sharp health plan claims address

Please contact Member Services. SharpHealthPlan.com no longer supports this Internet browser. 1-562-308-3699 fax Our fax number is 1-858-303-9049. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. 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. At this time, paperless billing is only available for Sharp Rees-Stealy and Sharp hospital bills. We are available 7 am to 8 pm, seven days a week. Refer to your insurance card or call your insurance provider to determine your medical group. Claim Form - Conference and Travel - Cerritos College - cms cerritos You can also use this form to pay a bill for another person. Please check your email for your new password. FBT: SharpHealthPlan.com no longer supports this Internet browser. Looking for Provider Login or Agent/Broker Login? 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). Never wonder about the status of your claims again. You can also search for your primary care doctor to find the medical group you and your doctor belong to. H.S. up. BOX 22616 Contact your Network Management representative for more information about electronic billing. 1-800-359-2002. MORE OPTIONS + Brokers SCAN Health Plan 1-888-327-9791 tel. This service is free of charge and also includes American Sign Language translators. Awards and recognition are subject to change each year. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. Click here to read the full disclaimer. Need to pay a medical bill or copay? Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a *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. 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. For general information or questions about quotes, rates, or materials: For member-specific information or questions: Were here to help you help your patients. Cookies must be enabled to properly use this website. Box 982975El Paso, TX 79998-2975. To set up a hospital payment plan for a family member, call us at 858-499-2400. Manage your claims. , , Sharp Health Plan , ' . Reduce risk , "We are thrilled with the support that we receive at all levels. Claims Mailing Address: Medical. Rated 4.5 out of 5 stars by Medicare six years in a row! Contact your software vendor directly for questions about your electronic billing. Enrollment with Sharp Health Plan depends on contract renewal. Provider Relations Phone Number. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. Hours may change during holidays. Find a local SCAN Representative in your neighborhood who speaks your language. Sharp Health Plan . Call our Customer Care team at (855) 995-5004 or submit a form. Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. Recently completed plans and new plans may not display on the Hospital Payment Plans section within Sharp Account. Every hospital visit involves both physician and hospital resources. Cookies must be enabled to properly use this website. 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. Many surgery and procedure names sound similar. ", - Sherri R., Director of Benefits & HR Information Systems, Palomar Health. 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 1-800-359-2002. When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. For member-specific information or questions: Box 982975 El Paso, TX 79998-2975. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. Sharp Health Plan 1.800.359.2002. It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. Policy Manuals 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. Submit authorizations. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, please Covered Services Sharp Direct Advantage is offered by Sharp Health Plan. Cash is accepted at hospitals only. Members Brokers Providers Employers Members Talk to a real person. Complete testing with UPMC Health Plan. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: Home Delivery from Express Scripts PharmacySM 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"). Follow the prompts to set your billing preferences. Sharp Direct Advantage is offered by Sharp Health Plan. Youve earned your Medicare benefits! For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, 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. Read the full disclaimer. b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. 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 Sharp Health Plan1-800-359-2002 . Electronic Remittance Advice (835) [ERA]: YES. Attn: Member Services AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. be a great option. Can't find your answer below? With Sharp Account, you can request access to a minor child's (age 11 or younger) or dependent adult's account to manage health information, view and pay bills, and more. Contact us Coronavirus & COVID-19 , Health (2 days ago) WebCall us at 1-858-499-8300. 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. The Health Plan provides an in-process claims list on payment vouchers, a secure provider portal listing claims status, and a customer service area to handle telephone inquiries. Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. 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 am, Monday through Friday, and 24 hours a day on weekends. MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from , Health (9 days ago) WebContact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. Health (6 days ago) WebContact Us . For general questions or provider portal registration, contact our Provider Account Management team. Click here to read the full disclaimer. There is a problem with enrollment at this time. You can call us Monday through Friday, 8 am to 5 pm. However, making a partial payment will not prevent a past-due bill from going to a collections agency. April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday Claims and EDI 1-877-778-7226. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. The provider must follow all applicable laws, policies and contractual requirements when filing. 2023SCAN Health Plan. MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com 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. 1-888-705-7226 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? Please visit Sharp.com or call your provider. If you do not have a Sharp Account yet, you can submit a completed authorization form to request access. 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. Learn about the basics of Medicare, how to enroll, andmore. You can use your Sharp Account to make a partial payment on a bill. Click here and follow the instructions. 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. Para hablar con un intrprete, llame al 1-800-359-2002. The claim dispute process should only be used after other attempts to resolve the matter have failed. Please refer to our Billing, Collections and Bad Debt policy. 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. Contact us to learn how to get started with Sharp Direct Advantage today! 1-360-975-7000, option 1. Our fax number is 1-858-303-9049 . Awards and recognition are subject to change each year. 1-844-424-8886 (TTY: 1-800-716-3231) tel. Get started now. Now its our turn to serveyou. SharpHealthPlan.com no longer supports this Internet browser. Your password has been reset. Please do not use this form to convey personal or medical information. Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. 1-800-359-2002 . Explore SCAN plans available in your area! Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. Coverage Determinations ) 1-800-359-2002. You can pay by credit or debit card or by check. Were your neighbors, so you can count on us to be accessible. Every year, Medicare evaluates plans based on a 5-star rating system. Search for a doctor, hospital, pharmacy or drug name. For any claims, eligibility, or referral inquiries, contact our dedicated Customer Care team. 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). Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. Every hospital visit involves both physician and hospital resources. Sharp Health Plan , 1-800-359-2002. One of our financial counselors will provide estimated out-of-pocket costs for your care with us. Voz y TTY (telfono de texto):1-800-855-3000. Send us an email instead. