You can report potential compliance issues and/or issues with fraud, waste and abuse through any of the following channels: Hours: Please refer to our Billing, Collections and Bad Debt policy. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. If you choose to send via fax, please fax your disputes to 602 351-2300. For more contact information, please click hereto access the Provider Operations Manual. Health Insurance for Children, Provider Enrollment Provider Account Management: 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. networkmgmt@scanhealthplan.com, Office Ally Clearinghouse Rated 4.5 out of 5 stars by Medicare six years in a row! Click here to read the full disclaimer. 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. * Every year, Medicare evaluates plans based on a 5-star rating system. Sharp Health Plan | Login Sign in Email address Password Forgot your password? Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 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. Sharp is not-for-profit and relies on fundraising. 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. ) 1-800-359-2002. 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. 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. You may submit feedback about your Medicare Advantage health plan directly to Medicare. Call 1-800-827-4277 or view our detailed phone directory. Please contact Member Services. be a great option. The hospital's bill will be for the technical resources and supplies, such as procedures and equipment, needles and scalpels or medications. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: TTY/TDD users can dial 711 or use the California Relay Services toll-free phone numbers. 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. a) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. 1-360-975-7000, option 1. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. 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. 1-877-251-5896 fax Home Delivery from Express Scripts Pharmacy . With our providers, patients and health plan working together, we can ensure the best possible outcome every time. Sharp HealthCare offers many payment options, including monthly payment installments for qualified or eligible hospital bills, which you can set up via Sharp Account. Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. refill on a road trip. 2023 SCAN Health Plan. , , Sharp Health Plan, . Diploma or Equivalent; Essential . GET INFO , Share this information with our members to help reduce their heart disease risk. Recently completed plans and new plans may not display on the Hospital Payment Plans section within Sharp Account. For general information or questions about quotes, rates or materials: Don't want to pick up the phone? 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). , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . Now its our turn to serveyou. 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. 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. 1-888-445-2038. You can pay by credit or debit card or by check. Ready for comprehensive Medicare Advantage coverage that could save you money? Interfaces with other Sharp Health Plan employees to provide information as requested for other Departments. To set up a hospital payment plan for a family member, call us at 858-499-2400. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. DentaQuest administers dental benefits for Mercy Care and Mercy Care Advantage. Contact us to learn how to get started with Sharp Direct Advantage today! Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. 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. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. Health (3 days ago) Web101 Wood Avenue South, 8th Floor. If you cannot pay the entire amount, you can set up a payment plan via Sharp Account for qualifying or eligible hospital bills. Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. For questions about plans and benefits, members should call: April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday Send us an email instead. 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. Members Brokers Providers Employers Members Talk to a real person. General office experience, preferably in a service oriented environment. MORE OPTIONS + Brokers We're here to help you succeed. 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. b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. This means the hospital and each of your treating physicians will send you a bill for their parts of your care. Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. We will review your request and send you an email invitation to complete the connection within 30 days. Please check your email for your new password. Thank you for your understanding as we work to ensure everyone remains healthy and safe. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time 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. o Or within 60 days after the date of the denial of a timely claim submission, whichever is later. Hours may change during holidays. SCAN Health Plan is an HMO plan with a Medicare contract. 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. SharpCare Medical Group patients can use this form to make online payments. 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. and Nov. 30, 2023. You can use your Sharp Account to make a partial payment on a bill. Attn: Member Services We are making improvements to how you can view and pay your bills through your Sharp Account. Para hablar con un intrprete, llame al 1-800-359-2002. For Providers. You should only sign this section if you want to cancel this authorization. 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. P.O. Manage your claims. 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 NOW. Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. 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. 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. Call 1-800-827-4277 or view our detailed phone directory. Search Sharp Health Plan PayerID SHP01 and find the complete info about Sharp Health Plan Insurance Type, LOB, ENR, RTE, RTS, ERA, SEC, Customer Service Number and more . Read the update , Share these tips with our members to help them reduce their risk of colon cancer. MC will acknowledge a claim dispute request within five (5) business days after receipt. email us at provider.relations@sharp.com or call1-858-499-8330. 3800 Kilroy Airport Way, Suite 100 Helpful holiday tips, your 2023 coverage checklist and more. 