1-877-251-5896 fax Home Delivery from Express Scripts Pharmacy . Hours may change during holidays. Empire Plan Toll free. 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? The amount you are charged is the portion of your bill your insurance policy does not cover - it is based on what your insurance plan communicates to us on your explanation of benefits (EOB). Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. Visit your health plan's website to learn how benefits, claims, and payment of claims are covered, as well as the service limitations and exclusions that may apply. Hours may change during holidays. The percentage you pay of the remaining costs depends on your plan. 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. For Providers. Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 You can also use this form to pay a bill for another person. , , Sharp Health Plan , ' . Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. Phone: 1-858-499-8200. Get free, confidential 24/7 treatment referral and information from the National Helpline. You will also be able to save your preferred payment method for future use. Find a Health (3 days ago) Web101 Wood Avenue South, 8th Floor. Read up on ways to protect your colorectal health. Were your neighbors so you can count on us to be accessible. FL 22: Resubmission Code field must be billed with a "7" and the Original Reference Number field . direct access to Sharp HealthCare. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. When you go to the hospital for a medical procedure or to your doctor's office for a checkup, we confirm your billing information including who is responsible for payment and which health insurance plan should be billed. Box 982975El Paso, TX 79998-2975. Enrollment in SCAN Health Plan depends on contract renewal. If you believe your responsibility is inaccurate, please contact your insurance plan directly. Send us an email instead. Easily submit pre-authorizations without extra steps. To learn more about our community programs and how these may work for your organization or event, call 1-877-806-7226 or email us. For any claims, eligibility, or referral inquiries, contact our dedicated Customer Care team. This could result in the claim being denied for untimely filing. 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. You may submit your claim dispute in writing through the mail or send electronically to us through fax. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. Enjoy direct access to Sharp HealthCare and The Sharp Experience.*. Sharp Health Plan is an HMO with a Medicare contract. Every year, Medicare evaluates plans based on a 5-star rating system. Contact Express Scripts for Part D Coverage Reviews Coverage Determinations 1-844-424-8886 (TTY: 1-800-716-3231) tel. 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 HealthCare will make every effort to ensure the information contained in this guide is accurate and current. 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 A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. 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. Read the full disclaimer. Refer to our Provider Manual for more detailed information. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. 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. Contact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. FraudWaste&AbuseProg@scanhealthplan.com, Office of Inspector General, U.S. Department of Health & Human Services. Contact your software vendor directly for questions about your electronic billing. Find your doctor's phone number. All rights reserved. Sharp Health Plan1-800-359-2002 . When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. 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. 1-888-445-2038. News & Press Releases, Can't find what you're looking for? Para hablar con un intrprete, llame al 1-800-359-2002. Our fax number is 1-858-303-9049 . This means the hospital and each of your treating physicians will send you a bill for their parts of your care. AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. 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. be a great option. For questions about plans and benefits, members should call: April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday Seffrah Orlando, Senior Public Relations Specialist Sharp Health Plan is accepting enrollments all year, thanks to the 5-star special enrollment period. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. The claim dispute process should only be used after other attempts to resolve the matter have failed. You can call us Monday through Friday, 8 am to 5 pm. For your employees' protection, we don't recommend using email to send personal medical information. Enrollment with Sharp Health Plan depends on contract renewal. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. CALL NOW. Subscribe to Newsletters 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time Your most common questions, answered without playing phone tag. If you cannot pay the entire amount, you can set up a payment plan via Sharp Account for qualifying or eligible hospital bills. Learn More. Please check your email for your new password. Please check your email for your new password. Visit our FAQ and get your questions answered. Please read our. 1-844-424-8886 (TTY: 1-800-716-3231) tel. 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. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. If you do not have a Sharp Account yet, you can submit a completed authorization form to request access. 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. . 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 It's National Drug & Alcohol Facts Week. SharpHealthPlan.com no longer supports this Internet browser. FBT: SharpHealthPlan.com no longer supports this Internet browser. The website information you will be accessing is provided by another organization or vendor. 1-888-705-7226 Now its our turn to serveyou. Don't want to pick up the phone? See your patients' history. Click here to read the full disclaimer. You can use your Sharp Account to make a partial payment on a bill. At this time, the Sharp Health Plan . email us at provider.relations@sharp.com or call1-858-499-8330. To have your name removed from our advertising mailing list, please complete and submit the Mailing List Removal form. 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 . For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, , , Sharp Health Plan, . Please check the box proving that you are not a robot. 1-562-308-3699 fax Box 90640Phoenix, AZ 85066. Address. SCAN Health Plan is an HMO plan with a Medicare contract. Click on the link for answers about Medicare Advantage and coverage. Please read our. Talk to a real person. MORE OPTIONS + Brokers We're here to help you succeed. This year's theme is #EmbraceEquity. 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. 1-800-359-2002. Find a Learn how to create one now. SCAN Health Plan is an HMO plan with a Medicare contract. FBT: SharpHealthPlan.com no longer supports this Internet browser. Eligibility, referrals, or claims: Sharp is not-for-profit and relies on fundraising. The Health Plan encourages electronic claims submission . If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. Sharp Community has been caring for San Diegans since 1989. 