Call our Customer Care team at (855) 995-5004 or submit a form. For general information or questions about quotes, rates or materials: 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. Sharp HealthCare Phone Numbers and Email - San Diego Ready for comprehensive Medicare Advantage coverage that could save you money? Covered Services For the best experience on our website, please upgrade your browser to the latest version. Iselin, New Jersey 08830. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. Interested in joining the SCAN provider network? Long Beach, CA 90806, EthicsPoint . Easily submit pre-authorizations without extra steps. Sharp Health Plan . 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. 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. Many surgery and procedure names sound similar. 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. 562-508-6781 Learn how you can help your patients through the Shingrix shortage. 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. Click here and follow the instructions. H.S. Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. If you do not want to leave our website, please click the X. 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. We provide dedicated bilingual (English/Spanish) representatives to our members and free over-the-phone translation services in dozens of other languages. Frequently Asked Billing Questions | Sharp HealthCare Sharp is not-for-profit and relies on fundraising. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. Sharp Health Plan Read the full disclaimer. SCAN Health Plan http://oig.hhs.gov/fraud/report-fraud/index.asp. Learn about the basics of Medicare, how to enroll, andmore. With our providers, patients and health plans working together, we can ensure the best possible outcome every time. 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. Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. If you choose to send via fax, please fax your disputes to 602 351-2300. Failure to specifically state the factual and legal basis may result in denial of the claim dispute. 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). Thank you for your understanding as we work to ensure everyone remains healthy and safe. If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. Plans & Rates - CalPERS Caregivers for SCAN Members can receive help with their login credentials here. Award-winning service, comprehensive coverage, plus more. Sharp Health Plan . FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. Electronic prescribing mandate information. Your bill will list the services you received under the "Summary of Patient Services." 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. 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 You should only sign this section if you want to cancel this authorization. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time Learn how to create one now. 1-562-308-3699 fax 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. PDF Chapter H Claims Procedures - UPMC Health Plan 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 You can call us Monday through Friday, 8 am to 6 pm. Think of us as your personal health care assistant. Sharp Health Plan is accepting enrollments all year, thanks to the 5-star special enrollment period. The monthly premium for our new VIP Plan is $0. 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. 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. We're here to help shed light on the bills you may receive. Address. Reduce risk , "We are thrilled with the support that we receive at all levels. Your most common questions, answered without playing phone tag. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. Don't want to pick up the phone? Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a Sharp Community has been caring for San Diegans since 1989. 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. Learn More. 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. You can join today, right from your laptop or phone. 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. Find a local SCAN Representative in your neighborhood who speaks your language. Sharp Health Plan: Fill & Download for Free - cocodoc.com SCAN Claims Department Electronic submission*: Through Electronic Clearing House 1-877-251-5896 fax Once received, the claim dispute will be reviewed, and a decision will be rendered within 30 days after receipt. Phone: 1-858-499-8200. For the best experience on our website, please upgrade your browser to the latest version. Visit our FAQ and get your questions answered. These important numbers are located on your billing statement. Send us an email instead. California Sharp Medicare Advantage Plans | UHCprovider.com 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. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Due to California privacy regulations, the information you can access for minor patients will depend on their age. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Were here to help you help your patients. Messages received on holidays and outside of normal business hours will be returned within one business day. Phone: 1-858-499-8330 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. For member-specific information or questions: 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). AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. For general questions or provider portal registration, contact our Provider Account Management team. Find your health plan's address (PDF). Click here to read the full disclaimer. Sharp Health Plan is an HMO with a Medicare contract. 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. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . FBT: SharpHealthPlan.com no longer supports this Internet browser. 2023 SCAN Health Plan. LEARN MORE , Let our members know about screening tests to help prevent or detect cervical cancer. refill on a road trip. It is important to note that balance billing members is prohibited under all Mercy Care health plans. 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. Cash is accepted at hospitals only. Call 1-800-827-4277 or view our detailed phone directory. direct access to Sharp HealthCare. Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. If you'd like to pay a bill for a loved one, use our one-time payment form. We will review your request and send you an email invitation to complete the connection within 30 days. 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. Sharp is not-for-profit and relies on fundraising. If you have questions that include personal details, like your medical history, please call your doctor directly. For your employees' protection, we don't recommend using email to send personal medical information. Call us at 1-858-499-8300. We're your neighbors, so you can count on us to be accessible. 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. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. Quality care depends on clear communication between you and your patients. For any claims, eligibility, or referral inquiries, contact our dedicated Customer Care team. Caregivers for SCAN Members can receive help with their login credentials here. Enrollment with Sharp Health Plan depends on contract renewal. Preferred Qualifications. From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., seven days a week. You can use this special enrollment period only once between Dec. 8, 2022, Out-of-State Toll Free: 1-800-523-0231, How to Apply Don't want to pick up the phone? TTY/TDD users can dial 711 or use the California Relay Services toll-free phonenumbers. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. News & Press Releases, Can't find what you're looking for? All rights reserved. , , Sharp Health Plan, . If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. This position provides support and assistance to the Claims Department. Compliance Officer Enjoy retirement with a plan you cantrust. Now its our turn to serveyou. b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. Complete testing with UPMC Health Plan. Explore SCAN plans available in your area! Para hablar con un intrprete, llame al 1-800-359-2002. Were your neighbors, so you can count on us to be accessible. P.O. Your password has been reset. Sharp Health Plan1-800-359-2002 . Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: Never wonder about the status of your claims again. 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. Box 2906Milwaukee, WI53201-2906. o Or within 60 days after the date of the denial of a timely claim submission, whichever is later.