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. Call us at 1-858-499-8300. BOX 22616 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. Complete ALL required fields, and include additional documentation when necessary. Learn how , These two screening tests can help prevent cervical cancer or detect it early. up. Provider Relations Phone Number. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Go to www.sharphealthplan.com/payment to pay now. Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a 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. 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. Box 22698 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. Find a local SCAN Representative in your neighborhood who speaks your language. 1-844-424-8886 (TTY: 1-800-716-3231) tel. 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. Get the right support so that no questions are left unanswered. The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. 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). Sharp Health Plan . Search for a doctor, hospital, pharmacy or drug name. *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. If you do not have a Sharp Account yet, you can submit a completed authorization form to request access. Claim Form - Conference and Travel - Cerritos College - cms cerritos These important numbers are located on your billing statement. Many surgery and procedure names sound similar. AHCCCSOnline Website Rated 4.5 out of 5 stars by Medicare six years in a row! If you have questions that include personal details, like your medical history, please call your doctor directly. 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. Learn how to create one now. . For general information or questions about quotes, rates, or materials: For member-specific information or questions: Were here to help you help your patients. For your employees' protection, we don't recommend using email to send personal medical information. Our fax number is 1-858-303-9049 . Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. Find your doctor's phone number. If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. One of our financial counselors will provide estimated out-of-pocket costs for your care with us. Compliance Officer 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 Learn More. However, making a partial payment will not prevent a past-due bill from going to a collections agency. Contact Express Scripts for Part D Coverage Reviews Coverage Determinations 1-844-424-8886 (TTY: 1-800-716-3231) tel. Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. Long Beach, CA 90801-5616. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Written claim disputes must be submitted to the MC Appeals Department. Click below to learn more about which plans, benefits and doctors are available in your area. Cookies must be enabled to properly use this website. Encounters_Operations@scanhealthplan.com, Contact Express Scripts for Part D Coverage Reviews 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. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. 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. Enjoy retirement with a plan you cantrust. 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. Read up on ways to protect your colorectal health. 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. Cookies must be enabled to properly use this website. Click here. H.S. For the best experience on our website, please upgrade your browser to the latest version. Complete testing with UPMC Health Plan. If you do not want to leave our website, please click the X. Enrollment in SCAN Health Plan depends on contract renewal. You may also mail your payment to the address listed on your statement. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. ", - Sherri R., Director of Benefits & HR Information Systems, Palomar Health. These important numbers are located on your billing statement. With our providers, patients and health plans working together, we can ensure the best possible outcome every time. Mercy Care's electronic claim submission vendors, https://dentaquest.com/state-plans/regions/arizona/, Augmentative and Alternative Communication. 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. Send us an email instead. Fax: 1-858-303-9062 Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. Providers must register with the AHCCCS program to be eligible for payment reimbursement. Box 982975 El Paso, TX 79998-2975. 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. 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. Messages received on holidays and outside of normal business hours will be returned within one business day. Find out more , Stay informed. Find a 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. Medicare Crossover Caregivers for SCAN Members can receive help with their login credentials here. SharpHealthPlan.com no longer supports this Internet browser. http://oig.hhs.gov/fraud/report-fraud/index.asp. 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. Call us We are available 7 am to 8 pm, seven days a week. Your password has been reset. Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. See your patients' history. sorlando@scanhealthplan.com. 1-888-327-9791 tel. Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. Following your medical procedure, our billing office files a claim with your primary health insurance for the services performed. 1-800-600-4441. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. This year's theme is #EmbraceEquity. Read the full disclaimer. Hours may change during holidays. Get started now. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. We offer high-quality, affordable health insurance for San Diegans of all ages with Electronic Remittance Advice (835) [ERA]: YES. 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. For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, Email your SCAN Network Management representative. Call our dedicated Customer Care provider line: 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. Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31. 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? 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. When you create an account on sharp.com, you will be able to view your statements for Sharp Rees-Stealy and Sharp hospitals in one place, make payments and pay all your invoices by credit card, debit card or via your checking account in one transaction. Careers We're your neighbors, so you can count on us to be accessible. For general information or questions about quotes, rates or materials: Visit your health plan's website to learn how benefits, claims, and payment of claims are covered, as well as the service limitations and exclusions that may apply.
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