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. 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). Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. ) 1-800-359-2002. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. LEARN MORE . Email your SCAN Network Management representative. The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. Typically, you will pay your percentage of costs until you reach your plan's annual out-of-pocket maximum. Rated 4.5 out of 5 stars by Medicare six years in a row! To have your name removed from our advertising mailing list, please complete and submit the Mailing List Removal form. Learn how , These two screening tests can help prevent cervical cancer or detect it early. If you have questions that include personal details, like your medical history, please call your doctor directly. AI/AN members can switch their enrollment between AHCCCS AIHP and an AHCCCS managed health care plan and back again at any time. Messages received on holidays and outside of our business hours will be returned within one business day. 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. SharpHealthPlan.com no longer supports this Internet browser. REDUCE RISK , Learn how to reduce colon cancer risk by making healthy lifestyle changes. 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. You can use this special enrollment period only once between Dec. 8, 2022, If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. Credentialing: Thank you for your understanding as we work to ensure everyone remains healthy and safe. 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. Find a 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 . Please check the box proving that you are not a robot. 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. You should only sign this section if you want to cancel this authorization. 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. If a provider does not receive an acknowledgement letter within five (5) business days, the provider must contact the Appeals Department. 1-858-499-8211 We're here to help shed light on the bills you may receive. , , Sharp Health Plan , ' . Enrollment in SCAN Health Plan depends on contract renewal. Call us at 1-858-499-8300. Contracted providers can find reimbursement information in their Mercy Care contracts. . . Think of us as your personal health care assistant. For Providers. The program also provides coverage for preventive and behavioral health care services. Due to California privacy regulations, the information you can access for minor patients will depend on their age. o Within 12 months after the date that eligibility is posted. o Or within 60 days after the date of the denial of a timely claim submission, whichever is later. 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. Sharp Health Plan . 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. Please contact Member Services. checklist. The Health Plan encourages electronic claims submission . Helpful holiday tips, your 2023 coverage checklist and more. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. 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. 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. 1-858-499-8009 Box 22698 If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. refill on a road trip. CALL NOW. Member Services Phone Number. 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. and Nov. 30, 2023. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. 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. Ready for comprehensive Medicare Advantage coverage that could save you money? http://oig.hhs.gov/fraud/report-fraud/index.asp. Phone: 1-858-499-8100 Visit Medicare to compare other plan ratings and find detailed reports. Sharp Health Plan . Seven days a week, Default (Select appropriate section in drop down menu to populate), Get the most out of your pharmacy benefits, Understanding your explanation of benefits, Medicares 5-star special enrollment period. 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. Call us We are available 7 am to 8 pm, seven days a week. Don't want to pick up the phone? It's National Drug & Alcohol Facts Week. To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. Our billing office will make several attempts to collect payment. 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. Click hereand follow the instructions. This means the hospital and each of your treating physicians will send you a bill for their parts of your care. Sharp Health Plan1-800-359-2002 . *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 1-877-251-5896 fax Home Delivery from Express Scripts Pharmacy . 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. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. Contact us. 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. You can report potential compliance issues and/or issues with fraud, waste and abuse through any of the following channels: Hours: Sharp Direct Advantage is offered by Sharp Health Plan. 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. Sharp HealthCare offers many payment options, including monthly payment installments for qualified or eligible hospital bills, which you can set up via Sharp Account. Need Member Help Logging In? Out-of-State Toll Free: 1-800-523-0231, How to Apply For general information or questions about quotes, rates or materials: Interested in joining the SCAN provider network? Our fax number is 1-858-303-9049 . Encounter Data Team Encounters_Operations@scanhealthplan.com. We are currently experiencing issues with our provider and site search tools. For your employees' protection, we don't recommend using email to send personal medical information. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. For your protection, we don't recommend using email to send personal medical information. 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? Thank you for serving our city and San Diegans like us. Effective January 1, 2022, all California health care practitioners who are authorized to prescribe will be required to issue prescriptions electronically. Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. Iselin, New Jersey 08830. SCAN Health Plan is an HMO plan with a Medicare contract. If a provider disagrees with the MC Notice of Decision, the provider may request a State Fair Hearing. 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. For the best experience on our website, please upgrade your browser to the latest version. Medicare Crossover Sharp Health Plan | Login Sign in Email address Password Forgot your password? Sharp Health Plan 1.800.359.2002. Phone: 1-858-499-8330 It is important to note that balance billing members is prohibited under all Mercy Care health plans. Coinsurance takes place when you reach your deductible and you and your insurance plan share in paying a percentage of the remaining costs. 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. The only way to ensure you have the full Sharp Experience, from coverage to care, is with a Sharp Direct Advantage plan - only from Sharp Health Plan. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. P.O. Thank you for your understanding as we work to ensure everyone remains healthy and safe. Call Member Services to request translation services. Contact Express Scripts for Part D Coverage Reviews Coverage Determinations 1-844-424-8886 (TTY: 1-800-716-3231) tel. TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. The website information you will be accessing is provided by another organization or vendor. We provide dedicated bilingual (English/Spanish) representatives to our members and free over-the-phone translation services in dozens of other languages. For general questions or provider portal registration, contact our Provider Account Management team. 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. Long Beach, CA 90801-5616. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. The monthly premium for our new VIP Plan is $0. Check your coverage documents through Sharp Connect. *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. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare .