Frequently Asked Billing Questions | Sharp HealthCare . We were named in the 2023 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage inCalifornia. For questions about plans and benefits, members should call: April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday 1-888-705-7226 Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week. 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. Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. Hospital payments: 858-499-2400 Sharp Rees-Stealy payments: 858-499-2410 SharpCare payments: 858-499-2044 Monday through Friday: 8 am to 4:30 pm Need to pay your monthly Sharp Health Plan health insurance premium? Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. Learn how to create one now. Fax: 1-858-303-9049 up. Write: SCAN Claims Department P.O. Contact us - Phone numbers, email, mailing address - Sharp Health Plan Easily submit pre-authorizations without extra steps. At this time, the Sharp Health Plan . We are currently experiencing issues with our provider and site search tools. All electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. www.ethicspoint.com, SCAN SIU Team 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. Please clearly state State Fair Hearing Request on your correspondence. 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. networkmgmt@scanhealthplan.com, Office Ally Clearinghouse SharpHealthPlan.com no longer supports this Internet browser. P.O. Long Beach, CA 90801-5616, Encounter Data Team 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. Not only do we now have the ability to receive disputes by fax, but we can also respond back to our providers via fax, allowing you to receive faster decisions. ) 1-800-359-2002. Call 1-800-827-4277 or view our detailed phone directory. Box 22698 Long Beach, CA 90801-5616. * Every year, Medicare evaluates plans based on a 5-star rating system. For the best experience on our website, please upgrade your browser to the latest version. Sharp Health Plan 1.800.359.2002. Rated 4.5 out of 5 stars by Medicare six years in a row! http://oig.hhs.gov/fraud/report-fraud/index.asp. 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. Phone: 1-858-499-8200. Get started now. Don't have a Sharp Account? At this time, paperless billing is only available for Sharp Rees-Stealy and Sharp hospital bills. Cash is accepted at hospitals only. Click on the link for answers about Medicare Advantage and coverage. If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. H5386_2022 Medicare Website_Rev10 Page Last Updated: 1/03/2023 Due to California privacy regulations, the information you can access for minor patients will depend on their age. Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. Messages received on holidays and outside of normal business hours will be returned within one business day. If you choose to send via fax, please fax your disputes to 602 351-2300. Sharp Health Plan . Manage your claims. 400, Wittman Drive Grand Rapids Itasca County MN - 55744 United . All rights reserved. You can call us Monday to Friday, 8 am to 6 pm. 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 submit your claim dispute in writing through the mail or send electronically to us through fax. You can call us Monday through Friday, 8 am to 6 pm. Call us at 1-858-499-8300. Hours may change during holidays see below. P.O. Click here to read the full disclaimer. Box 982975 El Paso, TX 79998-2975. Hours may change during holidays. 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. We're your neighbors, so you can count on us to be accessible. Reduce risk , "We are thrilled with the support that we receive at all levels. MORE OPTIONS + Brokers If you believe your responsibility is inaccurate, please contact your insurance plan directly. AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. The hospital's bill will be for the technical resources and supplies, such as procedures and equipment, needles and scalpels or medications. Claim Form - Conference and Travel - Cerritos College - cms cerritos Sharp Health Plan Claims Address 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. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. *Original Claim Number: (If multiple claims, use attached spreadsheet), or Original Referral Number: * Health Plan ID Number: Patient Account Number: Service "From/To" Date: ( * Required for Claim, Billing, and Reimbursement Of Overpayment Disputes) Original Claim Amount Billed: Original Claim Amount Paid: *DISPUTE TYPE Provider Tools | Oscar Health - hioscar.com *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. 1-800-359-2002. 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. American Indian Health Program - azahcccs.gov Need Member Help Logging In? Contact us Coronavirus & COVID-19 resources for providers Claims information - Sharp Health Plan 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. 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. 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 AI/AN members can switch their enrollment between AHCCCS AIHP and an AHCCCS managed health care plan and back again at any time. 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). Sharp Health Plan , 1-800-359-2002. 2023 SCAN Health Plan. Claims | Mercy Care 1-877-251-5896 fax Home Delivery from Express Scripts Pharmacy . 1-888-327-9791 tel. Policy Manuals TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. Following your medical procedure, our billing office files a claim with your primary health insurance for the services performed. ) 1-800-359-2002. 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. