Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. Payment plans are only for hospital bills, and are not available for Sharp Rees-Stealy bills or for connected family members at this time. Sharp Health Plan is an HMO with a Medicare contract. networkmgmt@scanhealthplan.com, Office Ally Clearinghouse Find your health plan's address (PDF). Thank you for your understanding as we work to ensure everyone remains healthy and safe. 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. The provider must follow all applicable laws, policies and contractual requirements when filing. GET INFO , Share this information with our members to help reduce their heart disease risk. With our providers, patients and health plans working together, we can ensure the best possible outcome every time. Caregivers for SCAN Members can receive help with their login credentials here. Long Beach, CA 90801-5616, Encounter Data Team Sharp health plan provider phone number, Health (2 days ago) WebFor eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, email us at [emailprotected] or call 1-858-499-8330. If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. Check your coverage documents through Sharp Connect. www.ethicspoint.com, SCAN SIU Team MORE OPTIONS + Brokers We're here to help you succeed. Address. Contact us Coronavirus & COVID-19 , Health (2 days ago) WebCall us at 1-858-499-8300. You can also use Sharp Account to view itemized bills, check your current balance and view your payment history. FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. 1-858-499-8211 b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. Out-of-State Toll Free: 1-800-523-0231, How to Apply The SCAN Sales Support team works with brokers and broker agencies to answer questions regarding plan benefits, eligibility, enrollment, network, formulary and other issues. b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. ) 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. Claims Mailing Address: Medical. You can call us Monday through Friday, 8 am to 5 pm. Need to pay a medical bill or copay? 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. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. For Providers. Dr. Alan Kadet's office New York, NY Check eligibility & benefits. 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. LEARN MORE . Box 90640Phoenix, AZ 85066. Rated 4.5 out of 5 stars by Medicare six years in a row! Call our dedicated Customer Care provider line: Policy Manuals Don't want to pick up the phone? This year's theme is #EmbraceEquity. We are working to resolve this as quickly as possible. Providers who are contracted with Mercy Care can use electronic billing software. You can call us Monday through Friday, 8 am to 5 pm. If you choose to send via fax, please fax your disputes to 602 351-2300. 1-844-424-8886 (TTY: 1-800-716-3231) tel. 1-858-499-8300. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. 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. Now its our turn to serveyou. You may submit your claim dispute in writing through the mail or send electronically to us through fax. Write: It is important to note that balance billing members is prohibited under all Mercy Care health plans. 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). Sharp Health Plan is an HMO with a Medicare contract. Please check your email for your new password. The provider should contact MC Claims and/or Network Management to seek additional information prior to initiating a claim dispute. Click below to learn more about which plans, benefits and doctors are available in your area. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time Our fax number is 1-858-303-9049 . You will need to provide your personal information and the invoice or visit number from your paper statement for each payment. o Or within 60 days after the date of the denial of a timely claim submission, whichever is later. Sharp Health Plan . Although physicians are licensed to practice at Sharp's hospitals, they are not Sharp HealthCare employees. 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. Hours may change during holidays. 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. Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. . 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. ) 1-800-359-2002. SCAN Claims Department Seffrah Orlando, Senior Public Relations Specialist 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. Pay Your Premium Call 1-800-827-4277 or view our detailed phone directory. FL 22: Resubmission Code field must be billed with a "7" and the Original Reference Number field . LEARN MORE , Let our members know about screening tests to help prevent or detect cervical cancer. Caregivers for SCAN Members can receive help with their login credentials here. The percentage you pay of the remaining costs depends on your plan. We're here to help shed light on the bills you may receive. This position provides support and assistance to the Claims Department. Health (3 days ago) Web101 Wood Avenue South, 8th Floor. Find a , , Sharp Health Plan , ' . Mercy Care Claims Department P. O. Para hablar con un intrprete, llame al 1-800-359-2002. March is Colorectal Cancer Awareness Month. PracticeBridge. Preferred Qualifications. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. 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 Written claim disputes must be submitted to the MC Appeals Department. 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. Fax: 1-858-303-9062 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. 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. TTY/TDD users can dial 711 or use the California Relay Services toll-free phonenumbers. Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) , , Sharp Health Plan , ' . There is a problem with enrollment at this time. Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. You can call us Monday through Friday, 8 am to 6 pm. 1-858-499-8009 For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. AI/AN members can switch their enrollment between AHCCCS AIHP and an AHCCCS managed health care plan and back again at any time. 1-888-445-2038. Messages received on holidays and outside of our business hours will be returned within one business day. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Sharphealthplan.com Category: Health Detail Health Contact us - Phone numbers, email, mailing address Health (2 days ago) WebCall us at 1-858-499-8300. