For more contact information, please click hereto access the Provider Operations Manual. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. 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. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) a) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention. Need Member Help Logging In? 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. Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. The provider must follow all applicable laws, policies and contractual requirements when filing. You can call us Monday through Friday, 8 am to 5 pm. SharpHealthPlan.com no longer supports this Internet browser. Following your medical procedure, our billing office files a claim with your primary health insurance for the services performed. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. Credentialing: and Nov. 30, 2023. Once received, the claim dispute will be reviewed, and a decision will be rendered within 30 days after receipt. 2023, Help me find urgent care centers in my network, Sharp HealthCare Hospital Billing Customer Service, Sharp Rees-Stealy Medical Group Billing Customer Service, Douglas & Nancy Barnhart Cancer Center at Sharp Chula Vista Medical Center, Sharp Chula Vista Outpatient Nutrition Counseling Program, Sharp Chula Vista Outpatient Surgery Center, Sharp Chula Vista Pre-Anesthesia Evaluation Services, Outpatient Imaging and Cardiovascular Services, Sharp Coronado Payne Family Outpatient Pavilion, Sharp Laboratory Services at Sharp Coronado Hospital, David & Donna Long Cancer Center at Sharp Grossmont Hospital, Sharp Grossmont Hospital Burr Heart & Lung Clinic, Sharp Grossmont Hospital for Women & Newborns, Sleep Disorder Center at Sharp Grossmont Hospital, Sharp Mary Birch Hospital for Women & Newborns, Sharp McDonald Center Detox and Residential Services, Sharp McDonald Center Intensive Outpatient Services, Kevin H. Cook Infusion Center at Sharp Memorial Hospital, Sharp Allison deRose Rehabilitation Center, Sharp Metropolitan Medical Campus Pre-Anesthesia Evaluation. Out-of-State Toll Free: 1-800-523-0231, How to Apply If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. Learn how to create one now. AHCCCSOnline Website Every year, Medicare evaluates plans based on a 5-star rating system. Call 1-800-827-4277 or view our detailed phone directory. If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. Electronic submission*: Through Electronic Clearing House Seffrah Orlando, Senior Public Relations Specialist The provider should contact MC Claims and/or Network Management to seek additional information prior to initiating a claim dispute. Mercy Care Claims Department P. O. You may also mail your payment to the address listed on your statement. 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. Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. Please check your email for your new password. With our cost-saving benefits, you could put more money back into your monthly budget. Looking for Provider Login or Agent/Broker Login? Although physicians are licensed to practice at Sharp's hospitals, they are not Sharp HealthCare employees. The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. 3800 Kilroy Airport Way, Suite 100 SharpCare Medical Group patients can use this form to make online payments. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. 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. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. Learn about the basics of Medicare, how to enroll, andmore. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. It's National Drug & Alcohol Facts Week. P.O. For your employees' protection, we don't recommend using email to send personal medical information. ) 1-800-359-2002. Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. If a provider disagrees with the MC Notice of Decision, the provider may request a State Fair Hearing. Enjoy direct access to Sharp HealthCare and The Sharp Experience.*. You should only sign this section if you want to cancel this authorization. The monthly premium for our new VIP Plan is $0. Electronic prescribing mandate information. Click hereand follow the instructions. Our fax number is 1-858-303-9049. 1-858-499-8009 Health (6 days ago) WebContact Us . Use your member ID number to sign AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. To include supporting documentation, such as members medical records, clearly label and send to the Claims Department at the correct address. Find a local SCAN Representative in your neighborhood who speaks your language. Written claim disputes must be submitted to the MC Appeals Department. News & Press Releases, Can't find what you're looking for? DentaQuest administers dental benefits for Mercy Care and Mercy Care Advantage. You can choose how you want to receive your billing statements and notifications via mail, email or both. All of the points of contact are professional, committed and passionate about providing high-quality service. networkmgmt@scanhealthplan.com, Office Ally Clearinghouse Find a Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. Coinsurance takes place when you reach your deductible and you and your insurance plan share in paying a percentage of the remaining costs. We were named in the 2023 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage inCalifornia. Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. Covered Services SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Read the full disclaimer. Encounters_Operations@scanhealthplan.com, Contact Express Scripts for Part D Coverage Reviews Thank you for serving our city and San Diegans like us. