This service is free of charge and also includes American Sign Language translators. Contact us Coronavirus & COVID-19 , Health (2 days ago) WebCall us at 1-858-499-8300. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. 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). 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. You can call us Monday through Friday, 8 am to 6 pm. If you use FollowMyHealth, you may grant account access to any adult. Learn More. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. You can join today, right from your laptop or phone. Caregivers for SCAN Members can receive help with their login credentials here. MORE OPTIONS + Brokers We're here to help you succeed. Hours may change during holidays. You will also be able to save your preferred payment method for future use. Please see the below for more contact options. All of the points of contact are professional, committed and passionate about providing high-quality service. Submit authorizations. Cookies must be enabled to properly use this website. 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. 1-877-251-5896 fax The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. Send us an email instead. Mercy Care's electronic claim submission vendors, https://dentaquest.com/state-plans/regions/arizona/, Augmentative and Alternative Communication. Send us an email instead. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. See if your doctor is covered under Sharp Direct Advantage Medicare plans. 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. 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 Talk to a real person. For general questions or provider portal registration, contact our Provider Account Management team. Hours are 8 a.m. to 8 p.m. from April 1 to Sept. 30, Monday through Friday. 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. Don't have a Sharp Account? Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com 1-800-837-0959 fax, Network Management Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. 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. Write: 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. Covered Services The percentage you pay of the remaining costs depends on your plan. Don't want to pick up the phone? Long Beach, CA 90801-5616, Encounter Data Team Search for a doctor, hospital, pharmacy or drug name. Need to pay a medical bill or copay? Well help you choose the coverage thats right for you. Our updated Mercy Care Claims Processing Manualis now available to assist you with any claims or billing questions you may have. Can't find your answer below? You may submit your claim dispute in writing through the mail or send electronically to us through fax. For member-specific information or questions: For our members' protection, we don't recommend using email to send personal medical information. Fax: 1-858-303-9049 Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of benefits. *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 , Let our members know about screening tests to help prevent or detect cervical cancer. Due to COVID-19 restrictions, the Sharp Health Plan office is not open to visitors at this time. AI/AN members can switch their enrollment between AHCCCS AIHP and an AHCCCS managed health care plan and back again at any time. Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. P.O. If you have questions about eligibility, costs or what kind of coverage you can expect give us a call today! You can call us Monday to Friday, 8 am to 6 pm. 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. In many cases, payment is sent directly to us from your health insurance provider. Email your SCAN Network Management representative. If you do not want to leave our website, please click the X. We will review your request and send you an email invitation to complete the connection within 30 days. Sharp is not-for-profit and relies on fundraising. Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing information. You should only sign this section if you want to cancel this authorization. The website information you will be accessing is provided by another organization or vendor. FL 22: Resubmission Code field must be billed with a "7" and the Original Reference Number field . , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. Write: Sharp Health Plan | Login Sign in Email address Password Forgot your password? At this time, the Sharp Health Plan . For general information or questions about quotes, rates or materials: Your password has been reset. If a provider disagrees with the MC Notice of Decision, the provider may request a State Fair Hearing. Click below to learn more about which plans, benefits and doctors are available in your area. Every hospital visit involves both physician and hospital resources. Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 Read the full disclaimer. TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. 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. In addition, we have interpreters available for our members when needed and can arrange to have a translator meet members at their doctors appointments (Tambin tenemos intrpretes disponibles, si usted necesita uno). Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. This year's theme is #EmbraceEquity. Contact us. You can pay by credit or debit card or by check. 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. 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? Learn about the basics of Medicare, how to enroll, andmore. 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. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday networkmgmt@scanhealthplan.com, Office Ally Clearinghouse The Health Plan provides an in-process claims list on payment vouchers, a secure provider portal listing claims status, and a customer service area to handle telephone inquiries. It only takes about 15 to 20 minutes to enroll online securely. Please check the box proving that you are not a robot. Awards and recognition are subject to change each year. 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. Follow the prompts to set your billing preferences. Call 1-800-827-4277 or view our detailed phone directory. Attn: Member Services It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. 