Out-of-State Toll Free: 1-800-523-0231, How to Apply Call us at 1-858-499-8300. 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). Health Insurance for Children, Provider Enrollment The provider should contact MC Claims and/or Network Management to seek additional information prior to initiating a claim dispute. Click here and follow the instructions. 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. From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., 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. Seffrah Orlando, Senior Public Relations Specialist 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 Need to pay a medical bill or copay? 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. instructions from the Health Plan and the Department of Managed Health Care. Learn More. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. Write: 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. Phone: 1-858-499-8100 A copay is a predetermined (flat) fee that you pay for health care services, in addition to what your health insurance plan pays. General office experience, preferably in a service oriented environment. Sharp Health Plan is an HMO with a Medicare contract. Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. Members Brokers Providers Employers Members Talk to a real person. Sharp Direct Advantage is offered by Sharp Health Plan. Were your neighbors, so you can count on us to be accessible. Don't want to pick up the phone? Box 982975El Paso, TX 79998-2975. Iselin, New Jersey 08830. SharpHealthPlan.com no longer supports this Internet browser. The website information you will be accessing is provided by another organization or vendor. CLAIM.MD | Payer Information | Sharp Health Plan Long Beach, CA 90801-5616, Encounter Data Team With our providers, patients and health plans working together, we can ensure the best possible outcome every time. There is a problem with enrollment at this time. Need Member Help Logging In? The Health Plan encourages electronic claims submission . TTY/TDD users can dial 711 or use the California Relay Services toll-free phone numbers. Contact us - Phone numbers, email, mailing address - Sharp Health Plan For the best experience on our website, please upgrade your browser to the latest version. The percentage you pay of the remaining costs depends on your plan. Please read our. In the event the claim requires resubmission, health care providers have 180 days from , Health (6 days ago) WebContact Sharp Health Plan to learn about our plans or ask questions about your current coverage. Contact us to learn how to get started with Sharp Direct Advantage today! , , Sharp Health Plan , ' . SHARP HEALTH PLAN - 19 Photos & 207 Reviews - 8520 Tech Way, San Diego Contact Sharp Health Plan to get answers on anything from paying a bill to signing up for coverage. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. 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. PracticeBridge. Thats why were committed to you. Sharp Health Plan: Fill & Download for Free - cocodoc.com Contact us Coronavirus & COVID-19 , Health (2 days ago) WebCall us at 1-858-499-8300. Address. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. These hours may change during holidays see below. Careers H.S. 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 Compliance Officer 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. Please check the box proving that you are not a robot. Refer to your insurance card or call your insurance provider to determine your medical group. Visit our FAQ and get your questions answered. Find your doctor's phone number. Payer Name: Sharp Health Plan - thePracticeBridge 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. Messages received on holidays and outside of our business hours will be returned within one business day. If you believe your responsibility is inaccurate, please contact your insurance plan directly. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. * Every year, Medicare evaluates plans based on a 5-star rating system. 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 Write: SCAN Claims Department P.O. For the best experience on our website, please upgrade your browser to the latest version. Subscribe to Newsletters 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. Don't have a Sharp Account? As reported in Medicare & You 2023 member rating of plan. Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. Box 982975 El Paso, TX 79998-2975. Sharp Health Plan - HMO 2022-23 Edition - California With our providers, patients and health plan working together, we can ensure the best possible outcome every time. MC may request an extension of up to 45 days, if necessary. If youre currently not a member and are interested in learning more about SCAN Health Plan, speak to one of our representatives by calling 1-877-452-5898. News & Press Releases, Can't find what you're looking for? We know youre committed to your workforce. min ph. Enjoy direct access to Sharp HealthCare and The Sharp Experience.*. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. Effective January 1, 2022, all California health care practitioners who are authorized to prescribe will be required to issue prescriptions electronically. Clerical Assistant II- Claims / Finance /Healthplan- Tech Way / Full Check your coverage documents through Sharp Connect. Learn how to create one now. FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. Sharp Health Plan Payer ID: SHP01; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Electronic Remittance (ERA) YES: ERA Enrollment Required: This insurance is also known as: . To include supporting documentation, such as members medical records, clearly label and send to the Claims Department at the correct address. TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Every year, Medicare evaluates plans based on a 5-star rating system. 