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. Click hereand follow the instructions. Send us an email instead. Failure to specifically state the factual and legal basis may result in denial of the claim dispute. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) 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. AHCCCSOnline Website Read the full disclaimer. Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. 1-877-863-3362 You can pay by credit or debit card or by check. If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. Sharp Community Medical Group (SCMG) - San Diego Real Time Claim Status (RTS): NO. 8 a.m. to 8 p.m., Seven days a week, from October 1 to March 31. Sharp is not-for-profit and relies on fundraising. 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 Provider Relations Phone Number. You can call us Monday through Friday, 8 am to 5 pm. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. Were your neighbors, so you can count on us to be accessible. 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. If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. Careers Sharp is not-for-profit and relies on fundraising. For general information or questions about quotes, rates, or materials: For member-specific information or questions: Were here to help you help your patients. See if your doctor is covered under Sharp Direct Advantage Medicare plans. REDUCE RISK , Learn how to reduce colon cancer risk by making healthy lifestyle changes. 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. ", - Sherri R., Director of Benefits & HR Information Systems, Palomar Health. Medicare Crossover Thats why were committed to you. Our billing office will make several attempts to collect payment. You can also search for your primary care doctor to find the medical group you and your doctor belong to. 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. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Contact us. Don't want to pick up the phone? Clerical Assistant II- Claims / Finance /Healthplan- Tech Way / Full Find a local SCAN Representative in your neighborhood who speaks your language. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. The physician's bill will be for the professional services. Phone: 1-858-499-8100 We are available 7 am to 8 pm, seven days a week. Electronic Remittance Advice (835) [ERA]: YES. Read up on ways to protect your colorectal health. SCAN Health Plan is an HMO plan with a Medicare contract. SCAN Claims Department Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. 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. Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing information. Refer to your insurance card or call your insurance provider to determine your medical group. , , Sharp Health Plan , ' . Our offices are closed on the followingholidays in 2023: You can send us an email at customer.service@sharp.com and we will get back toyou. You can choose how you want to receive your billing statements and notifications via mail, email or both. March is Colorectal Cancer Awareness Month. Hours may change during holidays. SHARP HEALTH PLAN - 19 Photos & 207 Reviews - 8520 Tech Way, San Diego SCAN Directory - SCAN Health Plan For credentialing inquiries about your application or credentialing status, contact our Credentialing team. 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. Please check your email for your new password. You should only sign this section if you want to cancel this authorization. 1-858-499-8009 AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. Box 22698 Interested in joining the SCAN provider network? 1-888-445-2038. 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. PDF Chapter H Claims Procedures - UPMC Health Plan If you do not want to leave our website, please click the X. Sharp Health Plan , 1-800-359-2002. From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., seven days a week. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. Don't want to pick up the phone? CLAIM.MD | Payer Information | Sharp Health Plan 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 . Sharp Direct Advantage is offered by Sharp Health Plan. Enjoy retirement with a plan you cantrust. email us at provider.relations@sharp.com or call1-858-499-8330. o Or within 60 days after the date of the denial of a timely claim submission, whichever is later. 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. When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. Compliance Officer Please check the box proving that you are not a robot. Sharp Health Plan: Fill & Download for Free - cocodoc.com If you would like to discuss your bill or payment options, please give us a call: To set up a payment plan for a hospital bill, sign in to your Sharp Account. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. Eligibility, referrals, or claims: Subscribe to Newsletters 1-360-975-7000, option 1. Write: For the best experience on our website, please upgrade your browser to the latest version. 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. Email your SCAN Network Management representative. 562-508-6781 You can call us Monday through Friday, 8 am to 5 pm. 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. Youve earned your Medicare benefits! We are working to resolve this as quickly as possible. If you have questions about eligibility, costs or what kind of coverage you can expect give us a call today! 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. Preferred Qualifications. A copay is a predetermined (flat) fee that you pay for health care services, in addition to what your health insurance plan pays. 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sharp health plan claims address

sharp health plan claims address

