Interested in joining the SCAN provider network? P.O. 1-800-359-2002. Encounter Data Team [email protected]. For your employees' protection, we don't recommend using email to send personal medical information. Don't want to pick up the phone? Provider Tools | Oscar Health - hioscar.com Phone: 1-858-499-8200. 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. Get started now. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. 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"). We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. 1-562-308-3699 fax 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. Visit Medicare to compare other plan ratings and find detailed reports. We are currently experiencing issues with our provider and site search tools. TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. Please check the box proving that you are not a robot. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. LEARN MORE , Let our members know about screening tests to help prevent or detect cervical cancer. Provider Relations Phone Number. Please check the box proving that you are not a robot. Please read our. SCAN Directory - SCAN Health Plan Refer to your insurance card or call your insurance provider to determine your medical group. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. Learn More. Sharp Health Plan . 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 See your patients' history. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. You can call us Monday through Friday, 8 am to 5 pm. SCAN Health Plan is an HMO plan with a Medicare contract. AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. 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. Were your neighbors so you can count on us to be accessible. Get free, confidential 24/7 treatment referral and information from the National Helpline. You may also mail your payment to the address listed on your statement. Required Qualifications. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. If a provider disagrees with the MC Notice of Decision, the provider may request a State Fair Hearing. SCAN Health Plan . Box 982975El Paso, TX 79998-2975. 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. Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. If you cannot pay the entire amount, you can set up a payment plan via Sharp Account for qualifying or eligible hospital bills. 1-800-359-2002 . These important numbers are located on your billing statement. Contacts - San Diego - Sharp Community Medical Group - SCMG Sharp Health Plan 1.800.359.2002. Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. You may need to complete a final step to connect to your family member in FollowMyHealth. We offer high-quality, affordable health insurance for San Diegans of all ages with direct access to Sharp HealthCare. * Every year, Medicare evaluates plans based on a 5-star rating system. 1-855-562-8853 (TTY/TDD: 711) 7 am to 8 pm Pacific Time Thank you for serving our city and San Diegans like us. You can call us Monday through Friday, 8 am to 5 pm. 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 PDF Auth for Use or Disclosure of Information (English) Letter 8.15.12 If you do not pay the entire amount or contact the billing office to arrange a payment plan, your account will be sent to a collection agency. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. Covered Services Get free, confidential 24/7 treatment referral and information from the National Helpline. If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. http://oig.hhs.gov/fraud/report-fraud/index.asp. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, please These hours may change during holidays see below. Call our dedicated Customer Care provider line: For more contact information, please click hereto access the Provider Operations Manual. Click below to learn more about which plans, benefits and doctors are available in your area. We are currently experiencing issues with our provider and site search tools. LEARN MORE . If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. You can call us Monday through Friday, 8 am to 6 pm. Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of benefits. , , Sharp Health Plan, . 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. Our fax number is 1-858-303-9049 . 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). 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. Please see the below for more contact options. Write: SCAN Claims Department P.O. Submit authorizations. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) We provide dedicated bilingual (English/Spanish) representatives to our members and free over-the-phone translation services in dozens of other languages. 1-858-499-8211 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. The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. The website information you will be accessing is provided by another organization or vendor. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week. Refer to your insurance card or call your insurance provider to determine your medical group. Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 Rated 4.5 out of 5 stars by Medicare six years in a row! ) 1-800-359-2002. Health (1 days ago) WebSharp Health Plan Login Sign in Email address Password Forgot your password? Forms, guides and other resources - Sharp Health Plan Ready for comprehensive Medicare Advantage coverage that could save you money? Search for a doctor, hospital, pharmacy or drug name. To set up a hospital payment plan for a family member, call us at 858-499-2400. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . Mail-Order Call Member Services to request translation services. 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. MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com H.S. up. 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. You can also use this form to pay a bill for another person. Messages received on holidays and outside of normal business hours will be returned within one business day. Health (3 days ago) Web101 Wood Avenue South, 8th Floor. *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 If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. Members Brokers Providers Employers Members Talk to a real person. Enjoy retirement with a plan you cantrust. Call 1-800-827-4277 or view our detailed phone directory. , , Sharp Health Plan , ' . ", - Sherri R., Director of Benefits & HR Information Systems, Palomar Health. Visit our FAQ and get your questions answered. You should only sign this section if you want to cancel this authorization. Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. Empire Plan Toll free. PDF Chapter H Claims Procedures - UPMC Health Plan There are three ways for AHCCCS members to change their AHCCCS enrollment: If you need to request an ID card replacement there are four options: Phone: 602-417-4000 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. These hours may change during holidays see below. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. o Within 12 months after the date that eligibility is posted. 