Don't want to pick up the phone? MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com 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). Learn how , These two screening tests can help prevent cervical cancer or detect it early. All of the points of contact are professional, committed and passionate about providing high-quality service. Easily submit pre-authorizations without extra steps. Click here and follow the instructions. Awards and recognition are subject to change each year. You should only sign this section if you want to cancel this authorization. Rated 4.5 out of 5 stars by Medicare six years in a row! Find your health plan's address (PDF). Seffrah Orlando, Senior Public Relations Specialist Our fax number is 1-858-303-9049. Para hablar con un intrprete, llame al 1-800-359-2002. 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. Due to California privacy regulations, the information you can access for minor patients will depend on their age. Failure to specifically state the factual and legal basis may result in denial of the claim dispute. We know youre committed to your workforce. You can join today, right from your laptop or phone. Fax: 1-858-303-9062 CALL NOW. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. The Health Plan encourages electronic claims submission . 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"). Find your doctor's phone number. FL 22: Resubmission Code field must be billed with a "7" and the Original Reference Number field . REDUCE RISK , Learn how to reduce colon cancer risk by making healthy lifestyle changes. Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. Thank you for making us the highest member-rated health plan in California for the eighth 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. 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. All rights reserved. Mercy Care Claims Department P. O. It is important to note that balance billing members is prohibited under all Mercy Care health plans. , , Sharp Health Plan , ' . You may also mail your payment to the address listed on your statement. To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. Shop plans 1 2 3 4 5 6 Enroll online Talk to a , Health (8 days ago) WebThe original claim must be received by The Health Plan 180 days from the date of service. 2023 SCAN Health Plan. Need Member Help Logging In? We're your neighbors, so you can count on us to be accessible. instructions from the Health Plan and the Department of Managed Health Care. Refer to our Provider Manual for more detailed information. Visit our FAQ and get your questions answered. Electronic Remittance Advice (835) [ERA]: YES. Please contact Member Services. Home Delivery from Express Scripts PharmacySM The website information you will be accessing is provided by another organization or vendor. Hours may change during holidays. Please check your email for your new password. email us at provider.relations@sharp.com or call1-858-499-8330. Although physicians are licensed to practice at Sharp's hospitals, they are not Sharp HealthCare employees. SCAN Health Plan is an HMO plan with a Medicare contract. Mercy Care's electronic claim submission vendors, https://dentaquest.com/state-plans/regions/arizona/, Augmentative and Alternative Communication. SharpCare Medical Group patients can use this form to make online payments. Hours may change during holidays. year in a row. Providers must register with the AHCCCS program to be eligible for payment reimbursement. LEARN MORE . , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. 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 Get helpful reminders about how to comply with the timely access laws, which outline maximum wait times for phone calls and appointment requests. 8 a.m. to 8 p.m., Seven days a week, from October 1 to March 31. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. Required Qualifications. H5386_2022 Medicare Website_Rev10 Page Last Updated: 1/03/2023 Please read our. Complete testing with UPMC Health Plan. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) This could result in the claim being denied for untimely filing. Mail-Order *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 You may need to complete a final step to connect to your family member in FollowMyHealth. 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. Written claim disputes must be submitted to the MC Appeals Department. *Star rating applies to all plans in California offered by SCAN Health Plan 2018-2023 except SCAN Healthy at Home (HMO SNP) and VillageHealth (HMO-POS SNP) plans. Please do not use this form to convey personal or medical information. Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. P.O. Send us an email instead. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time Eligibility, referrals, or claims: The provider must follow all applicable laws, policies and contractual requirements when filing. Long Beach, CA 90806, EthicsPoint For the best experience on our website, please upgrade your browser to the latest version. Don't want to pick up the phone? MORE OPTIONS + Brokers We're here to help you succeed. Covered Services To provide a more personalized experience, please select a state where SCAN is offered. Call 1-800-827-4277 or view our detailed phone directory. Health (6 days ago) WebContact Us . , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . Box 22698 You have entered a ZIP code that is not currently accepting enrollments. 1-877-251-5896 fax Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. Contact us Coronavirus & COVID-19 , Health (2 days ago) WebCall us at 1-858-499-8300. Dr. Alan Kadet's office New York, NY Check eligibility & benefits. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. Read up on ways to protect your colorectal health. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. Payment plans are only for hospital bills, and are not available for Sharp Rees-Stealy bills or for connected family members at this time. Members Brokers Providers Employers Members Talk to a real person. 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. 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 Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. Interested in joining the SCAN provider network? With our cost-saving benefits, you could put more money back into your monthly budget. Find a Learn how you can help your patients through the Shingrix shortage. Credentialing: MORE OPTIONS + Brokers We're here to help you succeed. 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. Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. 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. We invite you to share our women's preventive care GET INFO , Share this information with our members to help reduce their heart disease risk. 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). 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 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. Box 22698 Long Beach, CA 90801-5616. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday Read the full disclaimer. . Thank you for serving our city and San Diegans like us. 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. See your patients' history. Call us at 1-858-499-8300. 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. These hours may change during holidays see below. Talk to a real person. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week. SharpHealthPlan.com no longer supports this Internet browser. Enjoy direct access to Sharp HealthCare and The Sharp Experience.*. Electronic submission*: Through Electronic Clearing House GET INFO , Half of Americans have at least one risk factor for heart disease. Medicare Crossover 1-562-308-3699 fax By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Cookies must be enabled to properly use this website. Call us We are available 7 am to 8 pm, seven days a week. All rights reserved. Well help you choose the coverage thats right for you. For general questions or provider portal registration, contact our Provider Account Management team. Enjoy retirement with a plan you cantrust. 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: If you have questions about your covered services, copays or deductibles - or which providers are in-network or out-of-network in your insurance plan - please call your health insurance company to confirm your coverage. PracticeBridge. Iselin, New Jersey 08830. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . To set up a hospital payment plan for a family member, call us at 858-499-2400. We are available 7 am to 8 pm, seven days a week. Sharp Health Plan . Customer care representatives are available to assist you. Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. Please visit Sharp.com or call your provider. You can call us Monday through Friday, 8 am to 5 pm. MC will acknowledge a claim dispute request within five (5) business days after receipt. Get the right support so that no questions are left unanswered. H.S. Send us an email instead. Fee-for-Service Fee Schedules, Contact Us Follow the prompts to set your billing preferences. You can also use Sharp Account to view itemized bills, check your current balance and view your payment history. Member Services Phone Number. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. Please contact Member Services. Search for a doctor, hospital, pharmacy or drug name. 1-360-975-7000, option 1. The monthly premium for our new VIP Plan is $0. 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. With our providers, patients and health plan working together, we can ensure the best possible outcome every time. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. Email your SCAN Network Management representative. 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). 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. Sharp Health Plan . Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 Explore SCAN plans available in your area! We will review your request and send you an email invitation to complete the connection within 30 days. 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. You can also search for your primary care doctor to find the medical group you and your doctor belong to. Call 1-800-827-4277 or view our detailed phone directory. 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. Many surgery and procedure names sound similar. See if your doctor is covered under Sharp Direct Advantage Medicare plans. 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. 400, Wittman Drive Grand Rapids Itasca County MN - 55744 United . Don't hesitate to send us an email or call us Monday through Friday, from 8 am to 4:30 pm: We know health care billing can seem complicated - so we work hard to ensure your experience with Sharp is straightforward and accurate. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. If you do not have a Sharp Account yet, you can submit a completed authorization form to request access. Please read our. You will need to provide your personal information and the invoice or visit number from your paper statement for each payment.