sharp health plan claims address

Long Beach, CA 90801-5616, Encounter Data Team 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. 1-562-308-3699 fax 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. Sharp Health Plan 8520 Tech Way, Ste. Refer to our Provider Manual for more detailed information. Hours may change during holidays. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. Contact your software vendor directly for questions about your electronic billing. Sharp Health Plan | Login Sign in Email address Password Forgot your password? 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. Please visit Sharp.com or call your provider. If you feel under the weather or have certain long-term health problems, virtual care can 3800 Kilroy Airport Way, Suite 100 Box 90640Phoenix, AZ 85066. 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. 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. These hours may change during holidays see below. CALL NOW. 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? Cookies must be enabled to properly use this website. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. 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 . 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 H5386_2022 Medicare Website_Rev10 Page Last Updated: 1/03/2023 Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. Get free, confidential 24/7 treatment referral and information from the National Helpline. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. 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. LEARN MORE . Learn More. Make sure your contact information is up to date. Members Brokers Providers Employers Members Talk to a real person. 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. 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. This means the hospital and each of your treating physicians will send you a bill for their parts of your care. Health (6 days ago) WebContact Us . MORE OPTIONS + Brokers We're here to help you succeed. 1-877-251-5896 fax Messages received on holidays and outside of normal business hours will be returned within one business day. Submit authorizations. 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. 1-855-562-8853 (TTY/TDD: 711) 7 am to 8 pm Pacific Time Contact your Network Management representative for more information about electronic billing. Sharp Health Plan . Please visit Sharp.com or call your provider. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. Box 2906Milwaukee, WI53201-2906. A deductible is the annual amount that you must pay, out of pocket, before an insurance plan begins reimbursing for eligible services. www.ethicspoint.com, SCAN SIU Team With our cost-saving benefits, you could put more money back into your monthly budget. Learn about the basics of Medicare, how to enroll, andmore. Hours are 8 a.m. to 8 p.m. from April 1 to Sept. 30, Monday through Friday. Claims | Mercy Care Awards and recognition are subject to change each year. For member-specific information or questions: For our members' protection, we don't recommend using email to send personal medical information. Send us an email instead. 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). 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 Caregivers for SCAN Members can receive help with their login credentials here. 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. 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 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). Eligibility, referrals, or claims: If you cannot pay the entire amount, you can set up a payment plan via Sharp Account for qualifying or eligible hospital bills. Electronic Remittance Advice (835) [ERA]: YES. Following your medical procedure, our billing office files a claim with your primary health insurance for the services performed. Every hospital visit involves both physician and hospital resources. Sharp Health Plan 1.800.359.2002. As reported in Medicare & You 2023 member rating of plan. Visit Medicare to compare other plan ratings and find detailed reports. Cash is accepted at hospitals only. Need to pay a medical bill or copay? Thats why were committed to you. year in a row. Read the full disclaimer. Email your SCAN Network Management representative. 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. When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. The website information you will be accessing is provided by another organization or vendor. Thank you for making us the highest member-rated health plan in California for the eighth 1-877-863-3362 We're here to help shed light on the bills you may receive. Get free, confidential 24/7 treatment referral and information from the National Helpline. For general information or questions about quotes, rates or materials: If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. Contact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. These hours may change during holidays see below. With our providers, patients and health plan working together, we can ensure the best possible outcome every time. Read the full disclaimer. To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. Send us an email instead. Learn how you can help your patients through the Shingrix shortage. b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. The program also provides coverage for preventive and behavioral health care services. Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. The SCAN Sales Support team works with brokers and broker agencies to answer questions regarding plan benefits, eligibility, enrollment, network, formulary and other issues. Many surgery and procedure names sound similar. Looking for Provider Login or Agent/Broker Login? Although physicians are licensed to practice at Sharp's hospitals, they are not Sharp HealthCare employees. You can pay by credit or debit card or by check. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. For general questions or provider portal registration, contact our Provider Account Management team. Sharp Health Plan | Login 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. *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. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Click hereand follow the instructions. 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. Forms, guides and other resources - Sharp Health Plan If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. Thank you for your understanding as we work to ensure everyone remains healthy and safe. Phone: 1-858-499-8100 2023 SCAN Health Plan. Find your health plan's address (PDF). It is important to note that balance billing members is prohibited under all Mercy Care health plans. 400, Wittman Drive Grand Rapids Itasca County MN - 55744 United . Provider Tools | Oscar Health - hioscar.com Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. Get the right support so that no questions are left unanswered. 1-800-600-4441. Please do not use this form to convey personal or medical information. 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. Phone: 1-858-499-8200. If you believe your responsibility is inaccurate, please contact your insurance plan directly. Learn how to create one now. Claims :: The Health Plan Were your neighbors so you can count on us to be accessible. Out-of-State Toll Free: 1-800-523-0231, How to Apply To set up a hospital payment plan for a family member, call us at 858-499-2400. Fax: 1-858-303-9062 Contact us - Phone numbers, email, mailing address - Sharp Health Plan We will review your request and send you an email invitation to complete the connection within 30 days. Your insurance plan also mails you an EOB, which details how they processed our bill and calculated your responsibility based on your individual insurance plan. For your employees' protection, we don't recommend using email to send personal medical information. 