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 The Health Plan encourages electronic claims submission . For general information or questions about quotes, rates or materials: 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. SCAN Health Plan is an HMO plan with a Medicare contract. Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. 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. Call us at 1-858-499-8300. To provide a more personalized experience, please select a state where SCAN is offered. checklist. Your password has been reset. If you have questions that include personal details, like your medical history, please call your doctor directly. Visit our FAQ and get your questions answered. 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 up. 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. min ph. instructions from the Health Plan and the Department of Managed Health Care. Sharp Health Plan , 1-800-359-2002. The SCAN Sales Support team works with brokers and broker agencies to answer questions regarding plan benefits, eligibility, enrollment, network, formulary and other issues. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. Your most common questions, answered without playing phone tag. Youve earned your Medicare benefits! Get started now. SharpHealthPlan.com no longer supports this Internet browser. Contact Sharp Health Plan to get answers on anything from paying a bill to signing up for coverage. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Find a Call us We are available 7 am to 8 pm, seven days a week. Caregivers for SCAN Members can receive help with their login credentials here. However, a member can change from one managed health care plan to another (for example, Mercy Care Plan to Molina Healthcare) only once a year. Due to California privacy regulations, the information you can access for minor patients will depend on their age. To have your name removed from our advertising mailing list, please complete and submit the Mailing List Removal form. With our providers, patients and health plan working together, we can ensure the best possible outcome every time. 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. Contact your software vendor directly for questions about your electronic billing. Were your neighbors so you can count on us to be accessible. Please visit Sharp.com or call your provider. Policy Manuals Enjoy direct access to Sharp HealthCare and The Sharp Experience.*. With our providers, patients and health plans working together, we can ensure the best possible outcome every time. Read the update , Share these tips with our members to help them reduce their risk of colon cancer. AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. Please do not use this form to convey personal or medical information. Electronic prescribing mandate information. SharpCare Medical Group patients can use this form to make online payments. Contact your Network Management representative for more information about electronic billing. Our fax number is 1-858-303-9049. 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? 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). 1-877-863-3362 From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., seven days a week. Real Time Claim Status (RTS): NO. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. sorlando@scanhealthplan.com. Financial assistance is available for qualified low-income patients to assist with all or part of a hospital bill. Call our Customer Care team at (855) 995-5004 or submit a form. The physician's bill will be for the professional services. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Long Beach, CA 90806, EthicsPoint It's National Drug & Alcohol Facts Week. Rated 4.5 out of 5 stars by Medicare six years in a row! UPMC Health Plan claims. 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. Additionally, a Level Two report is provided to your vendor, which is the only accepted proof of timely filing for electronic claims. Don't want to pick up the phone? Coinsurance takes place when you reach your deductible and you and your insurance plan share in paying a percentage of the remaining costs. Encounters_Operations@scanhealthplan.com, Contact Express Scripts for Part D Coverage Reviews Fax: 1-858-303-9062 direct access to Sharp HealthCare. This could result in the claim being denied for untimely filing. Many surgery and procedure names sound similar. Thank you for serving our city and San Diegans like us. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. If you do not have a Sharp Account yet, you can submit a completed authorization form to request access. 1-360-975-7000, option 1. Never wonder about the status of your claims again. It is important to note that balance billing members is prohibited under all Mercy Care health plans. 1-800-600-4441. , , Sharp Health Plan , ' . Claim Form - Conference and Travel - Cerritos College - cms cerritos Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. Sharp Health Plan 8520 Tech Way, Ste. *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 We offer high-quality, affordable health insurance for San Diegans of all ages with direct access to Sharp HealthCare. You can call us Monday through Friday, 8 am to 5 pm. Please visit the, Resources for Foster/Kinship/Adoptive Families, Accessing Behavioral Health Services in Schools, AHCCCS Whole Person Care Initiative (WPCI), Emergency Triage, Treat and Transport (ET3), Report Concerns About Quality of Care Received, ALTCS Electronic Member Change Request (EMCR), Quality Assessment and Performance Improvement Strategy, Pre-Admission Screening and Resident Review (PASRR), Demographics, Social Determinants and Outcomes, Tribal Court Procedures for Involuntary Commitment, Contracted Health Plan Audited Financial Statements, Monkeypox Virus and Vaccination Information, Federal Funding Accountability and Transparency Act, Digital Tool Box Deliverable Reports & Schedule, Digital Tool Box AHCCCS Policy & Procedures, Quarterly Meeting Minutes and Presentations, Agency Tribal Consultation Annual Reports, American Indian Health Program (AIHP) Change Request Form, American Indian Health Program (AIHP) ID Request Form, If you have an HEAplus account- go to "Options" and click on the "Request New ID Card" link or, A Community Assistor can assist you in requesting the replacement card through their Assistor dashboard.
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