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. Call us at 1-858-499-8300. H.S. Go to www.sharphealthplan.com/payment to pay now. Need Member Help Logging In? Find out more , Stay informed. checklist. Medicare Crossover We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. Caregivers for SCAN Members can receive help with their login credentials here. Ready for comprehensive Medicare Advantage coverage that could save you money? Reduce risk , "We are thrilled with the support that we receive at all levels. You should only sign this section if you want to cancel this authorization. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. P.O. For questions about plans and benefits, members should call: April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday Long Beach, CA 90806, EthicsPoint To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. Voz y TTY (telfono de texto):1-800-855-3000. The website information you will be accessing is provided by another organization or vendor. min ph. Please visit Sharp.com or call your provider. email us at provider.relations@sharp.com or call1-858-499-8330. Your bill will list the services you received under the "Summary of Patient Services." Mercy Care's electronic claim submission vendors, https://dentaquest.com/state-plans/regions/arizona/, Augmentative and Alternative Communication. News & Press Releases, Can't find what you're looking for? Complete ALL required fields, and include additional documentation when necessary. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week. 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 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). Electronic Remittance Advice (835) [ERA]: YES. AHCCCSOnline Website 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. Find a 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. 1-800-837-0959 fax, Network Management For your employees' protection, we don't recommend using email to send personal medical information. Sharp Health Plan . Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. For more contact information, please click hereto access the Provider Operations Manual. Fax: 1-858-303-9049 Enjoy direct access to Sharp HealthCare and The Sharp Experience.*. Contact us. 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"). Please visit Sharp.com or call your provider. Electronic prescribing mandate information. am, Monday through Friday, and 24 hours a day on weekends. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. To provide a more personalized experience, please select a state where SCAN is offered. As reported in Medicare & You 2023 member rating of plan. Need to pay a medical bill or copay? Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. You can use your Sharp Account to make a partial payment on a bill. Write: SCAN Claims Department P.O. Attn: Member Services 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. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. DentaQuest administers dental benefits for Mercy Care and Mercy Care Advantage. To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. 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. Sharp is not-for-profit and relies on fundraising. min ph. You can also search for your primary care doctor to find the medical group you and your doctor belong to. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. Sharp Health Plan , 1-800-359-2002. 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 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. We will review your request and send you an email invitation to complete the connection within 30 days. 1-800-359-2002. 1-800-454-3730. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. P.O. You can join today, right from your laptop or phone. Visit Medicare to compare other plan ratings and find detailed reports. Refer to our Provider Manual for more detailed information. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. Member Services Phone Number. You can also use this form to pay a bill for another person. Interfaces with other Sharp Health Plan employees to provide information as requested for other Departments. Phone: 1-858-499-8100 Many surgery and procedure names sound similar. FBT: SharpHealthPlan.com no longer supports this Internet browser. You may submit feedback about your Medicare Advantage health plan directly to Medicare. These important numbers are located on your billing statement. Please clearly state State Fair Hearing Request on your correspondence. Every year, Medicare evaluates plans based on a 5-star rating system. Submit authorizations. Coinsurance takes place when you reach your deductible and you and your insurance plan share in paying a percentage of the remaining costs. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. 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. Looking for Provider Login or Agent/Broker Login? , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . Cash is accepted at hospitals only. . 2023SCAN Health Plan. Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. GET INFO , Half of Americans have at least one risk factor for heart disease. We are available 7 am to 8 pm, seven days a week. We were named in the 2023 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage inCalifornia. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Don't want to pick up the phone? MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com http://oig.hhs.gov/fraud/report-fraud/index.asp. 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). Encounter Data Team Encounters_Operations@scanhealthplan.com. Please contact Member Services. 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 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. If you believe your responsibility is inaccurate, please contact your insurance plan directly. 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. Compliance Officer Providers must register with the AHCCCS program to be eligible for payment reimbursement. Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. Credentialing: 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. 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. 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? Quality care depends on clear communication between you and your patients. 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. 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. *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.
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