sharp health plan claims address

Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. Please check your email for your new password. 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. Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. 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. Long Beach, CA 90801-5616. If you use FollowMyHealth, you may grant account access to any adult. TTY/TDD users can dial 711 or use the California Relay Services toll-free phonenumbers. * Every year, Medicare evaluates plans based on a 5-star rating system. direct access to Sharp HealthCare. min ph. 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. Complete testing with UPMC Health Plan. Follow the prompts to set your billing preferences. 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. Click below to learn more about which plans, benefits and doctors are available in your area. With our providers, patients and health plan working together, we can ensure the best possible outcome every time. You can call us Monday through Friday, 8 am to 6 pm. am, Monday through Friday, and 24 hours a day on weekends. Sharp Health Plan , 1-800-359-2002. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, please Don't want to pick up the phone? We are currently experiencing issues with our provider and site search tools. We're here to help shed light on the bills you may receive. It only takes about 15 to 20 minutes to enroll online securely. The Sharp SecureHorizons Plan by UnitedHealthcare and the Sharp Walgreens by UnitedHealthcare plans are Medicare Advantage Health Maintenance Organization (HMO) plans that include benefits in addition to those covered under Original Medicare, including Part D prescription drug coverage. 1-562-308-3699 fax Every hospital visit involves both physician and hospital resources. Write: If you have questions about your covered services, copays or deductibles - or which providers are in-network or out-of-network in your insurance plan - please call your health insurance company to confirm your coverage. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Thats why were committed to you. For general information or questions about quotes, rates or materials: Contact your software vendor directly for questions about your electronic billing. *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. Please do not use this form to convey personal or medical information. Call our dedicated Customer Care provider line: If you'd like to pay a bill for a loved one, use our one-time payment form. Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. networkmgmt@scanhealthplan.com, Office Ally Clearinghouse AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Caregivers for SCAN Members can receive help with their login credentials here. Attn: Member Services Contact Sharp Health Plan to get answers on anything from paying a bill to signing up for coverage. Many surgery and procedure names sound similar. Electronic submission*: Through Electronic Clearing House It's National Drug & Alcohol Facts Week. The SCAN Sales Support team works with brokers and broker agencies to answer questions regarding plan benefits, eligibility, enrollment, network, formulary and other issues. If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. 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. Send us an email instead. Typically, you will pay your percentage of costs until you reach your plan's annual out-of-pocket maximum. Hours may change during holidays. When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. SCAN Health Plan is an HMO plan with a Medicare contract. See if your doctor is covered under Sharp Direct Advantage Medicare plans. To provide a more personalized experience, please select a state where SCAN is offered. The provider must follow all applicable laws, policies and contractual requirements when filing. Learn More. If you have questions that include personal details, like your medical history, please call your doctor directly. Careers Need to pay a medical bill or copay? 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. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . MORE OPTIONS + Brokers We're here to help you succeed. ) 1-800-359-2002. For the best experience on our website, please upgrade your browser to the latest version. and Nov. 30, 2023. The website information you will be accessing is provided by another organization or vendor. Health (6 days ago) WebContact Us . Please visit Sharp.com or call your provider. Mercy Care's electronic claim submission vendors, https://dentaquest.com/state-plans/regions/arizona/, Augmentative and Alternative Communication. Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week. Sharp Health Plan , 1-800-359-2002. Sharp Direct Advantage is offered by Sharp Health Plan. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. Electronic prescribing mandate information. We provide dedicated bilingual (English/Spanish) representatives to our members and free over-the-phone translation services in dozens of other languages. SCAN Claims Department The only way to ensure you have the full Sharp Experience, from coverage to care, is with a Sharp Direct Advantage plan - only from Sharp Health Plan. 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 us Coronavirus & COVID-19 resources for providers We invite you to share our women's preventive care Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 We offer high-quality, affordable health insurance for San Diegans of all ages with 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. For member-specific information or questions: The hospital's bill will be for the technical resources and supplies, such as procedures and equipment, needles and scalpels or medications. There is a problem with enrollment at this time. To include supporting documentation, such as members medical records, clearly label and send to the Claims Department at the correct address. Talk to a real person. SCAN Health Plan Health (1 days ago) WebSharp Health Plan Login Sign in Email address Password Forgot your password? Recently completed plans and new plans may not display on the Hospital Payment Plans section within Sharp Account. Please do not use this form to convey personal or medical information. 1-800-359-2002 . Hours may change during holidays see below. www.ethicspoint.com, SCAN SIU Team 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: Written claim disputes must be submitted to the MC Appeals Department. 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). Think of us as your personal health care assistant. The Health Plan encourages electronic claims submission . We're your neighbors, so you can count on us to be accessible. Para hablar con un intrprete, llame al 1-800-359-2002. 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. Messages received on holidays and outside of normal business hours will be returned within one business day. You may receive a bill from us after your health insurance plan processes our bill. Cookies must be enabled to properly use this website. 562-508-6781 ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Get free, confidential 24/7 treatment referral and information from the National Helpline. Box 90640Phoenix, AZ 85066. News & Press Releases, Can't find what you're looking for? You can pay by credit or debit card or by check. Please check your email for your new password. 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. AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. Reduce risk , "We are thrilled with the support that we receive at all levels. Sharp Health Plan . We are making improvements to how you can view and pay your bills through your Sharp Account. Contact us to learn how to get started with Sharp Direct Advantage today! Please contact Member Services. [SBM Sharp Health Plan [ 1-800-359-2002. Subscribe to Newsletters 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 Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. Fee-for-Service Fee Schedules, Contact Us Learn how you can help your patients through the Shingrix shortage. Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. If you feel under the weather or have certain long-term health problems, virtual care can Email your SCAN Network Management representative. Call 1-800-827-4277 or view our detailed phone directory. You have entered a ZIP code that is not currently accepting enrollments. Medicare Crossover You may need to complete a final step to connect to your family member in FollowMyHealth. Sharp hospitals: 858-499-2400 Sharp Rees-Stealy: 858-499-2410 SharpCare: 858-499-2044 Sharp Specialty Groups: 858-346-4321 We look forward to helping you. If you cannot pay the entire amount, you can set up a payment plan via Sharp Account for qualifying or eligible hospital bills. 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. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. Use your member ID number to sign Contact us. 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. A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. Long Beach, CA 90801-5616, Encounter Data Team If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. SCAN Health Plan is an HMO plan with a Medicare contract. It's easy to register. Complete ALL required fields, and include additional documentation when necessary. be a great option. Your password has been reset. year in a row. Get free, confidential 24/7 treatment referral and information from the National Helpline. http://oig.hhs.gov/fraud/report-fraud/index.asp. 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. 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. Claims and EDI 1-877-778-7226. a) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention. Your most common questions, answered without playing phone tag. You can call us Monday through Friday, 8 am to 5 pm. For general questions or provider portal registration, contact our Provider Account Management team. , , Sharp Health Plan, . PracticeBridge. Were here to help you help your patients.