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). 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. MC will acknowledge a claim dispute request within five (5) business days after receipt. Frequently Asked Billing Questions | Sharp HealthCare . We were named in the 2023 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage inCalifornia. For questions about plans and benefits, members should call: April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday 1-888-705-7226 Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week. 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. Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. Hospital payments: 858-499-2400 Sharp Rees-Stealy payments: 858-499-2410 SharpCare payments: 858-499-2044 Monday through Friday: 8 am to 4:30 pm Need to pay your monthly Sharp Health Plan health insurance premium? Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. Learn how to create one now. Fax: 1-858-303-9049 up. Write: SCAN Claims Department P.O. Contact us - Phone numbers, email, mailing address - Sharp Health Plan Easily submit pre-authorizations without extra steps. At this time, the Sharp Health Plan . We are currently experiencing issues with our provider and site search tools. All electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. www.ethicspoint.com, SCAN SIU Team 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. Please clearly state State Fair Hearing Request on your correspondence. 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. networkmgmt@scanhealthplan.com, Office Ally Clearinghouse SharpHealthPlan.com no longer supports this Internet browser. P.O. Long Beach, CA 90801-5616, Encounter Data Team 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. Not only do we now have the ability to receive disputes by fax, but we can also respond back to our providers via fax, allowing you to receive faster decisions. ) 1-800-359-2002. Call 1-800-827-4277 or view our detailed phone directory. Box 22698 Long Beach, CA 90801-5616. * Every year, Medicare evaluates plans based on a 5-star rating system. For the best experience on our website, please upgrade your browser to the latest version. Sharp Health Plan 1.800.359.2002. Rated 4.5 out of 5 stars by Medicare six years in a row! http://oig.hhs.gov/fraud/report-fraud/index.asp. 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. Phone: 1-858-499-8200. Get started now. Don't have a Sharp Account? At this time, paperless billing is only available for Sharp Rees-Stealy and Sharp hospital bills. Cash is accepted at hospitals only. Click on the link for answers about Medicare Advantage and coverage. If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. H5386_2022 Medicare Website_Rev10 Page Last Updated: 1/03/2023 Due to California privacy regulations, the information you can access for minor patients will depend on their age. Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. Messages received on holidays and outside of normal business hours will be returned within one business day. If you choose to send via fax, please fax your disputes to 602 351-2300. Sharp Health Plan . Manage your claims. 400, Wittman Drive Grand Rapids Itasca County MN - 55744 United . All rights reserved. You can call us Monday to Friday, 8 am to 6 pm. 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 submit your claim dispute in writing through the mail or send electronically to us through fax. You can call us Monday through Friday, 8 am to 6 pm. Call us at 1-858-499-8300. Hours may change during holidays see below. P.O. Click here to read the full disclaimer. Box 982975 El Paso, TX 79998-2975. Hours may change during holidays. 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. We're your neighbors, so you can count on us to be accessible. Reduce risk , "We are thrilled with the support that we receive at all levels. MORE OPTIONS + Brokers If you believe your responsibility is inaccurate, please contact your insurance plan directly. AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. The hospital's bill will be for the technical resources and supplies, such as procedures and equipment, needles and scalpels or medications. Claim Form - Conference and Travel - Cerritos College - cms cerritos Sharp Health Plan Claims Address 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. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. *Original Claim Number: (If multiple claims, use attached spreadsheet), or Original Referral Number: * Health Plan ID Number: Patient Account Number: Service "From/To" Date: ( * Required for Claim, Billing, and Reimbursement Of Overpayment Disputes) Original Claim Amount Billed: Original Claim Amount Paid: *DISPUTE TYPE Provider Tools | Oscar Health - hioscar.com *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. 1-800-359-2002. 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. American Indian Health Program - azahcccs.gov Need Member Help Logging In? Contact us Coronavirus & COVID-19 resources for providers Claims information - Sharp Health Plan 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. 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. 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 AI/AN members can switch their enrollment between AHCCCS AIHP and an AHCCCS managed health care plan and back again at any time. 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). Sharp Health Plan , 1-800-359-2002. 2023 SCAN Health Plan. Claims | Mercy Care 1-877-251-5896 fax Home Delivery from Express Scripts Pharmacy . 1-888-327-9791 tel. Policy Manuals TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. Following your medical procedure, our billing office files a claim with your primary health insurance for the services performed. ) 1-800-359-2002. 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. