Attn: Member Services Contact Express Scripts for Part D Coverage Reviews Coverage Determinations 1-844-424-8886 (TTY: 1-800-716-3231) tel. 1-800-HHS-TIPS (1-800-447-8477) ", - Sherri R., Director of Benefits & HR Information Systems, Palomar Health. and Nov. 30, 2023. Health Insurance for Children, Provider Enrollment 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. Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of benefits. It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. If you prefer not to create an account, you can still pay your bill online by using our one-time payment form. Were your neighbors so you can count on us to be accessible. SCAN Health Plan For Providers. Encounter Data Team Encounters_Operations@scanhealthplan.com. Cookies must be enabled to properly use this website. Providers must register with the AHCCCS program to be eligible for payment reimbursement. 2023 SCAN Health Plan. AHCCCSOnline Website Phone: 1-858-499-8200. 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). 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 If you believe that the determination is not correct, you or your authorized representative has the right to appeal the decision by filing a grievance with your health plan. 1-800-359-2002. Rated 4.5 out of 5 stars by Medicare six years in a row! Sharp Health Plan is an HMO with a Medicare contract. Address. Additionally, a Level Two report is provided to your vendor, which is the only accepted proof of timely filing for electronic claims. This service is free of charge and also includes American Sign Language translators. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) 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 . Messages received on holidays and outside of normal business hours will be returned within one business day. To include supporting documentation, such as members medical records, clearly label and send to the Claims Department at the correct 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. Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. Sharp HealthCare offers financial assistance for qualifying patients who need help with emergency or medically necessary care received in a Sharp hospital. Member Services Phone Number. Encounters_Operations@scanhealthplan.com, Contact Express Scripts for Part D Coverage Reviews Sharp HealthCare offers many payment options, including monthly payment installments for qualified or eligible hospital bills, which you can set up via Sharp Account. 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. Learn how to create one now. Need Member Help Logging In? MC will acknowledge a claim dispute request within five (5) business days after receipt. Learn about the basics of Medicare, how to enroll, andmore. 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. Awards and recognition are subject to change each year. . You can use this special enrollment period only once between Dec. 8, 2022, Iselin, New Jersey 08830. www.ethicspoint.com, SCAN SIU Team Well help you choose the coverage thats right for you. 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. Customer Service Information To find doctors who accept Sharp Health Plan - HMO and their office locations, and more go to http://www.sharphealthplan.com/ Customer service phone number: 1-800-359-2002 Customer service TTY/TDD number: 711 (state relay service) Customer service hours/availability: 8:00am-6:00pm M-F Visit our FAQ and get your questions answered. Please clearly state State Fair Hearing Request on your correspondence. We are available 7 am to 8 pm, seven days a week. Our billing office will make several attempts to collect payment. , , Sharp Health Plan, . Submit authorizations. If you do not have a Sharp Account yet, you can submit a completed authorization form to request access. Sharp Health Plan 1.800.359.2002. Don't hesitate to send us an email or call us Monday through Friday, from 8 am to 4:30 pm: We know health care billing can seem complicated - so we work hard to ensure your experience with Sharp is straightforward and accurate. Long Beach, CA 90801-5616, Encounter Data Team 1-877-251-5896 fax Home Delivery from Express Scripts Pharmacy . SharpHealthPlan.com no longer supports this Internet browser. 400, Wittman Drive Grand Rapids Itasca County MN - 55744 United . And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. Health (3 days ago) Web101 Wood Avenue South, 8th Floor. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. We invite you to share our women's preventive care To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. Please contact Member Services. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . Please see the below for more contact options. 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. Thats why were committed to you. Hours may change during holidays see below. Box 22698 Hours may change during holidays. It's National Drug & Alcohol Facts Week. However, making a partial payment will not prevent a past-due bill from going to a collections agency. When you connect to a loved one's Sharp Account, you can: To manage the care of a dependent adult, such as a parent, you will need to provide proof of conservatorship, power of attorney or an advance directive. 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. Cash is accepted at hospitals only. 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. If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. Subscribe to Newsletters 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). Diploma or Equivalent; Essential . Sharp Health Plan . These hours may change during holidays see below. March is Colorectal Cancer Awareness Month. We are working to resolve this as quickly as possible. Quality care depends on clear communication between you and your patients. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. The amount you are charged is the portion of your bill your insurance policy does not cover - it is based on what your insurance plan communicates to us on your explanation of benefits (EOB). Please refer to our Billing, Collections and Bad Debt policy. 