200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. , , Sharp Health Plan, . Please do not use this form to convey personal or medical information. All of the points of contact are professional, committed and passionate about providing high-quality service. 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 provide a more personalized experience, please select a state where SCAN is offered. Thank you for your understanding as we work to ensure everyone remains healthy and safe. 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. 1-800-837-0959 fax, Network Management For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, email us at provider.relations@sharp.com or call 1-858-499-8330. min ph. 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. Search for a doctor, hospital, pharmacy or drug name. Caregivers for SCAN Members can receive help with their login credentials here. Electronic Remittance Advice (835) [ERA]: YES. 1-877-251-5896 fax 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. , , Sharp Health Plan , ' . TTY/TDD users can dial 711 or use the California Relay Services toll-free phonenumbers. Get free, confidential 24/7 treatment referral and information from the National Helpline. Think of us as your personal health care assistant. Follow the prompts to set your billing preferences. Were your neighbors, so you can count on us to be accessible. Looking for Provider Login or Agent/Broker Login? This position provides support and assistance to the Claims Department. Online Bill Pay | Sharp HealthCare direct access to Sharp HealthCare. P.O. 1-800-HHS-TIPS (1-800-447-8477) Please refer to our Billing, Collections and Bad Debt policy. Mercy Care's electronic claim submission vendors, https://dentaquest.com/state-plans/regions/arizona/, Augmentative and Alternative Communication. SCAN Health Plan H5386_2022 Medicare Website_Rev10 Page Last Updated: 1/03/2023 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. Every hospital visit involves both physician and hospital resources. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. Voz y TTY (telfono de texto):1-800-855-3000. Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. 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. Following your medical procedure, our billing office files a claim with your primary health insurance for the services performed. AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. Caregivers for SCAN Members can receive help with their login credentials here. 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. Hours may change during holidays. 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. Forms, guides and other resources - Sharp Health Plan 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. Box 982975 El Paso, TX 79998-2975. We're here to help shed light on the bills you may receive. Para hablar con un intrprete, llame al 1-800-359-2002. Awards and recognition are subject to change each year. 1-800-359-2002 . Providers must register with the AHCCCS program to be eligible for payment reimbursement. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. Medicare Crossover A provider may file a claim dispute based on: Before a provider initiates a claims dispute, the following needs to occur: o Within 12 months after the date of service. PDF Provider Dispute Resolution Request - Scmg Messages received on holidays and outside of normal business hours will be returned within one business day. Plans & Rates - CalPERS At this time, paperless billing is only available for Sharp Rees-Stealy and Sharp hospital bills. Get started now. Select the appropriate claim form (refer to table below): Hospital inpatient, outpatient, skilled nursing and emergency room services, Dental services that are considered medical services (oral surgery, anesthesiology), Mercy Care Claims DepartmentP. O. Many surgery and procedure names sound similar. Submit authorizations. Well help you choose the coverage thats right for you. Learn More. Were here to help you help your patients. 1-858-499-8009 Written claim disputes must be submitted to the MC Appeals Department. Find a Now its our turn to serveyou. You can send us an email at customer.service@sharp.com and we will get back toyou. 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. Additionally, a Level Two report is provided to your vendor, which is the only accepted proof of timely filing for electronic claims. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Claims Mailing Address: Medical. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Caregivers for SCAN Members can receive help with their login credentials here. 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. Please read our. A deductible is the annual amount that you must pay, out of pocket, before an insurance plan begins reimbursing for eligible services. 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. Sharphealthplan.com Category: Health Detail Health Contact us - Phone numbers, email, mailing address Health (2 days ago) WebCall us at 1-858-499-8300. See your patients' history. Contact us. Contacts - San Diego - Sharp Community Medical Group - SCMG We provide dedicated bilingual (English/Spanish) representatives to our members and free over-the-phone translation services in dozens of other languages. min ph. Hours may change during holidays. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. These hours may change during holidays see below. Mail-Order This could result in the claim being denied for untimely filing. It's National Drug & Alcohol Facts Week. In many cases, payment is sent directly to us from your health insurance provider. Don't want to pick up the phone? year in a row. The hospital's bill will be for the technical resources and supplies, such as procedures and equipment, needles and scalpels or medications. 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. P.O. Sharp Direct Advantage is offered by Sharp Health Plan. Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. Enrollment in SCAN Health Plan depends on contract renewal. Box 982975El Paso, TX 79998-2975. *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. You may need to complete a final step to connect to your family member in FollowMyHealth. Every year, Medicare evaluates plans based on a 5-star rating system. 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. If you prefer not to create an account, you can still pay your bill online by using our one-time payment form. 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 Community has been caring for San Diegans since 1989. Claims and EDI 1-877-778-7226. If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. PDF SHARP COMMUNITY MEDICAL GROUP/SHARP HEALTHCARE Billing and Claim - SCMG You can report potential compliance issues and/or issues with fraud, waste and abuse through any of the following channels: Hours: Our fax number is 1-858-303-9049. Contact Express Scripts for Part D Coverage Reviews Coverage Determinations 1-844-424-8886 (TTY: 1-800-716-3231) tel. Sharp Health Plan is an HMO with a Medicare contract. Enjoy direct access to Sharp HealthCare and The Sharp Experience.*. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. Go to www.sharphealthplan.com/payment to pay now. Health (1 days ago) WebSharp Health Plan Login Sign in Email address Password Forgot your password? SharpHealthPlan.com no longer supports this Internet browser. 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 If you use FollowMyHealth, you may grant account access to any adult. Visit our FAQ and get your questions answered. Please visit Sharp.com or call your provider. If you cannot pay the entire amount, you can set up a payment plan via Sharp Account for qualifying or eligible hospital bills. Click here to read the full disclaimer. instructions from the Health Plan and the Department of Managed Health Care. Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. For general questions or provider portal registration, contact our Provider Account Management team. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. All rights reserved. Caregivers for SCAN Members can receive help with their login credentials here. REVOCATION You may revoke this authorization at any time by signing and dating this section of the form and returning it to Sharp Health Plan. Visit Medicare to compare other plan ratings and find detailed reports. Hours are 8 a.m. to 8 p.m. from April 1 to Sept. 30, Monday through Friday. 2023 SCAN Health Plan. If you feel under the weather or have certain long-term health problems, virtual care can Please do not use this form to convey personal or medical information. Payer Name: Sharp Health Plan - thePracticeBridge up. Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a 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. GET INFO , Share this information with our members to help reduce their heart disease risk. Recently completed plans and new plans may not display on the Hospital Payment Plans section within Sharp Account. Send us an email instead. 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). See if your doctor is covered under Sharp Direct Advantage Medicare plans. 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. General office experience, preferably in a service oriented environment.
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