more. Hours may change during holidays see below. Medicare Crossover Youve earned your Medicare benefits! As reported in Medicare & You 2023 member rating of plan. Please visit Sharp.com or call your provider. Sharp Direct Advantage is offered by Sharp Health Plan. If you still need answers, please send us an email or give us a call: It's not uncommon to receive statements or bills from more than one provider for one hospital visit. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. 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. 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. Award-winning service, comprehensive coverage, plus more. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . The website information you will be accessing is provided by another organization or vendor. You have entered a ZIP code that is not currently accepting enrollments. Address. Long Beach, CA 90801-5616, Encounter Data Team Please check the box proving that you are not a robot. Looking for Provider Login or Agent/Broker Login? General office experience, preferably in a service oriented environment. Cookies must be enabled to properly use this website. Search Sharp Health Plan PayerID SHP01 and find the complete info about Sharp Health Plan Insurance Type, LOB, ENR, RTE, RTS, ERA, SEC, Customer Service Number and more . networkmgmt@scanhealthplan.com, Office Ally Clearinghouse You may receive a bill from us after your health insurance plan processes our bill. 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. 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. 1-858-499-8009 Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. Once received, the claim dispute will be reviewed, and a decision will be rendered within 30 days after receipt. email us at provider.relations@sharp.com or call1-858-499-8330. Easily submit pre-authorizations without extra steps. 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). 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. The Health Plan provides an in-process claims list on payment vouchers, a secure provider portal listing claims status, and a customer service area to handle telephone inquiries. 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. SCAN Health Plan is an HMO plan with a Medicare contract. Write: We are currently experiencing issues with our provider and site search tools. Attn: Member Services If you cannot pay the entire amount, you can set up a payment plan via Sharp Account for qualifying or eligible hospital bills. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Every hospital visit involves both physician and hospital resources. Messages received on holidays and outside of normal business hours will be returned within one business day. For Providers. A copay is a predetermined (flat) fee that you pay for health care services, in addition to what your health insurance plan pays. Write: SCAN Claims Department P.O. Box 22698 Sharphealthplan.com Category: Health Detail Health Contact us - Phone numbers, email, mailing address Health (2 days ago) WebCall us at 1-858-499-8300. Contact your Network Management representative for more information about electronic billing. We're your neighbors, so you can count on us to be accessible. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved.

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