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time 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. A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. We are working to resolve this as quickly as possible. b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. Write: SCAN Claims Department P.O. We invite you to share our women's preventive care 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. Learn how you can help your patients through the Shingrix shortage. Awards and recognition are subject to change each year. Mail-Order 1-800-600-4441. 1-877-251-5896 fax Home Delivery from Express Scripts Pharmacy . sorlando@scanhealthplan.com. For general information or questions about quotes, rates or materials: Click here to read the full disclaimer. Read up on ways to protect your colorectal health. These hours may change during holidays see below. Sharp Health Plan . direct access to Sharp HealthCare. Contact your software vendor directly for questions about your electronic billing. 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. Contact Express Scripts for Part D Coverage Reviews Coverage Determinations 1-844-424-8886 (TTY: 1-800-716-3231) tel. All rights reserved. year in a row. You can use your Sharp Account to make a partial payment on a bill. For general questions or provider portal registration, contact our Provider Account Management team. You will also be able to save your preferred payment method for future use. We are working to resolve this as quickly as possible. 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 If you feel under the weather or have certain long-term health problems, virtual care can Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. You may need to complete a final step to connect to your family member in FollowMyHealth. At this time, paperless billing is only available for Sharp Rees-Stealy and Sharp hospital bills. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. PracticeBridge. This means the hospital and each of your treating physicians will send you a bill for their parts of your care. You can call us Monday through Friday, 8 am to 5 pm. Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31. We're your neighbors, so you can count on us to be accessible. Caregivers for SCAN Members can receive help with their login credentials here. Hours may change during holidays. min ph. 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 1-888-445-2038. 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. Please read our. We will review your request and send you an email invitation to complete the connection within 30 days. Recently completed plans and new plans may not display on the Hospital Payment Plans section within Sharp Account. For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, Subscribe to Newsletters It's easy to register. 1-855-562-8853 (TTY/TDD: 711) 7 am to 8 pm Pacific Time Many surgery and procedure names sound similar. Medicare Crossover Need Member Help Logging In? Careers 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. Your bill will list the services you received under the "Summary of Patient Services." 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). 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. Refer to your insurance card or call your insurance provider to determine your medical group. Please see the below for more contact options. , , Sharp Health Plan, . 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 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. GET INFO , Half of Americans have at least one risk factor for heart disease. For any claims, eligibility, or referral inquiries, contact our dedicated Customer Care team. When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. Enrollment with Sharp Health Plan depends on contract renewal. Make sure your contact information is up to date. Fee-for-Service Fee Schedules, Contact Us email us at provider.relations@sharp.comor call 1-858-499-8330. Read the full disclaimer. 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. These important numbers are located on your billing statement. One of our financial counselors will provide estimated out-of-pocket costs for your care with us. Our updated Mercy Care Claims Processing Manualis now available to assist you with any claims or billing questions you may have. Click here and follow the instructions. 8 a.m. to 8 p.m., Seven days a week, from October 1 to March 31. Please check the box proving that you are not a robot. You can join today, right from your laptop or phone. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. Empire Plan Toll free. Contact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. FBT: SharpHealthPlan.com no longer supports this Internet browser. You may submit your claim dispute in writing through the mail or send electronically to us through fax. With our providers, patients and health plan working together, we can ensure the best possible outcome every time. Find your doctor's phone number. 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"). UPMC Health Plan claims. Learn More. Para hablar con un intrprete, llame al 1-800-359-2002. Box 2906Milwaukee, WI53201-2906. Providers who are contracted with Mercy Care can use electronic billing software. Electronic Remittance Advice (835) [ERA]: YES. A deductible is the annual amount that you must pay, out of pocket, before an insurance plan begins reimbursing for eligible services. Fax: 1-858-303-9049 Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. Long Beach, CA 90801-5616, Encounter Data Team Reduce risk , "We are thrilled with the support that we receive at all levels. o Or within 60 days after the date of the denial of a timely claim submission, whichever is later. 1-562-308-3699 fax 1-800-359-2002 . 