All rights reserved. Call us We are available 7 am to 8 pm, seven days a week. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. Caregivers for SCAN Members can receive help with their login credentials here. You can use Medicares 5-star special enrollment period to switch from your current Medicare plan to a Medicare plan with a 5-star quality rating. You can also use this form to pay a bill for another person. Sharp HealthCare Phone Numbers and Email - San Diego Encounter Data Team Encounters_Operations@scanhealthplan.com. Messages received on holidays and outside of our business hours will be returned within one business day. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. 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? year in a row. LEARN MORE . FBT: SharpHealthPlan.com no longer supports this Internet browser. The SCAN Sales Support team works with brokers and broker agencies to answer questions regarding plan benefits, eligibility, enrollment, network, formulary and other issues. Contact your software vendor directly for questions about your electronic billing. Find your doctor's phone number. FBT: SharpHealthPlan.com no longer supports this Internet browser. Search for a doctor, hospital, pharmacy or drug name. Enrollment with Sharp Health Plan depends on contract renewal. * Every year, Medicare evaluates plans based on a 5-star rating system. Rated 4.5 out of 5 stars by Medicare six years in a row! Phone: 1-858-499-8100 3800 Kilroy Airport Way, Suite 100 Find a Claims denied for timely filing must have an explanation for the delay as well as specific documentation. 1-800-359-2002 . . Sharp HealthCare offers financial assistance for qualifying patients who need help with emergency or medically necessary care received in a Sharp hospital. Click on the link for answers about Medicare Advantage and coverage. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. We're your neighbors, so you can count on us to be accessible. If a provider disagrees with the MC Notice of Decision, the provider may request a State Fair Hearing. Sharp Health Plan , 1-800-359-2002. This means the hospital and each of your treating physicians will send you a bill for their parts of your care. Check your coverage documents through Sharp Connect. After your claim is processed by your primary health insurance plan, our billing office will file claims with any secondary or supplemental insurance organizations that you have provided to us. 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. At this time, paperless billing is only available for Sharp Rees-Stealy and Sharp hospital bills. Every year, Medicare evaluates plans based on a 5-star rating system. CALL NOW. Sharp Health Plan 1.800.359.2002. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. 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. California Sharp Medicare Advantage Plans | UHCprovider.com For credentialing inquiries about your application or credentialing status, contact our Credentialing team. If a provider does not receive an acknowledgement letter within five (5) business days, the provider must contact the Appeals Department. Every year, Medicare evaluates plans based on a 5-star rating system. email us at provider.relations@sharp.comor call 1-858-499-8330. Claims and EDI 1-877-778-7226. Caregivers for SCAN Members can receive help with their login credentials here. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Your password has been reset. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. We offer high-quality, affordable health insurance for San Diegans of all ages with direct access to Sharp HealthCare. If there is a problem with the information provided, and your insurance plan will not pay, our billing office attempts to correct the information and refile the claim. instructions from the Health Plan and the Department of Managed Health Care. You can call us Monday to Friday, 8 am to 6 pm. , , Sharp Health Plan , ' . The Sharp Experience - Sharp Health Plan Payment plans are only for hospital bills, and are not available for Sharp Rees-Stealy bills or for connected family members at this time. Financial assistance is available for qualified low-income patients to assist with all or part of a hospital bill. The program also provides coverage for preventive and behavioral health care services. 1-800-359-2002. Sharp Health Plan is an HMO with a Medicare contract. These important numbers are located on your billing statement. Effective January 1, 2022, all California health care practitioners who are authorized to prescribe will be required to issue prescriptions electronically. Messages received on holidays and outside of our business hours will be returned within one business day. 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. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Call us at 1-858-499-8300. email us at provider.relations@sharp.com or call1-858-499-8330. The physician's bill will be for the professional services. We were named in the 2023 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage inCalifornia. It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., seven days a week. Contact Express Scripts for Part D Coverage Reviews Coverage Determinations 1-844-424-8886 (TTY: 1-800-716-3231) tel. Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Member Services Phone Number. Read the full disclaimer. CLAIM.MD | Payer Information | Sharp Health Plan 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. Iselin, New Jersey 08830. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. Messages received on holidays and outside of normal business hours will be returned within one business day. 1-844-424-8886 (TTY: 1-800-716-3231) tel. 1-800-359-2002 . Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. Real Time Claim Status (RTS): NO. Call 1-800-827-4277 or view our detailed phone directory. FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. 562-508-6781 As reported in Medicare & You 2023 member rating of plan. Please check your email for your new password. Typically, you will pay your percentage of costs until you reach your plan's annual out-of-pocket maximum. Our updated Mercy Care Claims Processing Manualis now available to assist you with any claims or billing questions you may have. 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. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. Due to COVID-19 restrictions, the Sharp Health Plan office is not open to visitors at this time. Enrollment in SCAN Health Plan depends on contract renewal. Sharp Health Plan1-800-359-2002 . These important numbers are located on your billing statement. Enrollment with Sharp Health Plan depends on contract renewal. 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. At this time, the Sharp Health Plan . Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. All electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. Ready for comprehensive Medicare Advantage coverage that could save you money? For general information or questions about quotes, rates or materials: 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. Provider Account Management: Additionally, a Level Two report is provided to your vendor, which is the only accepted proof of timely filing for electronic claims. 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. PDF Chapter H Claims Procedures - UPMC Health Plan Home Delivery from Express Scripts PharmacySM Easily submit pre-authorizations without extra steps. Sharp Health Plan Toll-free 1-855-562-8853 TTY/TDD: 711 Our offices are closed on the following holidays in 2023: Email us You can send us an email at customer.service@sharp.com and we will get back to you. 1-800-837-0959 fax, Network Management Long Beach, CA 90806, EthicsPoint Box 982975 El Paso, TX 79998-2975. 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. Go to www.sharphealthplan.com/payment to pay now. ) 1-800-359-2002. Write: SCAN Claims Department P.O. 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. 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. For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, Call us at 1-858-499-8300. Need to pay a medical bill or copay? SHARP HEALTH PLAN - 19 Photos & 207 Reviews - 8520 Tech Way, San Diego Hours may change during holidays. Sharp Health Plan Claims Address 2023SCAN Health Plan. Box 22698 Long Beach, CA 90801-5616. and Nov. 30, 2023. Sharp Health Plan is accepting enrollments all year, thanks to the 5-star special enrollment period. 1-800-HHS-TIPS (1-800-447-8477) 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. Rated 4.5 out of 5 stars by Medicare six years in a row! Get free, confidential 24/7 treatment referral and information from the National Helpline. If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. You will need to provide your personal information and the invoice or visit number from your paper statement for each payment. We know youre committed to your workforce. For your protection, we don't recommend using email to send personal medical information. Every hospital visit involves both physician and hospital resources. Reduce risk , "We are thrilled with the support that we receive at all levels. Sharp Health Plan Performance Plus UnitedHealthcare SignatureValue Alliance and SignatureValue Harmony UnitedHealthcare Group Medicare Advantage and Medicare Advantage Edge Western Health Advantage HMO and MyCare Select Medicare HMO Blue Shield of California and Kaiser Permanente administer their own Pharmacy Benefits.
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