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Cookies must be enabled to properly use this website. Don't want to pick up the phone? Voz y TTY (telfono de texto):1-800-855-3000. Phone: 1-858-499-8200. Sharp Health Plan . 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. April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday All rights reserved | Email: [emailprotected], Edison health solutions provider portal eligibility, Central texas transgender health coalition, Federal retirees open season health insurance, Eastern shore rural health patient portal. Click below to learn more about which plans, benefits and doctors are available in your area. , 1-800-359-2002 , Sharp Health Plan , 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. Sharp Health Plan . year in a row. Hours may change during holidays see below. AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. We provide dedicated bilingual (English/Spanish) representatives to our members and free over-the-phone translation services in dozens of other languages. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. Sharp Direct Advantage is offered by Sharp Health Plan. min ph. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. FBT: SharpHealthPlan.com no longer supports this Internet browser. 1-800-600-4441. Ready for comprehensive Medicare Advantage coverage that could save you money? You may submit feedback about your Medicare Advantage health plan directly to Medicare. Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a 1-800-359-2002 . 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 can use your Sharp Account to make a partial payment on a bill. 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? 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. GET INFO , Half of Americans have at least one risk factor for heart disease. GET INFO , Share this information with our members to help reduce their heart disease risk. email us at provider.relations@sharp.com or call1-858-499-8330. Caregivers for SCAN Members can receive help with their login credentials here. Find out more , Stay informed. 562-508-6781 For example, if you had an emergency room visit that required X-rays and lab tests, you may receive a bill from the hospital for technical resources, a bill from the emergency room physician for professional services, a bill from the radiologist for interpreting your X-rays and a bill from the pathologist for analyzing specimens from your lab tests. Get the right support so that no questions are left unanswered. Hours may change during holidays. MORE OPTIONS + Brokers We're here to help you succeed. We will review your request and send you an email invitation to complete the connection within 30 days. Email your SCAN Network Management representative. Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. o Within 12 months after the date that eligibility is posted. Please read our. 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. instructions from the Health Plan and the Department of Managed Health Care. CALL NOW. One of our financial counselors will provide estimated out-of-pocket costs for your care with us. Thank you for making us the highest member-rated health plan in California for the eighth , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. 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. Check your coverage documents through Sharp Connect. If you have a health question or concern after regular business hours, you can talk to a nurse through our after-hours nurse line.Call Sharp Nurse Connection at 1-855-562-8853 from 5 pm to 8 Get free, confidential 24/7 treatment referral and information from the National Helpline. These important numbers are located on your billing statement. 1-800-454-3730. 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. Sharp Health Plan is an HMO with a Medicare contract. and Nov. 30, 2023. Customer Service Information To find doctors who accept Sharp Health Plan - HMO and their office locations, and more go to http://www.sharphealthplan.com/ Customer service phone number: 1-800-359-2002 Customer service TTY/TDD number: 711 (state relay service) Customer service hours/availability: 8:00am-6:00pm M-F Every year, Medicare evaluates plans based on a 5-star rating system. Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. http://oig.hhs.gov/fraud/report-fraud/index.asp. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. Cash is accepted at hospitals only. Find a We're here to help shed light on the bills you may receive. To provide a more personalized experience, please select a state where SCAN is offered. We are working to resolve this as quickly as possible. Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. If you choose to send via fax, please fax your disputes to 602 351-2300. 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. Click on the link for answers about Medicare Advantage and coverage. The Health Plan encourages electronic claims submission . Youve earned your Medicare benefits! For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, 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. 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: Medicare Crossover Claims Mailing Address: Medical. Sharp Health Plan , 1-800-359-2002. Mail-Order 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. FL 22: Resubmission Code field must be billed with a "7" and the Original Reference Number field . Phone: 1-858-499-8330 If there is a problem with the information provided, and your insurance plan will not pay, our billing office attempts to correct the information and refile the claim. 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. For your protection, we don't recommend using email to send personal medical information. *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. Looking for Provider Login or Agent/Broker Login? Were your neighbors so you can count on us to be accessible. 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. Required Qualifications. Please clearly state State Fair Hearing Request on your correspondence. Fax: 1-858-303-9049 For more contact information, please click hereto access the Provider Operations Manual. Make sure your contact information is up to date. Sharp Health Plan | Login Sign in Email address Password Forgot your password? All of the points of contact are professional, committed and passionate about providing high-quality service. 1-800-837-0959 fax, Network Management Please include all supporting documentation with the initial claim dispute submission. Out-of-State Toll Free: 1-800-523-0231, How to Apply 1-858-499-8211 To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. This year's theme is #EmbraceEquity. Sharp HealthCare offers financial assistance for qualifying patients who need help with emergency or medically necessary care received in a Sharp hospital. email us at provider.relations@sharp.comor call 1-858-499-8330. The program also provides coverage for preventive and behavioral health care services. Need to pay a medical bill or copay? Due to COVID-19 restrictions, the Sharp Health Plan office is not open to visitors at this time. Claim Form - Conference and Travel - Cerritos College - cms cerritos Call Member Services to request translation services. Get free, confidential 24/7 treatment referral and information from the National Helpline. 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. The Sharp SecureHorizons Plan by UnitedHealthcare and the Sharp Walgreens by UnitedHealthcare plans are Medicare Advantage Health Maintenance Organization (HMO) plans that include benefits in addition to those covered under Original Medicare, including Part D prescription drug coverage. Click here and follow the instructions. Call 1-800-827-4277 or view our detailed phone directory. Enrollment in SCAN Health Plan depends on contract renewal. Enrollment with Sharp Health Plan depends on contract renewal. If you believe your responsibility is inaccurate, please contact your insurance plan directly. SCAN Health Plan 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. Contact your software vendor directly for questions about your electronic billing. The website information you will be accessing is provided by another organization or vendor. 