Claims and EDI 1-877-778-7226. Our fax number is 1-858-303-9049 . Awards and recognition are subject to change each year. Once received, the claim dispute will be reviewed, and a decision will be rendered within 30 days after receipt. 1-800-359-2002. , , Sharp Health Plan , ' . Address. You will also be able to save your preferred payment method for future use. Providers who are contracted with Mercy Care can use electronic billing software. We were named in the 2023 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage inCalifornia. If you do not have a Sharp Account yet, you can submit a completed authorization form to request access. 1-877-251-5896 fax Home Delivery from Express Scripts Pharmacy . Messages received on holidays and outside of normal business hours will be returned within one business day. If a provider does not receive an acknowledgement letter within five (5) business days, the provider must contact the Appeals Department. 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 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 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. 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. SharpHealthPlan.com no longer supports this Internet browser. Need Member Help Logging In? Call 1-800-827-4277 or view our detailed phone directory. Ready for comprehensive Medicare Advantage coverage that could save you money? Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. 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. If you have questions that include personal details, like your medical history, please call your doctor directly. To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. 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. and Nov. 30, 2023. Health (6 days ago) WebContact 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. , , Sharp Health Plan, . You can send us an email at customer.service@sharp.com and we will get back toyou. 2023SCAN Health Plan. Enjoy direct access to Sharp HealthCare and The Sharp Experience.*. For general information or questions about quotes, rates or materials: You can call us Monday through Friday, 8 am to 5 pm. We are making improvements to how you can view and pay your bills through your Sharp Account. up. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. One of our financial counselors will provide estimated out-of-pocket costs for your care with us. These hours may change during holidays see below. This means the hospital and each of your treating physicians will send you a bill for their parts of your care. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. Box 22698 Long Beach, CA 90801-5616. Need to pay a medical bill or copay? Learn how to create one now. 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. These important numbers are located on your billing statement. Messages received on holidays and outside of normal business hours will be returned within one business day. About the billing process Paying your bill Payment plans Understanding your bill Paying a family member's bills Consumer protections from surprise billing About the billing process. Required Qualifications. Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 It's easy to register. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Sharp Direct Advantage is offered by Sharp Health Plan. Caregivers for SCAN Members can receive help with their login credentials here. For the best experience on our website, please upgrade your browser to the latest version. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. Messages received on holidays and outside of our business hours will be returned within one business day. 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 . 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"). You may also mail your payment to the address listed on your statement. Visit Medicare to compare other plan ratings and find detailed reports. Read up on ways to protect your colorectal health. 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. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, please SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. Were your neighbors, so you can count on us to be accessible. Click here and follow the instructions. 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. Please contact Member Services. Claim Form - Conference and Travel - Cerritos College - cms cerritos Call Member Services to request translation services. You can call us Monday to Friday, 8 am to 6 pm. 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. 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: Sharp Health Plan is accepting enrollments all year, thanks to the 5-star special enrollment period. You may submit feedback about your Medicare Advantage health plan directly to Medicare. Out-of-State Toll Free: 1-800-523-0231, How to Apply The program also provides coverage for preventive and behavioral health care services. Please see the below for more contact options. Write: SCAN Claims Department P.O. We invite you to share our women's preventive care Complete ALL required fields, and include additional documentation when necessary. All rights reserved. Subscribe to Newsletters 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 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 Find your doctor's phone number. We're your neighbors, so you can count on us to be accessible. For questions about plans and benefits, members should call: April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. Provider Relations Phone Number. 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 Phone: 1-858-499-8330 For credentialing inquiries about your application or credentialing status, contact our Credentialing team. All electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. Your most common questions, answered without playing phone tag. 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. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time LEARN MORE . Search for a doctor, hospital, pharmacy or drug name. 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. Please submit a copy of the front and back of your statement and a brief explanation of your situation, along with any other relevant information, to the address of your health plan. H5386_2022 Medicare Website_Rev10 Page Last Updated: 1/03/2023 Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. Looking for Provider Login or Agent/Broker Login? refill on a road trip. Coverage Determinations Please do not use this form to convey personal or medical information. Claims Mailing Address: Medical. You can use this special enrollment period only once between Dec. 8, 2022, Can't find your answer below? From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. Refer to our Provider Manual for more detailed information. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. 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. *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. Helpful holiday tips, your 2023 coverage checklist and more. A deductible is the annual amount that you must pay, out of pocket, before an insurance plan begins reimbursing for eligible services. We know youre committed to your workforce. 1-800-600-4441. http://oig.hhs.gov/fraud/report-fraud/index.asp. Thank you for making us the highest member-rated health plan in California for the eighth 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . To provide a more personalized experience, please select a state where SCAN is offered. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. Please check the box proving that you are not a robot. 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. Don't want to pick up the phone? DentaQuest administers dental benefits for Mercy Care and Mercy Care Advantage. Fax: 1-858-303-9062 The hospital's bill will be for the technical resources and supplies, such as procedures and equipment, needles and scalpels or medications. The monthly premium for our new VIP Plan is $0. Para hablar con un intrprete, llame al 1-800-359-2002. Your bill will list the services you received under the "Summary of Patient Services." Seffrah Orlando, Senior Public Relations Specialist Please read our. 1-888-327-9791 tel. If you'd like to pay a bill for a loved one, use our one-time payment form. All of the points of contact are professional, committed and passionate about providing high-quality service. 562-508-6781 b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. Typically, you will pay your percentage of costs until you reach your plan's annual out-of-pocket maximum. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. sorlando@scanhealthplan.com. Caregivers for SCAN Members can receive help with their login credentials here. Quality care depends on clear communication between you and your patients. Click below to learn more about which plans, benefits and doctors are available in your area. You have entered a ZIP code that is not currently accepting enrollments. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . 1-877-863-3362 Once you have submitted our request form, we will review your request and send you an email invitation to complete the connection within 30 business days. The claim dispute process should only be used after other attempts to resolve the matter have failed.
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