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. If a provider does not receive an acknowledgement letter within five (5) business days, the provider must contact the Appeals Department. It is important to note that balance billing members is prohibited under all Mercy Care health plans. . 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. Sharp Health Plan 8520 Tech Way, Ste. [SBM Sharp Health Plan [ 1-800-359-2002. April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday Box 22698 Your password has been reset. Every hospital visit involves both physician and hospital resources. Policy Manuals Sharp Direct Advantage is offered by Sharp Health Plan. Learn More. The percentage you pay of the remaining costs depends on your plan. Easily submit pre-authorizations without extra steps. Don't want to pick up the phone? Manage your claims. See if your doctor is covered under Sharp Direct Advantage Medicare plans. This could result in the claim being denied for untimely filing. 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. Contact us Coronavirus & COVID-19 , Health (2 days ago) WebCall us at 1-858-499-8300. Click here to read the full disclaimer. Long Beach, CA 90806, EthicsPoint MORE OPTIONS + Brokers Upang makausap ang isang tagasalin, tumawag sa 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. Well help you choose the coverage thats right for you. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. 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. 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. Talk to a real person. For the best experience on our website, please upgrade your browser to the latest version. Many surgery and procedure names sound similar. This service is free of charge and also includes American Sign Language translators. Address. 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. The claim dispute process should only be used after other attempts to resolve the matter have failed. Don't want to pick up the phone? If you prefer not to create an account, you can still pay your bill online by using our one-time payment form. 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 send us an email at customer.service@sharp.com and we will get back toyou. Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. Your most common questions, answered without playing phone tag. 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. Caregivers for SCAN Members can receive help with their login credentials here. Encounter Data Team Encounters_Operations@scanhealthplan.com. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, please 1-800-359-2002. However, making a partial payment will not prevent a past-due bill from going to a collections agency. 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. Contact us. 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. Enrollment in SCAN Health Plan depends on contract renewal. Sharp HealthCare offers financial assistance for qualifying patients who need help with emergency or medically necessary care received in a Sharp hospital. 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. Write: Follow the prompts to set your billing preferences. Cookies must be enabled to properly use this website. 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. Preferred Qualifications. Sharp Health Plan1-800-359-2002 . Rated 4.5 out of 5 stars by Medicare six years in a row! o Within 12 months after the date that eligibility is posted. Read the update , Share these tips with our members to help them reduce their risk of colon cancer. Contact us to learn how to get started with Sharp Direct Advantage today! Claims Mailing Address: Medical. Thats why were committed to you. For Providers. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. Diploma or Equivalent; Essential . Messages received on holidays and outside of normal business hours will be returned within one business day. 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. If you have a billing question that does not relate to a Sharp hospital or to Sharp Rees-Stealy Medical Group, please contact your doctor's office directly. 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 For general information or questions about quotes, rates, or materials: For member-specific information or questions: Were here to help you help your patients. Enrollment in SCAN Health Plan depends on contract renewal. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. Visit our FAQ and get your questions answered. 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. For the best experience on our website, please upgrade your browser to the latest version. Get helpful reminders about how to comply with the timely access laws, which outline maximum wait times for phone calls and appointment requests. 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. 1-858-499-8300. Interfaces with other Sharp Health Plan employees to provide information as requested for other Departments. Due to California privacy regulations, the information you can access for minor patients will depend on their age. MORE OPTIONS + Brokers We're here to help you succeed. With our providers, patients and health plans working together, we can ensure the best possible outcome every time. Complete ALL required fields, and include additional documentation when necessary. Contracted providers can find reimbursement information in their Mercy Care contracts. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. Sharp Health Plan is an HMO with a Medicare contract. Search for a doctor, hospital, pharmacy or drug name. www.ethicspoint.com, SCAN SIU Team If you do not want to leave our website, please click the X. min ph. It only takes about 15 to 20 minutes to enroll online securely. Sharp Health Plan . Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. These hours may change during holidays see below. Send us an email instead.
