You may submit feedback about your Medicare Advantage health plan directly to Medicare. You may receive a bill from us after your health insurance plan processes our bill. Sharp Health Plan . Claims denied for timely filing must have an explanation for the delay as well as specific documentation. LEARN MORE , Let our members know about screening tests to help prevent or detect cervical cancer. Additionally, a Level Two report is provided to your vendor, which is the only accepted proof of timely filing for electronic claims. 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 choose to send via fax, please fax your disputes to 602 351-2300. You should only sign this section if you want to cancel this authorization. 1-800-359-2002 . , , Sharp Health Plan, . You will also be able to save your preferred payment method for future use. Once received, the claim dispute will be reviewed, and a decision will be rendered within 30 days after receipt. Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. To include supporting documentation, such as members medical records, clearly label and send to the Claims Department at the correct address. The SCAN Sales Support team works with brokers and broker agencies to answer questions regarding plan benefits, eligibility, enrollment, network, formulary and other issues. 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 invite you to share our women's preventive care 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. Caregivers for SCAN Members can receive help with their login credentials here. 1-800-HHS-TIPS (1-800-447-8477) Hours may change during holidays see below. Cookies must be enabled to properly use this website. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. Learn about the basics of Medicare, how to enroll, andmore. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. Contact us to learn how to get started with Sharp Direct Advantage today! April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday Sharp Health Plan is an HMO with a Medicare contract. 400, Wittman Drive Grand Rapids Itasca County MN - 55744 United . Write: SCAN Claims Department P.O. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing information. Sharp Health Plan | Login Sign in Email address Password Forgot your password? Thank you for your understanding as we work to ensure everyone remains healthy and safe. Caregivers for SCAN Members can receive help with their login credentials here. 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. You can call us Monday through Friday, 8 am to 5 pm. Long Beach, CA 90801-5616, Encounter Data Team Written claim disputes must be submitted to the MC Appeals Department. You may also mail your payment to the address listed on your statement. Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. For the best experience on our website, please upgrade your browser to the latest version. Sharp Health Plan . Empire Plan Toll free. Call us We are available 7 am to 8 pm, seven days a week. Failure to specifically state the factual and legal basis may result in denial of the claim dispute. Hours may change during holidays. This means the hospital and each of your treating physicians will send you a bill for their parts of your care. All rights reserved. The Health Plan encourages electronic claims submission . If you prefer not to create an account, you can still pay your bill online by using our one-time payment form. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. doctor, hospital or urgent care, Inflation Reduction Act and Sharp Health Plan, City of San Diego employees & retirees (SDPEBA), 7 questions about the COVID-19 vaccine for kids, The young adults guide to accessing care, Get the most out of your pharmacy benefits, Safe disposal of prescription medications, Medicare and other insurance coverage questionnaire, Access to a loved ones health information, 4 ways to help employees prepare for open enrollment, Covered California expands financial help, Counseling patients to self-isolate at time of testing, Grace periods for delinquent payments by members, Mental health & substance use disorder services. Call 1-800-827-4277 or view our detailed phone directory. min ph. News & Press Releases, Can't find what you're looking for? Hours may change during holidays. Every year, Medicare evaluates plans based on a 5-star rating system. 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. 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. TTY/TDD users can dial 711 or use the California Relay Services toll-free phone numbers. Sharp Direct Advantage is offered by Sharp Health Plan. Get free, confidential 24/7 treatment referral and information from the National Helpline. 1-855-562-8853 (TTY/TDD: 711) 7 am to 8 pm Pacific Time *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. Refer to your insurance card or call your insurance provider to determine your medical group. 1-800-600-4441. Mail-Order Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. 1-800-359-2002. *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 FBT: SharpHealthPlan.com no longer supports this Internet browser. Encounter Data Team Encounters_Operations@scanhealthplan.com. Please do not use this form to convey personal or medical information. Enjoy direct access to Sharp HealthCare and The Sharp Experience.*. instructions from the Health Plan and the Department of Managed Health Care. *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. LEARN MORE . Need to pay a medical bill or copay? Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. Messages received on holidays and outside of normal business hours will be returned within one business day. 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. Phone: 1-858-499-8330 Please check your email for your new password. min ph. 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. Contact your software vendor directly for questions about your electronic billing. The provider must follow all applicable laws, policies and contractual requirements when filing. The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. Pay Your Premium 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 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? 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. Thats why were committed to you. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. See your patients' history. If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. Looking for Provider Login or Agent/Broker Login? 1-858-499-8211 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. Think of us as your personal health care assistant. Get started now. Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 AIHP members may receive health care services from Indian Health Facilities (the Indian Health Service, tribally-operated "638" health programs, urban Indian health clinics) and other AHCCCS-registered providers. Sharp Health Plan is an HMO with a Medicare contract. Enrollment with Sharp Health Plan depends on contract renewal. Please include all supporting documentation with the initial claim dispute submission. Fax: 1-858-303-9049 AHCCCSOnline Website These hours may change during holidays see below. If you have questions that include personal details, like your medical history, please call your doctor directly. Email your SCAN Network Management representative. Phone: 1-858-499-8200. Sharp Health Plan is an HMO with a Medicare contract. 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. Don't want to pick up the phone? Write: Use your member ID number to sign Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31. The website information you will be accessing is provided by another organization or vendor. For general information or questions about quotes, rates, or materials: For member-specific information or questions: Were here to help you help your patients. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) 3800 Kilroy Airport Way, Suite 100 Health Insurance for Children, Provider Enrollment MORE OPTIONS + Brokers We're here to help you succeed. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Find a 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. Box 2906Milwaukee, WI53201-2906. Were here to help you help your patients. FL 22: Resubmission Code field must be billed with a "7" and the Original Reference Number field . These hours may change during holidays see below. , , Sharp Health Plan , ' . To provide a more personalized experience, please select a state where SCAN is offered. 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). 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. It's easy to register. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. This service is free of charge and also includes American Sign Language translators. Award-winning service, comprehensive coverage, plus more. Read the update , Share these tips with our members to help them reduce their risk of colon cancer. SharpHealthPlan.com no longer supports this Internet browser. Para hablar con un intrprete, llame al 1-800-359-2002. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . 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. Members Brokers Providers Employers Members Talk to a real person. Go to www.sharphealthplan.com/payment to pay now. Sharp HealthCare offers many payment options, including monthly payment installments for qualified or eligible hospital bills, which you can set up via Sharp Account. Get helpful reminders about how to comply with the timely access laws, which outline maximum wait times for phone calls and appointment requests. Long Beach, CA 90806, EthicsPoint Sharp Community has been caring for San Diegans since 1989. FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, MORE OPTIONS + Brokers 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. PracticeBridge. You can call us Monday through Friday, 8 am to 5 pm. As reported in Medicare & You 2023 member rating of plan. Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a
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