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. MC may request an extension of up to 45 days, if necessary. BOX 22616 Read the update , Share these tips with our members to help them reduce their risk of colon cancer. 1-562-308-3699 fax Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. About the billing process Paying your bill Payment plans Understanding your bill Paying a family member's bills Consumer protections from surprise billing About the billing process. Sharp Health Plan is accepting enrollments all year, thanks to the 5-star special enrollment period. If a provider disagrees with the MC Notice of Decision, the provider may request a State Fair Hearing. * Every year, Medicare evaluates plans based on a 5-star rating system. direct access to Sharp HealthCare. Box 22698 Long Beach, CA 90801-5616. You can choose how you want to receive your billing statements and notifications via mail, email or both. 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. See if your doctor is covered under Sharp Direct Advantage Medicare plans. Sharp Health Plan 1.800.359.2002. There is a problem with enrollment at this time. For the best experience on our website, please upgrade your browser to the latest version. 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. You have entered a ZIP code that is not currently accepting enrollments. Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 For general information or questions about quotes, rates, or materials: For member-specific information or questions: Were here to help you help your patients. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. , , Sharp Health Plan , ' . MORE OPTIONS + Brokers We're here to help you succeed. It is important to note that balance billing members is prohibited under all Mercy Care health plans. Find your health plan's address (PDF). Mercy Care Claims Department P. O. Learn about the basics of Medicare, how to enroll, andmore. These hours may change during holidays see below. Sharp Health Plan . Visit our FAQ and get your questions answered. The monthly premium for our new VIP Plan is $0. 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. H5386_2022 Medicare Website_Rev10 Page Last Updated: 1/03/2023 Covered Services If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. 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 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. Caregivers for SCAN Members can receive help with their login credentials here. 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. 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). SCAN Health Plan is an HMO plan with a Medicare contract. Write: 3800 Kilroy Airport Way, Suite 100 Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing information. o Or within 60 days after the date of the denial of a timely claim submission, whichever is later. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . Cancer Resource , Health (7 days ago) WebProvider Services / Claims ( 877 ) 853 - 8019 ( 855 ) 297 - 4247 Enrollment ( 855 ) 593 - 5757 Care Management ( 888 ) 995 - 1689 7(32) 421 - 4317 Mailing Address for , Edison health solutions provider portal eligibility, Online mba for healthcare professionals, Central texas transgender health coalition, Federal retirees open season health insurance, Atrium health one health family medicine, Eastern shore rural health patient portal, 2022 health-mental.org. sorlando@scanhealthplan.com. You can also search for your primary care doctor to find the medical group you and your doctor belong to. Messages received on holidays and outside of our business hours will be returned within one business day. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. 1-800-359-2002. Sharp Community has been caring for San Diegans since 1989. REDUCE RISK , Learn how to reduce colon cancer risk by making healthy lifestyle changes. We're your neighbors, so you can count on us to be accessible. Our fax number is 1-858-303-9049 . Provider Account Management: Contact us Coronavirus & COVID-19 resources 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. P.O. 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? 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. 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. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week. Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. Click here to read the full disclaimer. Sharp Health Plan 1.800.359.2002. Never wonder about the status of your claims again. Electronic Remittance Advice (835) [ERA]: YES. Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. 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. Submit authorizations. Go to www.sharphealthplan.com/payment to pay now. Reduce risk , "We are thrilled with the support that we receive at all levels. Don't want to pick up the phone? To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. Iselin, New Jersey 08830. Click here to read the full disclaimer. *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. From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., seven days a week. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. We invite you to share our women's preventive care Enrollment with Sharp Health Plan depends on contract renewal. Our billing office will make several attempts to collect payment. Contact us Coronavirus & COVID-19 , Health (2 days ago) WebCall us at 1-858-499-8300. In many cases, payment is sent directly to us from your health insurance provider. With our providers, patients and health plans working together, we can ensure the best possible outcome every time. checklist. b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. 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. 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. As reported in Medicare & You 2023 member rating of plan. Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. Please read our. Learn More. Well help you choose the coverage thats right for you. 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). Click here. Easily submit pre-authorizations without extra steps. Contact Express Scripts for Part D Coverage Reviews Coverage Determinations 1-844-424-8886 (TTY: 1-800-716-3231) tel. Contact your Network Management representative for more information about electronic billing. 8 a.m. to 8 p.m., Seven days a week, from October 1 to March 31. Phone: 1-858-499-8100 LEARN MORE , Let our members know about screening tests to help prevent or detect cervical cancer. 1-800-HHS-TIPS (1-800-447-8477) Providers who are contracted with Mercy Care can use electronic billing software. Caregivers for SCAN Members can receive help with their login credentials here. Box 982975El Paso, TX 79998-2975. Your bill will list the services you received under the "Summary of Patient Services." If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. Complete ALL required fields, and include additional documentation when necessary. Health (3 days ago) Web101 Wood Avenue South, 8th Floor. Coinsurance takes place when you reach your deductible and you and your insurance plan share in paying a percentage of the remaining costs. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. . If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. Subscribe to Newsletters Due to California privacy regulations, the information you can access for minor patients will depend on their age. If you have questions that include personal details, like your medical history, please call your doctor directly. Every hospital visit involves both physician and hospital resources. With our cost-saving benefits, you could put more money back into your monthly budget. 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. Call our dedicated Customer Care provider line: SharpCare Medical Group patients can use this form to make online payments. Enrollment with Sharp Health Plan depends on contract renewal. The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time LEARN MORE . Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. Now its our turn to serveyou. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30.