Click here and follow the instructions. To have your name removed from our advertising mailing list, please complete and submit the Mailing List Removal form. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. 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. 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. Mercy Care Claims Department P. O. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 CALL NOW. 562-508-6781 The program also provides coverage for preventive and behavioral health care services. We offer high-quality, affordable health insurance for San Diegans of all ages with direct access to Sharp HealthCare. You will also be able to save your preferred payment method for future use. 1-360-975-7000, option 1. Sharp Health Plan | Login The Health Plan encourages electronic claims submission . 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. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. 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 o Or within 60 days after the date of the denial of a timely claim submission, whichever is later. Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing information. For the best experience on our website, please upgrade your browser to the latest version. Youve earned your Medicare benefits! Your password has been reset. MC may request an extension of up to 45 days, if necessary. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. A copay is a predetermined (flat) fee that you pay for health care services, in addition to what your health insurance plan pays. When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. Enrollment with Sharp Health Plan depends on contract renewal. 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. You can also use this form to pay a bill for another person. For member-specific information or questions: For our members' protection, we don't recommend using email to send personal medical information. Thank you for serving our city and San Diegans like us. 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. For general information or questions about quotes, rates, or materials: For member-specific information or questions: Were here to help you help your patients. Please visit the, Resources for Foster/Kinship/Adoptive Families, Accessing Behavioral Health Services in Schools, AHCCCS Whole Person Care Initiative (WPCI), Emergency Triage, Treat and Transport (ET3), Report Concerns About Quality of Care Received, ALTCS Electronic Member Change Request (EMCR), Quality Assessment and Performance Improvement Strategy, Pre-Admission Screening and Resident Review (PASRR), Demographics, Social Determinants and Outcomes, Tribal Court Procedures for Involuntary Commitment, Contracted Health Plan Audited Financial Statements, Monkeypox Virus and Vaccination Information, Federal Funding Accountability and Transparency Act, Digital Tool Box Deliverable Reports & Schedule, Digital Tool Box AHCCCS Policy & Procedures, Quarterly Meeting Minutes and Presentations, Agency Tribal Consultation Annual Reports, American Indian Health Program (AIHP) Change Request Form, American Indian Health Program (AIHP) ID Request Form, If you have an HEAplus account- go to "Options" and click on the "Request New ID Card" link or, A Community Assistor can assist you in requesting the replacement card through their Assistor dashboard. sorlando@scanhealthplan.com. Write: For Providers. For general information or questions about quotes, rates or materials: 1-800-837-0959 fax, Network Management All of the points of contact are professional, committed and passionate about providing high-quality service. It only takes about 15 to 20 minutes to enroll online securely. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. 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. Please see the below for more contact options. Sharp Direct Advantage is offered by Sharp Health Plan. Messages received on holidays and outside of normal business hours will be returned within one business day. The provider must follow all applicable laws, policies and contractual requirements when filing. For questions about plans and benefits, members should call: April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Awards and recognition are subject to change each year. H5386_2022 Medicare Website_Rev10 Page Last Updated: 1/03/2023 Sharp HealthCare offers many payment options, including monthly payment installments for qualified or eligible hospital bills, which you can set up via Sharp Account. Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. 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. If you feel under the weather or have certain long-term health problems, virtual care can Claims and EDI 1-877-778-7226. *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. 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. Learn how to create one now. Reduce risk , "We are thrilled with the support that we receive at all levels. direct access to Sharp HealthCare. SCAN Health Plan Typically, you will pay your percentage of costs until you reach your plan's annual out-of-pocket maximum. Sharp Health Plan Address. Preferred Qualifications. 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. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: Read up on ways to protect your colorectal health. As reported in Medicare & You 2023 member rating of plan. It is important to note that balance billing members is prohibited under all Mercy Care health plans. Sharp Health Plan , 1-800-359-2002. Long Beach, CA 90801-5616. Your password has been reset. Sharp Health Plan . Helpful holiday tips, your 2023 coverage checklist and more. Failure to specifically state the factual and legal basis may result in denial of the claim dispute. Dr. Alan Kadet's office New York, NY Check eligibility & benefits. P.O. 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. Please check the box proving that you are not a robot. Our billing office will make several attempts to collect payment. Were your neighbors, so you can count on us to be accessible. Manage your claims. Our fax number is 1-858-303-9049. 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. 2023 SCAN Health Plan. You can also search for your primary care doctor to find the medical group you and your doctor belong to. 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. To learn more about our community programs and how these may work for your organization or event, call 1-877-806-7226 or email us. You may receive a bill from us after your health insurance plan processes our bill. It's National Drug & Alcohol Facts Week. If you prefer not to create an account, you can still pay your bill online by using our one-time payment form. For general questions or provider portal registration, contact our Provider Account Management team. Eligibility, referrals, or claims: SHARP HEALTH PLAN - 19 Photos & 207 Reviews - 8520 Tech Way, San Diego If you do not want to leave our website, please click the X. Sharphealthplan.com Category: Health Detail Health Contact us - Phone numbers, email, mailing address Health (2 days ago) WebCall us at 1-858-499-8300. For questions about this process, contact UPMC Health Plan Web Services at 1-800-937-0438 from 8 a.m. to 4:30 p.m., Monday through Friday. 1-800-359-2002 . Customer care representatives are available to assist you. Don't want to pick up the phone? You can call us Monday through Friday, 8 am to 5 pm. . b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. Your most common questions, answered without playing phone tag. b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. You can join today, right from your laptop or phone. 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. min ph. 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. 1-800-359-2002. Out-of-State Toll Free: 1-800-523-0231, How to Apply [SBM Sharp Health Plan [ 1-800-359-2002. Talk to a real person. To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. Sharp Health Plan Claims Address Explore SCAN plans available in your area! 1-858-499-8009 Encounter Data Team Encounters_Operations@scanhealthplan.com. http://oig.hhs.gov/fraud/report-fraud/index.asp. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time