Don't want to pick up the phone? Find out more , Stay informed. 1-858-499-8211 Out-of-State Toll Free: 1-800-523-0231, How to Apply Sharp Health Plan is an HMO with a Medicare contract. Fee-for-Service Fee Schedules, Contact Us For general questions or provider portal registration, contact our Provider Account Management team. For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. , , Sharp Health Plan , ' . Electronic prescribing mandate information. Cash is accepted at hospitals only. Please do not use this form to convey personal or medical information. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. Typically, you will pay your percentage of costs until you reach your plan's annual out-of-pocket maximum. Get the right support so that no questions are left unanswered. PDF SHARP COMMUNITY MEDICAL GROUP/SHARP HEALTHCARE Billing and Claim - SCMG Home Delivery from Express Scripts PharmacySM Call Member Services to request translation services. 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. For general questions or provider portal registration, contact our Provider Account Management team. Sharp Health Plan: Fill & Download for Free - cocodoc.com BOX 22616 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. Need to pay a medical bill or copay? Interested in joining the SCAN provider network? Clerical Assistant II- Claims / Finance /Healthplan- Tech Way / Full You may also mail your payment to the address listed on your statement. The SCAN Sales Support team works with brokers and broker agencies to answer questions regarding plan benefits, eligibility, enrollment, network, formulary and other issues. 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. 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. Box 982975 El Paso, TX 79998-2975. Long Beach, CA 90801-5616, Encounter Data Team Get free, confidential 24/7 treatment referral and information from the National Helpline. 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. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. direct access to Sharp HealthCare. 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 Please visit Sharp.com or call your provider. 1-858-499-8300. 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. The hospital's bill will be for the technical resources and supplies, such as procedures and equipment, needles and scalpels or medications. Complete ALL required fields, and include additional documentation when necessary. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Find your doctor's phone number. Visit our FAQ and get your questions answered. For more contact information, please click hereto access the Provider Operations Manual. We are making improvements to how you can view and pay your bills through your Sharp Account. Sharp Community Medical Group (SCMG) - San Diego At this time, paperless billing is only available for Sharp Rees-Stealy and Sharp hospital bills. 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 . You may need to complete a final step to connect to your family member in FollowMyHealth. Member Services Phone Number. b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. Go to www.sharphealthplan.com/payment to pay now. Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of benefits. Our billing office will make several attempts to collect payment. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. You can also search for your primary care doctor to find the medical group you and your doctor belong to. Send us an email instead. You can also use this form to pay a bill for another person. 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. All rights reserved. For any claims, eligibility, or referral inquiries, contact our dedicated Customer Care team. Please read our. Please check your email for your new password. 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. As reported in Medicare & You 2023 member rating of plan. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. Mail-Order Payer Name: Sharp Health Plan - thePracticeBridge Read the full disclaimer. Claim Form - Conference and Travel - Cerritos College - cms cerritos Enjoy retirement with a plan you cantrust. Online Bill Pay | Sharp HealthCare 2023SCAN Health Plan. If you do not want to leave our website, please click the X. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. To provide a more personalized experience, please select a state where SCAN is offered. Hours may change during holidays. These hours may change during holidays see below. We are available 7 am to 8 pm, seven days a week. TTY/TDD users can dial 711 or use the California Relay Services toll-free phone numbers. 2023 SCAN Health Plan. 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). Send us an email instead. For member-specific information or questions: For our members' protection, we don't recommend using email to send personal medical information. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. Encounters_Operations@scanhealthplan.com, Contact Express Scripts for Part D Coverage Reviews To provide a more personalized experience, please select a state where SCAN is offered. 1-800-359-2002. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: For the best experience on our website, please upgrade your browser to the latest version. These hours may change during holidays see below. If a provider disagrees with the MC Notice of Decision, the provider may request a State Fair Hearing. Health (1 days ago) WebSharp Health Plan Login Sign in Email address Password Forgot your password? From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., seven days a week. 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. 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. For general information or questions about quotes, rates or materials: Paper Corrected Claim Submission Updates | Fidelis Care year in a row. Hours may change during holidays. You can call us Monday through Friday, 8 am to 5 pm. Real Time Claim Status (RTS): NO. Hours may change during holidays see below. Thank you for your understanding as we work to ensure everyone remains healthy and safe. UPMC Health Plan claims. Call 1-800-827-4277 or view our detailed phone directory. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. Call us We are available 7 am to 8 pm, seven days a week. TTY/TDD users can dial 711 or use the California Relay Services toll-free phonenumbers. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. If you'd like to pay a bill for a loved one, use our one-time payment form. FBT: SharpHealthPlan.com no longer supports this Internet browser. Phone: 1-858-499-8200. SCAN Claims Department Click here and follow the instructions. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) 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. Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. All of the points of contact are professional, committed and passionate about providing high-quality service. Members Brokers Providers Employers Members Talk to a real person. You may submit your claim dispute in writing through the mail or send electronically to us through fax. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time For questions about plans and benefits, members should call: April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday Our fax number is 1-858-303-9049. 1-360-975-7000, option 1. 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. and Nov. 30, 2023. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. Submit authorizations. Now its our turn to serveyou. SharpCare Medical Group patients can use this form to make online payments. 2023, Help me find urgent care centers in my network, Consumer protections from surprise billing, permission to discuss protected health information form, Sharp Mary Birch Hospital for Women & Newborns. CLAIM.MD | Payer Information | Sharp Health Plan , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . Many surgery and procedure names sound similar. Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. Your bill will list the services you received under the "Summary of Patient Services." April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday If you use FollowMyHealth, you may grant account access to any adult. General office experience, preferably in a service oriented environment. Many surgery and procedure names sound similar. Sharp Health Plan1-800-359-2002 . http://oig.hhs.gov/fraud/report-fraud/index.asp. All rights reserved. You can also use Sharp Account to view itemized bills, check your current balance and view your payment history. Easily submit pre-authorizations without extra steps. 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. Hours may change during holidays. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. email us at provider.relations@sharp.comor call 1-858-499-8330. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. Need Member Help Logging In? Complete testing with UPMC Health Plan. Caregivers for SCAN Members can receive help with their login credentials here. 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 Phone: 1-858-499-8100 CALL NOW. Every year, Medicare evaluates plans based on a 5-star rating system. 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. For the best experience on our website, please upgrade your browser to the latest version. Sharp Health Plan is accepting enrollments all year, thanks to the 5-star special enrollment period. MORE OPTIONS + Brokers We're here to help you succeed. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. 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. Sharp Direct Advantage is offered by Sharp Health Plan. Please check the box proving that you are not a robot. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. 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. You can call us Monday to Friday, 8 am to 6 pm. For the best experience on our website, please upgrade your browser to the latest version. Box 982975El Paso, TX 79998-2975. The claim dispute process should only be used after other attempts to resolve the matter have failed. Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. California Sharp Medicare Advantage Plans | UHCprovider.com To see an example of a bill like yours, with descriptions for each section, please review our sample bill. Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. March is Colorectal Cancer Awareness Month. 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 see the below for more contact options. , , Sharp Health Plan, . Explore SCAN plans available in your area! 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. Our updated Mercy Care Claims Processing Manualis now available to assist you with any claims or billing questions you may have.