1-877-863-3362 Sharp Health Plan - HMO 2022-23 Edition - California If you are submitting via mail, the claim dispute, including all supporting documentation, should be sent to: Mercy Care Grievance System Department4500 E. Cotton Center Blvd.Phoenix, AZ 85040. 1-877-251-5896 fax Make sure your contact information is up to date. Read up on ways to protect your colorectal health. Written claim disputes must be submitted to the MC Appeals Department. Box 982975 El Paso, TX 79998-2975. Click on the link for answers about Medicare Advantage and coverage. Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a Messages received on holidays and outside of our business hours will be returned within one business day. 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. We will review your request and send you an email invitation to complete the connection within 30 days. 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). All of the points of contact are professional, committed and passionate about providing high-quality service. From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., seven days a week. You can call us Monday through Friday, 8 am to 5 pm. For general information or questions about quotes, rates, or materials: For member-specific information or questions: Were here to help you help your patients. instructions from the Health Plan and the Department of Managed Health Care. 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. Electronic prescribing mandate information. 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. 1-858-499-8009 Contact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. 1-800-359-2002 . 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. [SBM Sharp Health Plan [ 1-800-359-2002. Health (6 days ago) WebContact Us . Please visit Sharp.com or call your provider. Our updated Mercy Care Claims Processing Manualis now available to assist you with any claims or billing questions you may have. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. Find your doctor's phone number. 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. With our providers, patients and health plan working together, we can ensure the best possible outcome every time. Careers Sharp Health Plan is an HMO with a Medicare contract. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. *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. One of our financial counselors will provide estimated out-of-pocket costs for your care with us. 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 Direct Advantage is offered by Sharp Health Plan. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Click here to read the full disclaimer. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. Enrollment with Sharp Health Plan depends on contract renewal. . Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: Hours may change during holidays. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. This year's theme is #EmbraceEquity. 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 [email protected] and we will get back to you. The monthly premium for our new VIP Plan is $0. Once received, the claim dispute will be reviewed, and a decision will be rendered within 30 days after receipt. Thank you for your understanding as we work to ensure everyone remains healthy and safe. Explore SCAN plans available in your area! Quality care depends on clear communication between you and your patients. It's easy to register. 1-360-975-7000, option 1. It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. It is important to note that balance billing members is prohibited under all Mercy Care health plans. 1-800-454-3730. AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. Sharp Health Plan1-800-359-2002 . Providers who are contracted with Mercy Care can use electronic billing software. If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. 1-858-499-8300. If you have questions about eligibility, costs or what kind of coverage you can expect give us a call today! MORE OPTIONS + Brokers We're here to help you succeed. Credentialing: 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time Sharp Health Plan Please clearly state State Fair Hearing Request on your correspondence. Sharp Health Plan . Our fax number is 1-858-303-9049. Well help you choose the coverage thats right for you. April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday MC will acknowledge a claim dispute request within five (5) business days after receipt. Think of us as your personal health care assistant. Our billing office will make several attempts to collect payment. News & Press Releases, Can't find what you're looking for? Mercy Care Claims Department P. O. Long Beach, CA 90806, EthicsPoint 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. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. 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. Hours may change during holidays. Fee-for-Service Fee Schedules, Contact Us You can report potential compliance issues and/or issues with fraud, waste and abuse through any of the following channels: Hours: 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? The claim dispute process should only be used after other attempts to resolve the matter have failed. Policy Manuals 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. checklist. Contact us Coronavirus & COVID-19 resources for providers MORE OPTIONS + Brokers We're here to help you succeed. Need to pay a medical bill or copay? If you do not want to leave our website, please click the X. Para hablar con un intrprete, llame al 1-800-359-2002. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . Cash is accepted at hospitals only. 562-508-6781 Please do not use this form to convey personal or medical information. We're here to help shed light on the bills you may receive. Check your coverage documents through Sharp Connect. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time 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. Sharp hospitals: 858-499-2400 Sharp Rees-Stealy: 858-499-2410 SharpCare: 858-499-2044 Sharp Specialty Groups: 858-346-4321 We look forward to helping you. 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). Contact Sharp Direct Advantage Medicare - Sharp Health Plan Sharp Health Plan , 1-800-359-2002. DentaQuest administers dental benefits for Mercy Care and Mercy Care Advantage. Phone: 1-858-499-8100 Mercy Care's electronic claim submission vendors, https://dentaquest.com/state-plans/regions/arizona/, Augmentative and Alternative Communication. 1-800-600-4441. 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. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. Phone: 1-858-499-8330 ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Claims Mailing Address: Medical. am, Monday through Friday, and 24 hours a day on weekends. You can also search for your primary care doctor to find the medical group you and your doctor belong to. Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. 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.
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