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. networkmgmt@scanhealthplan.com, Office Ally Clearinghouse American Indian Health Program - azahcccs.gov Due to COVID-19 restrictions, the Sharp Health Plan office is not open to visitors at this time. April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday 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. Sharp Health Plan: Fill & Download for Free - cocodoc.com These important numbers are located on your billing statement. Messages received on holidays and outside of normal business hours will be returned within one business day. If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. Refer to your insurance card or call your insurance provider to determine your medical group. Were here to help you help your patients. 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. Our fax number is 1-858-303-9049 . Helpful holiday tips, your 2023 coverage checklist and more. 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. Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. It's National Drug & Alcohol Facts Week. MORE OPTIONS + Brokers Box 22698 Long Beach, CA 90801-5616. Providers must register with the AHCCCS program to be eligible for payment reimbursement. Encounters_Operations@scanhealthplan.com, Contact Express Scripts for Part D Coverage Reviews 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time FBT: SharpHealthPlan.com no longer supports this Internet browser. 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. Please do not use this form to convey personal or medical information. refill on a road trip. Thank you for serving our city and San Diegans like 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 You can call us Monday to Friday, 8 am to 6 pm. Welcome to SCAN Health Plan! We are working to resolve this as quickly as possible. Customer care representatives are available to assist you. 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. Real Time Claim Status (RTS): NO. 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 Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a 1-800-359-2002. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. 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. Contact Sharp Direct Advantage Medicare - Sharp Health Plan Caregivers for SCAN Members can receive help with their login credentials here. be a great option. 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. Sharp is not-for-profit and relies on fundraising. 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). If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. SCAN Health Plan is an HMO plan with a Medicare contract. The claim dispute must specifically state the factual and legal basis for the relief requested, along with copies of any supporting documentation, such as remittance advice(s), medical records or claims. UPMC Health Plan claims. Click on the link for answers about Medicare Advantage and coverage. AHCCCSOnline Website If you use FollowMyHealth, you may grant account access to any adult. Contact Express Scripts for Part D Coverage Reviews Coverage Determinations 1-844-424-8886 (TTY: 1-800-716-3231) tel. At this time, the Sharp Health Plan . 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . Phone: 1-858-499-8330 This could result in the claim being denied for untimely filing. Sharp Health Plan , 1-800-359-2002. To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. Follow the prompts to set your billing preferences. Claims Processor at Sharp HealthCare in San Diego Claims Processor Job ID JR133620 Date Posted 01/25/2023 San Diego, California Corporate Offices Day Regular Apply now Responsibilities Hours Shift Start Time: Variable Shift End Time: Variable Additional Shift Information: between 05:00 am - 09:00 am Weekend Requirements: As Needed On-Call Required: These important numbers are located on your billing statement. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. Sharp Health Plan1-800-359-2002 . Don't have a Sharp Account? AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Compliance Officer 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. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. TTY/TDD users can dial 711 or use the California Relay Services toll-free phonenumbers. Contacts - San Diego - Sharp Community Medical Group - SCMG FraudWaste&AbuseProg@scanhealthplan.com, Office of Inspector General, U.S. Department of Health & Human Services. Please contact Member Services. All of the points of contact are professional, committed and passionate about providing high-quality service. Call us at 1-858-499-8300. . email us at provider.relations@sharp.com or call1-858-499-8330. For general information or questions about quotes, rates, or materials: For member-specific information or questions: Were here to help you help your patients. Contact Sharp Health Plan to get answers on anything from paying a bill to signing up for coverage. Payment plans are only for hospital bills, and are not available for Sharp Rees-Stealy bills or for connected family members at this time. Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. Long Beach, CA 90801-5616. Caregivers for SCAN Members can receive help with their login credentials here. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. 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. The hospital's bill will be for the technical resources and supplies, such as procedures and equipment, needles and scalpels or medications. Hours may change during holidays see below. SCAN Health Plan is an HMO plan with a Medicare contract. Financial assistance is available for qualified low-income patients to assist with all or part of a hospital bill. Typically, you will pay your percentage of costs until you reach your plan's annual out-of-pocket maximum. Sharp Health Plan is an HMO with a Medicare contract. We are available 7 am to 8 pm, seven days a week. 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. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. You will need to provide your personal information and the invoice or visit number from your paper statement for each payment. 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. Enjoy direct access to Sharp HealthCare and The Sharp Experience.*. SCAN Health Plan ", - Sherri R., Director of Benefits & HR Information Systems, Palomar Health. 1-858-499-8009 Reduce risk , "We are thrilled with the support that we receive at all levels. MC may request an extension of up to 45 days, if necessary. Enrollment in SCAN Health Plan depends on contract renewal. Electronic submission*: Through Electronic Clearing House Were your neighbors, so you can count on us to be accessible. 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. At this time, paperless billing is only available for Sharp Rees-Stealy and Sharp hospital bills. 1-360-975-7000, option 1. Clerical Assistant II- Claims / Finance /Healthplan- Tech Way / Full Call our Customer Care team at (855) 995-5004 or submit a form. 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. Sharp Health Plan 1.800.359.2002. We offer high-quality, affordable health insurance for San Diegans of all ages with Please contact Member Services. 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. This year's theme is #EmbraceEquity. With our providers, patients and health plans working together, we can ensure the best possible outcome every time. Every year, Medicare evaluates plans based on a 5-star rating system. The provider must follow all applicable laws, policies and contractual requirements when filing. From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., seven days a week. 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: .

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