You can talk to a nurse 5 pm to 8am, Monday to Friday, and 24 hours a day on weekends by calling 1-800-359-2002. 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. Find out more , Stay informed. The claim dispute process should only be used after other attempts to resolve the matter have failed. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. 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. Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a If you believe that your needs have not been met, please use the above numbers to contact the hospital where the services were performed and ask to speak to a patient representative. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) 1-800-359-2002 . It's easy to register. This could result in the claim being denied for untimely filing. Customer care representatives are available to assist you. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: 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. Please check your email for your new password. To set up a hospital payment plan for a family member, call us at 858-499-2400. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. networkmgmt@scanhealthplan.com, Office Ally Clearinghouse We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. Caregivers for SCAN Members can receive help with their login credentials here. Please read our. Were your neighbors, so you can count on us to be accessible. SCAN Health Plan 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. 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"). Coinsurance takes place when you reach your deductible and you and your insurance plan share in paying a percentage of the remaining costs. 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. It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. Credentialing: TTY/TDD users: 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. The percentage you pay of the remaining costs depends on your plan. 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). Health (1 days ago) WebSharp Health Plan Login Sign in Email address Password Forgot your password? You can use this special enrollment period only once between Dec. 8, 2022, Learn More. 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. In many cases, payment is sent directly to us from your health insurance provider. If you use FollowMyHealth, you may grant account access to any adult. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. Sharp Health Plan . Read up on ways to protect your colorectal health. These important numbers are located on your billing statement. You can pay by credit or debit card or by check. See if your doctor is covered under Sharp Direct Advantage Medicare plans. Fax: 1-858-303-9049 *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. Every year, Medicare evaluates plans based on a 5-star rating system. Contact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. All electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. Need Member Help Logging In? If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. Voz y TTY (telfono de texto):1-800-855-3000. At this time, paperless billing is only available for Sharp Rees-Stealy and Sharp hospital bills. , , Sharp Health Plan , ' . 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. 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. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week. Additionally, a Level Two report is provided to your vendor, which is the only accepted proof of timely filing for electronic claims. Send us an email instead. 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. General office experience, preferably in a service oriented environment. Empire Plan Toll free. 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. Awards and recognition are subject to change each year. 1-800-600-4441. Electronic submission*: Through Electronic Clearing House Email your SCAN Network Management representative. Awards and recognition are subject to change each year. Pay Your Premium Sharp Health Plan1-800-359-2002 . When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. Sharp Direct Advantage is offered by Sharp Health Plan. Please do not use this form to convey personal or medical information. Looking for Provider Login or Agent/Broker Login? Payment plans are only for hospital bills, and are not available for Sharp Rees-Stealy bills or for connected family members at this time. . The Health Plan encourages electronic claims submission . To include supporting documentation, such as members medical records, clearly label and send to the Claims Department at the correct address. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . Learn how you can help your patients through the Shingrix shortage. Award-winning service, comprehensive coverage, plus more. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . Find a Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. You can call us Monday through Friday, 8 am to 6 pm. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. Health (6 days ago) WebContact Us . The program also provides coverage for preventive and behavioral health care services. Call 1-800-827-4277 or view our detailed phone directory. Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. Read the update , Share these tips with our members to help them reduce their risk of colon cancer. Para hablar con un intrprete, llame al 1-800-359-2002. Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. year in a row. 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. 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. FL 22: Resubmission Code field must be billed with a "7" and the Original Reference Number field . SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. 1-858-499-8300. P.O. Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. Eligibility, referrals, or claims: 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. Effective January 1, 2022, all California health care practitioners who are authorized to prescribe will be required to issue prescriptions electronically. It's National Drug & Alcohol Facts Week. 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 Sharp Health Plan , 1-800-359-2002. * Every year, Medicare evaluates plans based on a 5-star rating system. Fee-for-Service Fee Schedules, Contact Us Easily submit pre-authorizations without extra steps. 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. SharpHealthPlan.com no longer supports this Internet browser. 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. 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). To provide a more personalized experience, please select a state where SCAN is offered. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. Real Time Claim Status (RTS): NO. For questions about plans and benefits, members should call: April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday You may submit your claim dispute in writing through the mail or send electronically to us through fax. http://oig.hhs.gov/fraud/report-fraud/index.asp. From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., seven days a week. Many surgery and procedure names sound similar. Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31. Your most common questions, answered without playing phone tag. Health Insurance for Children, Provider Enrollment Mercy Care Claims Department P. O. 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. instructions from the Health Plan and the Department of Managed Health Care. You have entered a ZIP code that is not currently accepting enrollments. MORE OPTIONS + Brokers Providers who are contracted with Mercy Care can use electronic billing software. You can send us an email at customer.service@sharp.com and we will get back toyou. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Encounter Data Team Encounters_Operations@scanhealthplan.com. Every year, Medicare evaluates plans based on a 5-star rating system. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. CALL NOW. Failure to specifically state the factual and legal basis may result in denial of the claim dispute. 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? Contact us to learn how to get started with Sharp Direct Advantage today! Careers March is Colorectal Cancer Awareness Month. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) It only takes about 15 to 20 minutes to enroll online securely. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. be a great option. Please contact Member Services. Call our dedicated Customer Care provider line: Please read our. Enrollment in SCAN Health Plan depends on contract renewal. Need Member Help Logging In? 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. Any patient or family member with a patient safety or patient care concern or complaint that is not being addressed should promptly ask a nurse or employee to assist you in contacting a hospital manager or supervisor. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . There is a problem with enrollment at this time. Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing 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). MORE OPTIONS + Brokers We're here to help you succeed. 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.