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. Click hereand follow the instructions. Send us an email instead. Failure to specifically state the factual and legal basis may result in denial of the claim dispute. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) 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. AHCCCSOnline Website Read the full disclaimer. Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. 1-877-863-3362 You can pay by credit or debit card or by check. If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. Sharp Community Medical Group (SCMG) - San Diego Real Time Claim Status (RTS): NO. 8 a.m. to 8 p.m., Seven days a week, from October 1 to March 31. Sharp is not-for-profit and relies on fundraising. 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 Provider Relations Phone Number. You can call us Monday through Friday, 8 am to 5 pm. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. Were your neighbors, so you can count on us to be accessible. 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. If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. Careers Sharp is not-for-profit and relies on fundraising. For general information or questions about quotes, rates, or materials: For member-specific information or questions: Were here to help you help your patients. See if your doctor is covered under Sharp Direct Advantage Medicare plans. REDUCE RISK , Learn how to reduce colon cancer risk by making healthy lifestyle changes. 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. ", - Sherri R., Director of Benefits & HR Information Systems, Palomar Health. Medicare Crossover Thats why were committed to you. Our billing office will make several attempts to collect payment. You can also search for your primary care doctor to find the medical group you and your doctor belong to. 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. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Contact us. Don't want to pick up the phone? Clerical Assistant II- Claims / Finance /Healthplan- Tech Way / Full Find a local SCAN Representative in your neighborhood who speaks your language. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. The physician's bill will be for the professional services. Phone: 1-858-499-8100 We are available 7 am to 8 pm, seven days a week. Electronic Remittance Advice (835) [ERA]: YES. Read up on ways to protect your colorectal health. SCAN Health Plan is an HMO plan with a Medicare contract. SCAN Claims Department Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. 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. Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing information. Refer to your insurance card or call your insurance provider to determine your medical group. , , Sharp Health Plan , ' . Our offices are closed on the followingholidays in 2023: You can send us an email at customer.service@sharp.com and we will get back toyou. You can choose how you want to receive your billing statements and notifications via mail, email or both. March is Colorectal Cancer Awareness Month. Hours may change during holidays. SHARP HEALTH PLAN - 19 Photos & 207 Reviews - 8520 Tech Way, San Diego SCAN Directory - SCAN Health Plan For credentialing inquiries about your application or credentialing status, contact our Credentialing team. 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. Please check your email for your new password. You should only sign this section if you want to cancel this authorization. 1-858-499-8009 AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. Box 22698 Interested in joining the SCAN provider network? 1-888-445-2038. 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. PDF Chapter H Claims Procedures - UPMC Health Plan If you do not want to leave our website, please click the X. Sharp Health Plan , 1-800-359-2002. From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., seven days a week. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. Don't want to pick up the phone? CLAIM.MD | Payer Information | Sharp Health Plan 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 . Sharp Direct Advantage is offered by Sharp Health Plan. Enjoy retirement with a plan you cantrust. email us at provider.relations@sharp.com or call1-858-499-8330. o Or within 60 days after the date of the denial of a timely claim submission, whichever is later. 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. When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. Compliance Officer Please check the box proving that you are not a robot. Sharp Health Plan: Fill & Download for Free - cocodoc.com If you would like to discuss your bill or payment options, please give us a call: To set up a payment plan for a hospital bill, sign in to your Sharp Account. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. Eligibility, referrals, or claims: Subscribe to Newsletters 1-360-975-7000, option 1. Write: For the best experience on our website, please upgrade your browser to the latest version. 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. Email your SCAN Network Management representative. 562-508-6781 You can call us Monday through Friday, 8 am to 5 pm. 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. Youve earned your Medicare benefits! We are working to resolve this as quickly as possible. If you have questions about eligibility, costs or what kind of coverage you can expect give us a call today! 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. Preferred Qualifications. A copay is a predetermined (flat) fee that you pay for health care services, in addition to what your health insurance plan pays.

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