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. 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. 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: It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. Health (6 days ago) WebContact Us . Hours may change during holidays see below. 1-800-359-2002. Please contact Member Services. You may need to complete a final step to connect to your family member in FollowMyHealth. For general questions or provider portal registration, contact our Provider Account Management team. However, making a partial payment will not prevent a past-due bill from going to a collections agency. Enrollment with Sharp Health Plan depends on contract renewal. Explore SCAN plans available in your area! 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 our business hours will be returned within one business day. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Mail-Order Awards and recognition are subject to change each year. Long Beach, CA 90801-5616. 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. 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. Every year, Medicare evaluates plans based on a 5-star rating system. Coinsurance takes place when you reach your deductible and you and your insurance plan share in paying a percentage of the remaining costs. If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. 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). Never wonder about the status of your claims again. A provider may file a claim dispute based on: Before a provider initiates a claims dispute, the following needs to occur: o Within 12 months after the date of service. 1-800-600-4441. Get the right support so that no questions are left unanswered. If a provider does not receive an acknowledgement letter within five (5) business days, the provider must contact the Appeals Department. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. As reported in Medicare & You 2023 member rating of plan. Rated 4.5 out of 5 stars by Medicare six years in a row! Dr. Alan Kadet's office New York, NY Check eligibility & benefits. Every year, Medicare evaluates plans based on a 5-star rating system. We are available 7 am to 8 pm, seven days a week. refill on a road trip. For general information or questions about quotes, rates or materials: Sharp Health Plan 8520 Tech Way, Ste. All of the points of contact are professional, committed and passionate about providing high-quality service. Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of benefits. We invite you to share our women's preventive care 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. Box 982975 El Paso, TX 79998-2975. You can call us Monday through Friday, 8 am to 5 pm. networkmgmt@scanhealthplan.com, Office Ally Clearinghouse Sharp Direct Advantage is offered by Sharp Health Plan. We are working to resolve this as quickly as possible. 1-800-359-2002 . sorlando@scanhealthplan.com. Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. 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"). 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. These hours may change during holidays see below. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time Providers who are contracted with Mercy Care can use electronic billing software. A deductible is the annual amount that you must pay, out of pocket, before an insurance plan begins reimbursing for eligible services. Click here and follow the instructions. UPMC Health Plan claims. 1-360-975-7000, option 1. 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). P.O. Get started now. Sharp Health Plan . Para hablar con un intrprete, llame al 1-800-359-2002. You can also search for your primary care doctor to find the medical group you and your doctor belong to. Box 2906Milwaukee, WI53201-2906. min ph. Fax: 1-858-303-9049 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. 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. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. 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. From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., seven days a week. To set up a payment plan for a Sharp Rees-Stealy bill or to inquire about a payment plan for a family member's bill, call us at 858-499-2400. 1-858-499-8009 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. 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. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. 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. Find out more , Stay informed. Electronic prescribing mandate information. With our cost-saving benefits, you could put more money back into your monthly budget. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. www.ethicspoint.com, SCAN SIU Team Helpful holiday tips, your 2023 coverage checklist and more. 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. 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. To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. Learn More. Box 22698 Long Beach, CA 90801-5616. All electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. ", - Sherri R., Director of Benefits & HR Information Systems, Palomar Health. You may submit feedback about your Medicare Advantage health plan directly to Medicare. Call us at 1-858-499-8300. Interfaces with other Sharp Health Plan employees to provide information as requested for other Departments. 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. 1-877-251-5896 fax Health (1 days ago) WebSharp Health Plan Login Sign in Email address Password Forgot your password? Sharp Health Plan 1.800.359.2002. The provider must follow all applicable laws, policies and contractual requirements when filing. P.O. MORE OPTIONS + Brokers We're here to help you succeed. , , Sharp Health Plan, . Once received, the claim dispute will be reviewed, and a decision will be rendered within 30 days after receipt. http://oig.hhs.gov/fraud/report-fraud/index.asp. Get free, confidential 24/7 treatment referral and information from the National Helpline. Caregivers for SCAN Members can receive help with their login credentials here. These hours may change during holidays see below. Please visit Sharp.com or call your provider. Please visit Sharp.com or call your provider. These hours may change during holidays see below. Mercy Care Claims Department P. O. MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com You can also use Sharp Account to view itemized bills, check your current balance and view your payment history. General office experience, preferably in a service oriented environment. Sharp Health Plan . Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: You can join today, right from your laptop or phone. Refer to your insurance card or call your insurance provider to determine your medical group. Make sure your contact information is up to date. , , Sharp Health Plan , ' . Use your member ID number to sign 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

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