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? See if your doctor is covered under Sharp Direct Advantage Medicare plans. Contact Sharp Health Plan to get answers on anything from paying a bill to signing up for coverage. Contact your Network Management representative for more information about electronic billing. As reported in Medicare & You 2023 member rating of plan. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. You can call us Monday through Friday, 8 am to 5 pm. Sharphealthplan.com Category: Health Detail Health Contact us - Phone numbers, email, mailing address Health (2 days ago) WebCall us at 1-858-499-8300. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. Go to www.sharphealthplan.com/payment to pay now. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. Contact your software vendor directly for questions about your electronic billing. Messages received on holidays and outside of our business hours will be returned within one business day. Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. If you believe your responsibility is inaccurate, please contact your insurance plan directly. 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. Every year, Medicare evaluates plans based on a 5-star rating system. Interfaces with other Sharp Health Plan employees to provide information as requested for other Departments. H5386_2022 Medicare Website_Rev10 Page Last Updated: 1/03/2023 SharpHealthPlan.com no longer supports this Internet browser. Call us at 1-858-499-8300. Sharp Direct Advantage is offered by Sharp Health Plan. With our providers, patients and health plan working together, we can ensure the best possible outcome every time. Get the right support so that no questions are left unanswered. With our cost-saving benefits, you could put more money back into your monthly budget. If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. A deductible is the annual amount that you must pay, out of pocket, before an insurance plan begins reimbursing for eligible services. Thank you for serving our city and San Diegans like us. The provider must follow all applicable laws, policies and contractual requirements when filing. Contact us Coronavirus & COVID-19 , Health (2 days ago) WebCall us at 1-858-499-8300. 1-800-837-0959 fax, Network Management Seven days a week, Default (Select appropriate section in drop down menu to populate), Get the most out of your pharmacy benefits, Understanding your explanation of benefits, Medicares 5-star special enrollment period. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . Hours may change during holidays. Sharp Health Plan . Following your medical procedure, our billing office files a claim with your primary health insurance for the services performed. Click here. 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. Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. Ready for comprehensive Medicare Advantage coverage that could save you money? If you still need answers, please send us an email or give us a call: It's not uncommon to receive statements or bills from more than one provider for one hospital visit. 1-800-359-2002. For the best experience on our website, please upgrade your browser to the latest version. Contact us Coronavirus & COVID-19 resources for providers All rights reserved. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. For the best experience on our website, please upgrade your browser to the latest version. Claims Mailing Address: Medical. You may receive a bill from us after your health insurance plan processes our bill. refill on a road trip. Read the full disclaimer. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: [SBM Sharp Health Plan [ 1-800-359-2002. Sharp Health Plan1-800-359-2002 . For your protection, we don't recommend using email to send personal medical information. Our fax number is 1-858-303-9049 . Call us We are available 7 am to 8 pm, seven days a week. To have your name removed from our advertising mailing list, please complete and submit the Mailing List Removal form. Find a FL 22: Resubmission Code field must be billed with a "7" and the Original Reference Number field . DentaQuest administers dental benefits for Mercy Care and Mercy Care Advantage. You can also search for your primary care doctor to find the medical group you and your doctor belong to. Although physicians are licensed to practice at Sharp's hospitals, they are not Sharp HealthCare employees. Read the full disclaimer. Enrollment with Sharp Health Plan depends on contract renewal. Fax: 1-858-303-9049 These hours may change during holidays see below. 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. 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. It's easy to register. Explore SCAN plans available in your area! You can pay by credit or debit card or by check. Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. Enrollment with Sharp Health Plan depends on contract renewal. 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. Thank you for your understanding as we work to ensure everyone remains healthy and safe. Sharp Health Plan 1.800.359.2002. Caregivers for SCAN Members can receive help with their login credentials here. 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 You can also use Sharp Account to view itemized bills, check your current balance and view your payment history. min ph. Box 90640Phoenix, AZ 85066. Call us at 1-858-499-8300. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. Refer to your insurance card or call your insurance provider to determine your medical group. Sharp is not-for-profit and relies on fundraising. http://oig.hhs.gov/fraud/report-fraud/index.asp. You can also search for your primary care doctor to find the medical group you and your doctor belong to. 1-360-975-7000, option 1. The physician's bill will be for the professional services. Electronic prescribing mandate information. Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. Contact us. Fee-for-Service Fee Schedules, Contact Us These hours may change during holidays see below. Sharp Health Plan . Need Member Help Logging In? Eligibility, referrals, or claims: Enrollment with Sharp Health Plan depends on contract renewal. Were here to help you help your patients. 1-800-359-2002 . Para hablar con un intrprete, llame al 1-800-359-2002. If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones.
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