sharp health plan claims address

It's easy to register. 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. Sharp Health Plan , 1-800-359-2002. Hours are 8 a.m. to 8 p.m. from April 1 to Sept. 30, Monday through Friday. Many surgery and procedure names sound similar. Fax: 1-858-303-9049 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. You can send us an email at customer.service@sharp.com and we will get back toyou. Please contact Member Services. Our fax number is 1-858-303-9049. We know youre committed to your workforce. 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. min ph. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. Interested in joining the SCAN provider network? Sharphealthplan.com Category: Health Detail Health Contact us - Phone numbers, email, mailing address Health (2 days ago) WebCall us at 1-858-499-8300. If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. You can call us Monday through Friday, 8 am to 5 pm. 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. 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. Write: SCAN Claims Department P.O. A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. * Every year, Medicare evaluates plans based on a 5-star rating system. 1-888-327-9791 tel. sorlando@scanhealthplan.com. 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. 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: Easily submit pre-authorizations without extra steps. From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., seven days a week. 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 can also use this form to pay a bill for another person. Sharp Health Plan . Never wonder about the status of your claims again. Contracted providers can find reimbursement information in their Mercy Care contracts. For general questions or provider portal registration, contact our Provider Account Management team. 1-800-359-2002 . b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. All electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. Financial assistance is available for qualified low-income patients to assist with all or part of a hospital bill. 1-800-359-2002 . and Nov. 30, 2023. Call our dedicated Customer Care provider line: 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. GET INFO , Share this information with our members to help reduce their heart disease risk. To include supporting documentation, such as members medical records, clearly label and send to the Claims Department at the correct address. Box 982975El Paso, TX 79998-2975. Hours may change during holidays see below. Find your health plan's address (PDF). Rated 4.5 out of 5 stars by Medicare six years in a row! Box 90640Phoenix, AZ 85066. Subscribe to Newsletters , , Sharp Health Plan, . Fax: 1-858-303-9062 Fee-for-Service Fee Schedules, Contact Us Click here. Don't have a Sharp Account? 1-562-308-3699 fax Out-of-State Toll Free: 1-800-523-0231, How to Apply Manage your claims. Sharp Direct Advantage is offered by Sharp Health Plan. Need Member Help Logging In? www.ethicspoint.com, SCAN SIU Team Caregivers for SCAN Members can receive help with their login credentials here. Need to pay a medical bill or copay? These hours may change during holidays see below. Messages received on holidays and outside of normal business hours will be returned within one business day. This year's theme is #EmbraceEquity. Read the full disclaimer. For Providers. To set up a hospital payment plan for a family member, call us at 858-499-2400. However, making a partial payment will not prevent a past-due bill from going to a collections agency. Sharp Health Plan is accepting enrollments all year, thanks to the 5-star special enrollment period. Call us We are available 7 am to 8 pm, seven days a week. Don't want to pick up the phone? It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time BOX 22616 Quality care depends on clear communication between you and your patients. Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31. Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. 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. Get free, confidential 24/7 treatment referral and information from the National Helpline. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. Every year, Medicare evaluates plans based on a 5-star rating system. Electronic submission*: Through Electronic Clearing House Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: Call our Customer Care team at (855) 995-5004 or submit a form. LEARN MORE . 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 Payer ID: SHP01; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Electronic Remittance (ERA) YES: ERA Enrollment Required: This insurance is also known as: . 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 questions about plans and benefits, members should call: April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. Para hablar con un intrprete, llame al 1-800-359-2002. Write: 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. Enrollment with Sharp Health Plan depends on contract renewal. DentaQuest administers dental benefits for Mercy Care and Mercy Care Advantage. Compliance Officer The percentage you pay of the remaining costs depends on your plan. Dr. Alan Kadet's office New York, NY Check eligibility & benefits. Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 The provider should contact MC Claims and/or Network Management to seek additional information prior to initiating a claim dispute. You may submit your claim dispute in writing through the mail or send electronically to us through fax. If you prefer not to create an account, you can still pay your bill online by using our one-time payment form. