If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. Although physicians are licensed to practice at Sharp's hospitals, they are not Sharp HealthCare employees. For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, Please read our. You may need to complete a final step to connect to your family member in FollowMyHealth. If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. Click here to read the full disclaimer. 2023SCAN Health Plan. Health (1 days ago) WebSharp Health Plan Login Sign in Email address Password Forgot your password? Phone: 1-858-499-8100 . Welcome to SCAN Health Plan! Para hablar con un intrprete, llame al 1-800-359-2002. 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. http://oig.hhs.gov/fraud/report-fraud/index.asp. Sharp Health Plan1-800-359-2002 . 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. Make sure your contact information is up to date. You can call us Monday through Friday, 8 am to 5 pm. 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. Were your neighbors so you can count on us to be accessible. Click here and follow the instructions. 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. The percentage you pay of the remaining costs depends on your plan. The provider must follow all applicable laws, policies and contractual requirements when filing. 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 , Sharp Health Plan , 1-800-359-2002 . 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. Frequently Asked Billing Questions | Sharp HealthCare We know youre committed to your workforce. Claims | Mercy Care Please check your email for your new password. Interfaces with other Sharp Health Plan employees to provide information as requested for other Departments. Explore SCAN plans available in your area! 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. Iselin, New Jersey 08830. For general information or questions about quotes, rates or materials: You can also log in to myCalPERS to use the Search Health Plans tool to research the health plan coverage and benefits most important to you and your family. All of the points of contact are professional, committed and passionate about providing high-quality service. Sharp HealthCare offers financial assistance for qualifying patients who need help with emergency or medically necessary care received in a Sharp hospital. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. Manage your claims. You may receive a bill from us after your health insurance plan processes our bill. Box 22698 Long Beach, CA 90801-5616. 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. Click here. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. If you prefer not to create an account, you can still pay your bill online by using our one-time payment form. Sharphealthplan.com Category: Health Detail Health Contact us - Phone numbers, email, mailing address Health (2 days ago) WebCall us at 1-858-499-8300. 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? Typically, you will pay your percentage of costs until you reach your plan's annual out-of-pocket maximum. refill on a road trip. 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. Helpful holiday tips, your 2023 coverage checklist and more. Voz y TTY (telfono de texto):1-800-855-3000. 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. Enrollment in SCAN Health Plan depends on contract renewal. You can also use this form to pay a bill for another person. MORE OPTIONS + Brokers We're here to help you succeed. Write: Get free, confidential 24/7 treatment referral and information from the National Helpline. Sharp Health Plan | Login Sign in Email address Password Forgot your password? Click on the link for answers about Medicare Advantage and coverage. If you have questions about eligibility, costs or what kind of coverage you can expect give us a call today! For any claims, eligibility, or referral inquiries, contact our dedicated Customer Care team. SHARP HEALTH PLAN - 19 Photos & 207 Reviews - 8520 Tech Way, San Diego AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. SCAN Health Plan is an HMO plan with a Medicare contract. Coinsurance takes place when you reach your deductible and you and your insurance plan share in paying a percentage of the remaining costs. TTY/TDD users can dial 711 or use the California Relay Services toll-free phone numbers. Cookies must be enabled to properly use this website. Think of us as your personal health care assistant. Learn how , These two screening tests can help prevent cervical cancer or detect it early. *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. SCAN Health Plan SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Call our Customer Care team at (855) 995-5004 or submit a form. Email your SCAN Network Management representative. FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. Additionally, a Level Two report is provided to your vendor, which is the only accepted proof of timely filing for electronic claims. We are working to resolve this as quickly as possible. April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday Call us We are available 7 am to 8 pm, seven days a week. Well help you choose the coverage thats right for you. Sharp HealthCare offers many payment options, including monthly payment installments for qualified or eligible hospital bills, which you can set up via Sharp Account. Rated 4.5 out of 5 stars by Medicare six years in a row! 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. Hours are 8 a.m. to 8 p.m. from April 1 to Sept. 30, Monday through Friday. TTY/TDD users can dial 711 or use the California Relay Services toll-free phonenumbers. 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. [SBM Sharp Health Plan [ 1-800-359-2002. If you choose to send via fax, please fax your disputes to 602 351-2300. Written claim disputes must be submitted to the MC Appeals Department. 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. Out-of-State Toll Free: 1-800-523-0231, How to Apply We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) The provider should contact MC Claims and/or Network Management to seek additional information prior to initiating a claim dispute. Caregivers for SCAN Members can receive help with their login credentials here. The Health Plan encourages electronic claims submission . We offer high-quality, affordable health insurance for San Diegans of all ages with 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). Contact us to learn how to get started with Sharp Direct Advantage today! Contact Express Scripts for Part D Coverage Reviews Coverage Determinations 1-844-424-8886 (TTY: 1-800-716-3231) tel. All rights reserved. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. We are currently experiencing issues with our provider and site search tools. 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. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, please If you have questions that include personal details, like your medical history, please call your doctor directly. You can choose how you want to receive your billing statements and notifications via mail, email or both. 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 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. 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. 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). Every year, Medicare evaluates plans based on a 5-star rating system. 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. 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. If you'd like to pay a bill for a loved one, use our one-time payment form. All rights reserved. Thats why were committed to you. Box 22698 Visit our FAQ and get your questions answered. Find your health plan's address (PDF). 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. 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. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. Long Beach, CA 90806, EthicsPoint http://oig.hhs.gov/fraud/report-fraud/index.asp. 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. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Provider Account Management: Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. Home Delivery from Express Scripts PharmacySM Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Learn More. Every year, Medicare evaluates plans based on a 5-star rating system. For your employees' protection, we don't recommend using email to send personal medical information. Clerical Assistant II- Claims / Finance /Healthplan- Tech Way / Full , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. 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 With our providers, patients and health plan working together, we can ensure the best possible outcome every time. 1-858-499-8211 Learn how you can help your patients through the Shingrix shortage. 1-800-359-2002 . Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 Sharp is not-for-profit and relies on fundraising. be a great option. At this time, the Sharp Health Plan . Fee-for-Service Fee Schedules, Contact Us Policy Manuals