http://oig.hhs.gov/fraud/report-fraud/index.asp. 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. Never wonder about the status of your claims again. Providers must register with the AHCCCS program to be eligible for payment reimbursement. News & Press Releases, Can't find what you're looking for? 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. You may receive a bill from us after your health insurance plan processes our bill. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Please check your email for your new password. Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. Mail-Order If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. . You can also search for your primary care doctor to find the medical group you and your doctor belong to. For Providers. Customer care representatives are available to assist you. 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. Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. For the best experience on our website, please upgrade your browser to the latest version. Thank you for your understanding as we work to ensure everyone remains healthy and safe. . Write: SharpHealthPlan.com no longer supports this Internet browser. Find a Find a local SCAN Representative in your neighborhood who speaks your language. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com 400, Wittman Drive Grand Rapids Itasca County MN - 55744 United . Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. Hours may change during holidays. If you'd like to pay a bill for a loved one, use our one-time payment form. Call 1-800-827-4277 or view our detailed phone directory. Provider Account Management: 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. Rated 4.5 out of 5 stars by Medicare six years in a row! Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a SCAN Health Plan is an HMO plan with a Medicare contract. Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31. Caregivers for SCAN Members can receive help with their login credentials here. Long Beach, CA 90801-5616. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. Health (1 days ago) WebSharp Health Plan Login Sign in Email address Password Forgot your password? Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. All rights reserved. With our providers, patients and health plans working together, we can ensure the best possible outcome every time. DentaQuest administers dental benefits for Mercy Care and Mercy Care Advantage. 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. 1-855-562-8853 (TTY/TDD: 711) 7 am to 8 pm Pacific Time Contact us Coronavirus & COVID-19 , Health (2 days ago) WebCall us at 1-858-499-8300. At this time, the Sharp Health Plan . 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. MC will acknowledge a claim dispute request within five (5) business days after receipt. 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. 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. year in a row. Can't find your answer below? Address. Once you have submitted our request form, we will review your request and send you an email invitation to complete the connection within 30 business days. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. *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 This position provides support and assistance to the Claims Department. Please do not use this form to convey personal or medical information. Read the full disclaimer. If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. With our cost-saving benefits, you could put more money back into your monthly budget. See your patients' history. 1-858-499-8009 Box 90640Phoenix, AZ 85066. Manage your claims. Sharp Health Plan is an HMO with a Medicare contract. Fax: 1-858-303-9049 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: Don't want to pick up the phone? 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. Out-of-State Toll Free: 1-800-523-0231, How to Apply ) 1-800-359-2002. Our fax number is 1-858-303-9049 . SharpHealthPlan.com no longer supports this Internet browser. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. 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. Thank you for serving our city and San Diegans like us. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. Careers If a provider does not receive an acknowledgement letter within five (5) business days, the provider must contact the Appeals Department. Caregivers for SCAN Members can receive help with their login credentials here. Cookies must be enabled to properly use this website. A copay is a predetermined (flat) fee that you pay for health care services, in addition to what your health insurance plan pays. http://oig.hhs.gov/fraud/report-fraud/index.asp. Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. Use your member ID number to sign 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? 2023SCAN Health Plan. 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. Once received, the claim dispute will be reviewed, and a decision will be rendered within 30 days after receipt. 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. Compliance Officer Interfaces with other Sharp Health Plan employees to provide information as requested for other Departments. 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). Our fax number is 1-858-303-9049 . Fax: 1-858-303-9062 Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. *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. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. You will need to provide your personal information and the invoice or visit number from your paper statement for each payment. Click here to read the full disclaimer. If you believe your responsibility is inaccurate, please contact your insurance plan directly. Send us an email instead. For questions about plans and benefits, members should call: April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday It's easy to register. Seffrah Orlando, Senior Public Relations Specialist Sharp Health Plan 1.800.359.2002. Every year, Medicare evaluates plans based on a 5-star rating system. 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. 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). Call us We are available 7 am to 8 pm, seven days a week. Health (6 days ago) WebContact Us . This service is free of charge and also includes American Sign Language translators. LEARN MORE . FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. The provider should contact MC Claims and/or Network Management to seek additional information prior to initiating a claim dispute. 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"). 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. AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. Due to California privacy regulations, the information you can access for minor patients will depend on their age. We provide dedicated bilingual (English/Spanish) representatives to our members and free over-the-phone translation services in dozens of other languages. Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. Click below to learn more about which plans, benefits and doctors are available in your area. Contracted providers can find reimbursement information in their Mercy Care contracts. Enrollment with Sharp Health Plan depends on contract renewal. You can use Medicares 5-star special enrollment period to switch from your current Medicare plan to a Medicare plan with a 5-star quality rating. 1-888-327-9791 tel. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: Many surgery and procedure names sound similar. Search for a doctor, hospital, pharmacy or drug name. MORE OPTIONS + Brokers We're here to help you succeed. Sharp Health Plan is an HMO with a Medicare contract. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. Messages received on holidays and outside of normal business hours will be returned within one business day. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. Please include all supporting documentation with the initial claim dispute submission. Award-winning service, comprehensive coverage, plus more. 