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. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . If you feel under the weather or have certain long-term health problems, virtual care can For your employees' protection, we don't recommend using email to send personal medical information. 8 a.m. to 8 p.m., Seven days a week, from October 1 to March 31. [SBM Sharp Health Plan [ 1-800-359-2002. If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. Visit Medicare to compare other plan ratings and find detailed reports. Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a For your protection, we don't recommend using email to send personal medical information. Think of us as your personal health care assistant. Preferred Qualifications. 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 Hours are 8 a.m. to 8 p.m. from April 1 to Sept. 30, Monday through Friday. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. 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 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. The monthly premium for our new VIP Plan is $0. Sharp Direct Advantage is offered by Sharp Health Plan. The program also provides coverage for preventive and behavioral health care services. Well help you choose the coverage thats right for you. Thank you for serving our city and San Diegans like us. 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 general information or questions about quotes, rates or materials: min ph. Complete testing with UPMC Health Plan. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. 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 . Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31. 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. 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. 1-858-499-8009 1-800-359-2002. Hours may change during holidays. Interfaces with other Sharp Health Plan employees to provide information as requested for other Departments. 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 Refer to our Provider Manual for more detailed information. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. Send us an email instead. We are working to resolve this as quickly as possible. You may also mail your payment to the address listed on your statement. ) 1-800-359-2002. Contact your software vendor directly for questions about your electronic billing. Sharp Community has been caring for San Diegans since 1989. Sharp is not-for-profit and relies on fundraising. Write: Online Bill Pay | Sharp HealthCare Find your health plan's address (PDF). 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. 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. 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. The SCAN Sales Support team works with brokers and broker agencies to answer questions regarding plan benefits, eligibility, enrollment, network, formulary and other issues. email us at provider.relations@sharp.com or call1-858-499-8330. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. 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). Manage your claims. Please contact Member Services. Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. Due to California privacy regulations, the information you can access for minor patients will depend on their age. Claims information - Sharp Health Plan 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. . 1-858-499-8300. 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. 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. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. These important numbers are located on your billing statement. 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. Credentialing: Sharp Health Plan 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. Failure to specifically state the factual and legal basis may result in denial of the claim dispute. Sharp Health Plan . If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. 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. For member-specific information or questions: For our members' protection, we don't recommend using email to send personal medical information. A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. Health (6 days ago) WebContact Us . SCAN Health Plan is an HMO plan with a Medicare contract. 1-360-975-7000, option 1. *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. Member Services Phone Number. For any claims, eligibility, or referral inquiries, contact our dedicated Customer Care team. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. Claims and EDI 1-877-778-7226. Thank you for your understanding as we work to ensure everyone remains healthy and safe. Reduce risk , "We are thrilled with the support that we receive at all levels. See if your doctor is covered under Sharp Direct Advantage Medicare plans. networkmgmt@scanhealthplan.com, Office Ally Clearinghouse Email your SCAN Network Management representative. It's easy to register. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. To pay by credit card over the phone, please call Patient Financial Services: Check, cashier's check, money order and major credits cards are accepted at all Sharp HealthCare hospital and clinic locations. Hours may change during holidays. Go to www.sharphealthplan.com/payment to pay now. Need to pay a medical bill or copay? If you choose to send via fax, please fax your disputes to 602 351-2300. April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday 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. Looking for Provider Login or Agent/Broker Login? We are making improvements to how you can view and pay your bills through your Sharp Account. Please read our. http://oig.hhs.gov/fraud/report-fraud/index.asp. Cash is accepted at hospitals only.

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