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . For more contact information, please click hereto access the Provider Operations Manual. You can also use Sharp Account to view itemized bills, check your current balance and view your payment history. For general information or questions about quotes, rates or materials: We will review your request and send you an email invitation to complete the connection within 30 days. As reported in Medicare & You 2023 member rating of 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. *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. If you have a billing question that does not relate to a Sharp hospital or to Sharp Rees-Stealy Medical Group, please contact your doctor's office directly. Although physicians are licensed to practice at Sharp's hospitals, they are not Sharp HealthCare employees. Health Insurance for Children, Provider Enrollment The hospital's bill will be for the technical resources and supplies, such as procedures and equipment, needles and scalpels or medications. SCAN Health Plan is an HMO plan with a Medicare contract. MC will acknowledge a claim dispute request within five (5) business days after receipt. Members Brokers Providers Employers Members Talk to a real person. Cookies must be enabled to properly use this website. Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of benefits. Coverage Determinations Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. , , Sharp Health Plan , ' . . 1-800-454-3730. You will also be able to save your preferred payment method for future use. Phone: 1-858-499-8100 LEARN MORE , Let our members know about screening tests to help prevent or detect cervical cancer. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. For the best experience on our website, please upgrade your browser to the latest version. Click here to read the full disclaimer. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . See your patients' history. Sharp HealthCare offers financial assistance for qualifying patients who need help with emergency or medically necessary care received in a Sharp hospital. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. Send us an email instead. Make sure your contact information is up to date. 1-858-499-8300. Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. Call 1-800-827-4277 or view our detailed phone directory. Sharp Health Plan , 1-800-359-2002. You can call us Monday through Friday, 8 am to 5 pm. Read up on ways to protect your colorectal health. 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). 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. We're here to help shed light on the bills you may receive. SCAN Health Plan If you have any questions about the process or your specific bill, please don't hesitate to send us an email or give us a call: We want to make it as easy as possible to manage your bills, which is why we offer paperless billing. 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. Call Member Services to request translation services. Box 22698 Long Beach, CA 90801-5616. 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). Contact us to learn how to get started with Sharp Direct Advantage today! Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. 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). Complete ALL required fields, and include additional documentation when necessary. 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. Click hereand follow the instructions. SCAN Health Plan is an HMO plan with a Medicare contract. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. P.O. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. 3800 Kilroy Airport Way, Suite 100 Every hospital visit involves both physician and hospital resources. 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. Don't want to pick up the phone? To provide a more personalized experience, please select a state where SCAN is offered. For general information or questions about quotes, rates, or materials: For member-specific information or questions: Were here to help you help your patients. 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. Complete testing with UPMC Health Plan. FBT: SharpHealthPlan.com no longer supports this Internet browser. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. TTY/TDD users can dial 711 or use the California Relay Services toll-free phonenumbers. To provide a more personalized experience, please select a state where SCAN is offered. networkmgmt@scanhealthplan.com, Office Ally Clearinghouse According to the Arizona Revised Statute, Arizona Administrative Code and AHCCCS guidelines, all claim disputes related to a claim for system covered services must be filed in writing and received by the administration or the prepaid capitated provider or program contractor: Contact your Provider Relations representative for more information about electronic billing. 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. 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. MORE OPTIONS + Brokers year in a row. 2023SCAN Health Plan. Written claim disputes must be submitted to the MC Appeals Department. We offer high-quality, affordable health insurance for San Diegans of all ages with direct access to Sharp HealthCare. Due to California privacy regulations, the information you can access for minor patients will depend on their age. Enrollment in SCAN Health Plan depends on contract renewal. UPMC Health Plan claims. Caregivers for SCAN Members can receive help with their login credentials here. 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. Please visit Sharp.com or call your provider. Encounters_Operations@scanhealthplan.com, Contact Express Scripts for Part D Coverage Reviews 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. Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. These important numbers are located on your billing statement. Find a AI/AN members can switch their enrollment between AHCCCS AIHP and an AHCCCS managed health care plan and back again at any time. 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 If you cannot pay the entire amount, you can set up a payment plan via Sharp Account for qualifying or eligible hospital bills. You should only sign this section if you want to cancel this authorization. Refer to your insurance card or call your insurance provider to determine your medical group. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. Call us at 1-858-499-8300. Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. Use your member ID number to sign If you believe your responsibility is inaccurate, please contact your insurance plan directly. Please contact Member Services. am, Monday through Friday, and 24 hours a day on weekends. Payment plans are only for hospital bills, and are not available for Sharp Rees-Stealy bills or for connected family members at this time. Every year, Medicare evaluates plans based on a 5-star rating system. 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. Your password has been reset. Thank you for making us the highest member-rated health plan in California for the eighth Write: These hours may change during holidays see below. Don't want to pick up the phone? 562-508-6781 Contact us Coronavirus & COVID-19 resources for providers Box 982975 El Paso, TX 79998-2975. Click below to learn more about which plans, benefits and doctors are available in your area. Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time 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. 1-877-251-5896 fax If you do not want to leave our website, please click the X. The program also provides coverage for preventive and behavioral health care services. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. You have entered a ZIP code that is not currently accepting enrollments. For your protection, we don't recommend using email to send personal medical information. Youve earned your Medicare benefits! Hours may change during holidays. If a provider does not receive an acknowledgement letter within five (5) business days, the provider must contact the Appeals Department. Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. Call 1-800-827-4277 or view our detailed phone directory. Sharp Health Plan 1.800.359.2002. Member Services Phone Number. Visit Medicare to compare other plan ratings and find detailed reports. It's National Drug & Alcohol Facts Week. Caregivers for SCAN Members can receive help with their login credentials here. o Within 12 months after the date that eligibility is posted. MC may request an extension of up to 45 days, if necessary. Policy Manuals 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. We are currently experiencing issues with our provider and site search tools. We are working to resolve this as quickly as possible. 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. Voz y TTY (telfono de texto):1-800-855-3000. PracticeBridge. Click here and follow the instructions. Sharp Health Plan . H5386_2022 Medicare Website_Rev10 Page Last Updated: 1/03/2023 Send us an email instead. If you do not have a Sharp Account yet, you can submit a completed authorization form to request access. 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"). Looking for Provider Login or Agent/Broker Login? To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. instructions from the Health Plan and the Department of Managed Health Care. Submit authorizations. Additionally, a Level Two report is provided to your vendor, which is the only accepted proof of timely filing for electronic claims. Well help you choose the coverage thats right for you. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. Rated 4.5 out of 5 stars by Medicare six years in a row! Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. 1-800-359-2002. If you feel under the weather or have certain long-term health problems, virtual care can For member-specific information or questions: Enrollment in SCAN Health Plan depends on contract renewal. 1-800-600-4441. Give us a call with any additional questions: At this time, we are only able to grant access to accounts for dependent adults and minor children. min ph. All of the points of contact are professional, committed and passionate about providing high-quality service. Claims Mailing Address: Medical. Credentialing: The SCAN Sales Support team works with brokers and broker agencies to answer questions regarding plan benefits, eligibility, enrollment, network, formulary and other issues. Provider Account Management: 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. Get free, confidential 24/7 treatment referral and information from the National Helpline. Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing information. Seffrah Orlando, Senior Public Relations Specialist You can also search for your primary care doctor to find the medical group you and your doctor belong to. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week. FraudWaste&AbuseProg@scanhealthplan.com, Office of Inspector General, U.S. Department of Health & Human Services. Find a Send us an email instead. Contact us. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. Mercy Care Claims Department P. O. TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. 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. 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). If youre currently not a member and are interested in learning more about SCAN Health Plan, speak to one of our representatives by calling 1-877-452-5898. 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. March is Colorectal Cancer Awareness Month. Thats why were committed to you. 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. Cookies must be enabled to properly use this website. Please check your email for your new password. Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. For your employees' protection, we don't recommend using email to send personal medical information. MORE OPTIONS + Brokers We're here to help you succeed. It's easy to register. Sharp Community Medical Group 8695 Spectrum Center Blvd., 4th Floor San Diego, CA 92123 Customer Service Department Phone Number: 858-499-2550 Toll Free Phone Number: 1-877-518-7264 TDD/TTY: 711 Fax Number: 858-636-2038 Appeals Department Address Sharp Community Medical Group Attention: Appeals Department 8695 Spectrum Center Boulevard, 4th Floor If you have questions that include personal details, like your medical history, please call your doctor directly. We are available 7 am to 8 pm, seven days a week. For the best experience on our website, please upgrade your browser to the latest version. The physician's bill will be for the professional services. Awards and recognition are subject to change each year.