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. Contact us. Learn how you can help your patients through the Shingrix shortage. See if your doctor is covered under Sharp Direct Advantage Medicare plans. , , Sharp Health Plan , ' . Box 22698 Long Beach, CA 90801-5616. Sharp Health Plan . You can call us Monday through Friday, 8 am to 5 pm. We're your neighbors, so you can count on us to be accessible. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. 3800 Kilroy Airport Way, Suite 100 It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. Every year, Medicare evaluates plans based on a 5-star rating system. 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. Find your doctor's phone number. Refer to your insurance card or call your insurance provider to determine your medical group. 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 Health Plan is an HMO with a Medicare contract. . Send us an email instead. P.O. 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. 1-800-HHS-TIPS (1-800-447-8477) Iselin, New Jersey 08830. Awards and recognition are subject to change each year. 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 It only takes about 15 to 20 minutes to enroll online securely. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. For your protection, we don't recommend using email to send personal medical information. . 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. Sharp Health Plan . Following your medical procedure, our billing office files a claim with your primary health insurance for the services performed. b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. Click here and follow the instructions. Sharp Health Plan Performance Plus UnitedHealthcare SignatureValue Alliance and SignatureValue Harmony UnitedHealthcare Group Medicare Advantage and Medicare Advantage Edge Western Health Advantage HMO and MyCare Select Medicare HMO Blue Shield of California and Kaiser Permanente administer their own Pharmacy Benefits. We are working to resolve this as quickly as possible. Were your neighbors so you can count on us to be accessible. 1-800-837-0959 fax, Network Management 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 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. As reported in Medicare & You 2023 member rating of plan. To provide a more personalized experience, please select a state where SCAN is offered. The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. PracticeBridge. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. 1-877-251-5896 fax Home Delivery from Express Scripts Pharmacy . FBT: SharpHealthPlan.com no longer supports this Internet browser. Please clearly state State Fair Hearing Request on your correspondence. Looking for Provider Login or Agent/Broker Login? If you do not want to leave our website, please click the X. 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. 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 For general information or questions about quotes, rates or materials: SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Long Beach, CA 90806, EthicsPoint We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. Dr. Alan Kadet's office New York, NY Check eligibility & benefits. BOX 22616 For your employees' protection, we don't recommend using email to send personal medical information. 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. Hours may change during holidays. These hours may change during holidays see below. 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. Empire Plan Toll free. 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. Enrollment with Sharp Health Plan depends on contract renewal. The Health Plan encourages electronic claims submission . All of the points of contact are professional, committed and passionate about providing high-quality service. direct access to Sharp HealthCare. Caregivers for SCAN Members can receive help with their login credentials here. Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of benefits. Box 982975 El Paso, TX 79998-2975. Need to pay a medical bill or copay? Now its our turn to serveyou. ", - Sherri R., Director of Benefits & HR Information Systems, Palomar Health. Sharp Health Plan1-800-359-2002 . 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. In many cases, payment is sent directly to us from your health insurance provider. *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. Messages received on holidays and outside of normal business hours will be returned within one business day. All electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. Required Qualifications. o Or within 60 days after the date of the denial of a timely claim submission, whichever is later. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. Well help you choose the coverage thats right for you. Sharp Health Plan . Sharp Health Plan1-800-359-2002 . Diploma or Equivalent; Essential . Don't have a Sharp Account? Please read our. Get helpful reminders about how to comply with the timely access laws, which outline maximum wait times for phone calls and appointment requests. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. 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 If you would like to discuss your bill or payment options, please give us a call: To set up a payment plan for a hospital bill, sign in to your Sharp Account. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. , , Sharp Health Plan, . Sharp Direct Advantage is offered by Sharp Health Plan. Please check the box proving that you are not a robot. min ph. Interested in joining the SCAN provider network? Our fax number is 1-858-303-9049. We know youre committed to your workforce. For member-specific information or questions: For our members' protection, we don't recommend using email to send personal medical information. Claim Form - Conference and Travel - Cerritos College - cms cerritos 1-800-600-4441. [SBM Sharp Health Plan [ 1-800-359-2002. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. CALL NOW. Enjoy retirement with a plan you cantrust. You may need to complete a final step to connect to your family member in FollowMyHealth. Email your SCAN Network Management representative. You can also use Sharp Account to view itemized bills, check your current balance and view your payment history. We will review your request and send you an email invitation to complete the connection within 30 days. 1-844-424-8886 (TTY: 1-800-716-3231) tel. 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 SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . 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). Get free, confidential 24/7 treatment referral and information from the National Helpline. Make sure your contact information is up to date. Read the update , Share these tips with our members to help them reduce their risk of colon cancer. You can send us an email at customer.service@sharp.com and we will get back toyou. Hours may change during holidays. 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 For the best experience on our website, please upgrade your browser to the latest version. Click here to read the full disclaimer. Awards and recognition are subject to change each year. Please see the below for more contact options. Sharp HealthCare offers many payment options, including monthly payment installments for qualified or eligible hospital bills, which you can set up via Sharp Account. Learn about the basics of Medicare, how to enroll, andmore. This means the hospital and each of your treating physicians will send you a bill for their parts of your care. , , Sharp Health Plan , ' . Real Time Claim Status (RTS): NO. It is important to note that balance billing members is prohibited under all Mercy Care health plans. Member Services Phone Number. This could result in the claim being denied for untimely filing. 1-562-308-3699 fax

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