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Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. Many surgery and procedure names sound similar. up. You may need to complete a final step to connect to your family member in FollowMyHealth. 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). For your employees' protection, we don't recommend using email to send personal medical information. 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. 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 April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday If you use FollowMyHealth, you may grant account access to any adult. We were named in the 2023 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage inCalifornia. BOX 22616 Talk to a real person. 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. You may submit your claim dispute in writing through the mail or send electronically to us through fax. Provider Account Management: Providers who are contracted with Mercy Care can use electronic billing software. Need Member Help Logging In? 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. The program also provides coverage for preventive and behavioral health care services. Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31. Complete testing with UPMC Health Plan. 1-800-359-2002 . Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. Phone: 1-858-499-8330 Click below to learn more about which plans, benefits and doctors are available in your area. Contact Sharp Direct Advantage Medicare - Sharp Health Plan Paper Corrected Claim Submission Updates | Fidelis Care Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. 3800 Kilroy Airport Way, Suite 100 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. Fee-for-Service Fee Schedules, Contact Us Send us an email instead. It's easy to register. Sharp Health Plan 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. Mercy Care Claims Department P. O. 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"). Sharp Health Plan , 1-800-359-2002. MORE OPTIONS + Brokers Your password has been reset. 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. , , Sharp Health Plan , ' . 1-360-975-7000, option 1. Read the full disclaimer. Clerical Assistant II- Claims / Finance /Healthplan- Tech Way / Full LEARN MORE , Let our members know about screening tests to help prevent or detect cervical cancer. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. It's National Drug & Alcohol Facts Week. Sharp Health Plan1-800-359-2002 . We are making improvements to how you can view and pay your bills through your Sharp Account. H.S. MC will acknowledge a claim dispute request within five (5) business days after receipt. Sharp Health Plan: Fill & Download for Free - cocodoc.com 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. This could result in the claim being denied for untimely filing. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. H5386_2022 Medicare Website_Rev10 Page Last Updated: 1/03/2023 Sharp Health Plan , 1-800-359-2002. Looking for Provider Login or Agent/Broker Login? Our fax number is 1-858-303-9049 . For your protection, we don't recommend using email to send personal medical information. Subscribe to Newsletters and Nov. 30, 2023. Once received, the claim dispute will be reviewed, and a decision will be rendered within 30 days after receipt. Providers must register with the AHCCCS program to be eligible for payment reimbursement. Customer Service Information To find doctors who accept Sharp Health Plan - HMO and their office locations, and more go to http://www.sharphealthplan.com/ Customer service phone number: 1-800-359-2002 Customer service TTY/TDD number: 711 (state relay service) Customer service hours/availability: 8:00am-6:00pm M-F 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. Please check your email for your new password. We are available 7 am to 8 pm, seven days a week. 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. Call our dedicated Customer Care provider line: You can report potential compliance issues and/or issues with fraud, waste and abuse through any of the following channels: Hours: Claims denied for timely filing must have an explanation for the delay as well as specific documentation. Click here to read the full disclaimer. You can call us Monday through Friday, 8 am to 5 pm. Your password has been reset. SCAN Health Plan is an HMO plan with a Medicare contract. Careers We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. This year's theme is #EmbraceEquity. 1-888-445-2038. 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. Hours may change during holidays. Don't want to pick up the phone? SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Health (3 days ago) Web101 Wood Avenue South, 8th Floor. email us at provider.relations@sharp.com or call1-858-499-8330. Call us We are available 7 am to 8 pm, seven days a week. Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. Encounters_Operations@scanhealthplan.com, Contact Express Scripts for Part D Coverage Reviews Please read our. Iselin, New Jersey 08830. Enrollment in SCAN Health Plan depends on contract renewal. To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. Talk to a real person. With our providers, patients and health plan working together, we can ensure the best possible outcome every time. Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of benefits. 1-800-454-3730. 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. Submit authorizations. Enjoy retirement with a plan you cantrust. 8 a.m. to 8 p.m., Seven days a week, from October 1 to March 31. 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 . Your bill will list the services you received under the "Summary of Patient Services." Sharp Health Plan . 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time 1-888-327-9791 tel. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. Sharp Direct Advantage is offered by Sharp Health Plan. We are working to resolve this as quickly as possible. Contact Sharp Health Plan to get answers on anything from paying a bill to signing up for coverage. Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a If you feel under the weather or have certain long-term health problems, virtual care can Every year, Medicare evaluates plans based on a 5-star rating system. Sharp Community Medical Group (SCMG) - San Diego For credentialing inquiries about your application or credentialing status, contact our Credentialing team. Hours may change during holidays. Well help you choose the coverage thats right for you. For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, You may also mail your payment to the address listed on your statement. If you believe your responsibility is inaccurate, please contact your insurance plan directly. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. Phone: 1-858-499-8100 Member Services Phone Number. 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. 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: Click hereand follow the instructions. 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. Get helpful reminders about how to comply with the timely access laws, which outline maximum wait times for phone calls and appointment requests. It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. Box 2906Milwaukee, WI53201-2906. Our billing office will make several attempts to collect payment. Messages received on holidays and outside of our business hours will be returned within one business day. Need to pay a medical bill or copay? Rated 4.5 out of 5 stars by Medicare six years in a row! Claims information - Sharp Health Plan Covered Services Please check your email for your new password. Email your SCAN Network Management representative. 1-858-499-8300. , , Sharp Health Plan , ' . These hours may change during holidays see below. We offer high-quality, affordable health insurance for San Diegans of all ages with direct access to Sharp HealthCare. 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). TTY/TDD users can dial 711 or use the California Relay Services toll-free phonenumbers. Phone: 1-858-499-8200. Home Delivery from Express Scripts PharmacySM Box 22698 Following your medical procedure, our billing office files a claim with your primary health insurance for the services performed. Sharp is not-for-profit and relies on fundraising. Now its our turn to serveyou. 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. 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. For general information or questions about quotes, rates or materials: 1-800-837-0959 fax, Network Management A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. a) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention. SCAN Claims Department If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. Find your health plan's address (PDF). Enrollment in SCAN Health Plan depends on contract renewal. We offer high-quality, affordable health insurance for San Diegans of all ages with Welcome to SCAN Health Plan! You can call us Monday through Friday, 8 am to 5 pm. 1-844-424-8886 (TTY: 1-800-716-3231) tel. All of the points of contact are professional, committed and passionate about providing high-quality service. General office experience, preferably in a service oriented environment. TTY/TDD users can dial 711 or use the California Relay Services toll-free phone numbers. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, please Mail-Order Sharphealthplan.com Category: Health Detail Health Contact us - Phone numbers, email, mailing address Health (2 days ago) WebCall us at 1-858-499-8300. Check your coverage documents through Sharp Connect. You can call us Monday through Friday, 8 am to 5 pm. For the best experience on our website, please upgrade your browser to the latest version. For the best experience on our website, please upgrade your browser to the latest version. We are currently experiencing issues with our provider and site search tools. It only takes about 15 to 20 minutes to enroll online securely. Diploma or Equivalent; Essential . Awards and recognition are subject to change each year. Every hospital visit involves both physician and hospital resources. Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 Please contact Member Services. 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.