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To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. See if your doctor is covered under Sharp Direct Advantage Medicare plans. Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of benefits. We provide dedicated bilingual (English/Spanish) representatives to our members and free over-the-phone translation services in dozens of other languages. Sharp Health Plan 1.800.359.2002. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. Well help you choose the coverage thats right for you. To provide a more personalized experience, please select a state where SCAN is offered. Out-of-State Toll Free: 1-800-523-0231, How to Apply Never wonder about the status of your claims again. ni chuyn vi mt thng dch vin, xin gi 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. Cookies must be enabled to properly use this website. Learn how to create one now. a) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention. Electronic submission*: Through Electronic Clearing House, DentaQuest of Arizona, LLC ClaimsP.O. VISIT THE HELPLINE Sharp Health Plan rated 5 out of 5 stars by Medicare for 2023 Every year, Medicare evaluates plans based on a 5-star rating system. For example, if your deductible has been met and your coinsurance is 20 percent, your plan will cover the remaining 80 percent of covered services. , , Sharp Health Plan , ' . Call our Customer Care team at (855) 995-5004 or submit a form. 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. 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). Find a local SCAN Representative in your neighborhood who speaks your language. For Providers. Contact us Coronavirus & COVID-19 , Health (2 days ago) WebCall us at 1-858-499-8300. For your employees' protection, we don't recommend using email to send personal medical information. Visit our FAQ and get your questions answered. For general questions or provider portal registration, contact our Provider Account Management team. Many surgery and procedure names sound similar. 1-800-HHS-TIPS (1-800-447-8477) Reduce risk , "We are thrilled with the support that we receive at all levels. Sharphealthplan.com Category: Health Detail Health Contact us - Phone numbers, email, mailing address Health (2 days ago) WebCall us at 1-858-499-8300. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. 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. Health (6 days ago) WebContact Us . Call us at 1-858-499-8300. You can use this special enrollment period only once between Dec. 8, 2022, Box 22698 Long Beach, CA 90801-5616. Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. Failure to specifically state the factual and legal basis may result in denial of the claim dispute. Coverage Determinations 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 See your patients' history. Don't want to pick up the phone? 8 a.m. to 8 p.m., Seven days a week, from October 1 to March 31. This means the hospital and each of your treating physicians will send you a bill for their parts of your care. 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. There is a problem with enrollment at this time. It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. Contact us to learn how to get started with Sharp Direct Advantage today! For member-specific information or questions: For our members' protection, we don't recommend using email to send personal medical information. Sharp Health Plan is an HMO with a Medicare contract. Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 Typically, you will pay your percentage of costs until you reach your plan's annual out-of-pocket maximum. SCAN Health Plan is an HMO plan with a Medicare contract. Rated 4.5 out of 5 stars by Medicare six years in a row! Box 22698 The provider should contact MC Claims and/or Network Management to seek additional information prior to initiating a claim dispute. 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 Effective January 1, 2022, all California health care practitioners who are authorized to prescribe will be required to issue prescriptions electronically. Call Member Services to request translation services. For general information or questions about quotes, rates, or materials: For member-specific information or questions: Were here to help you help your patients. Para hablar con un intrprete, llame al 1-800-359-2002. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. Fax: 1-858-303-9062 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. Payment plans are only for hospital bills, and are not available for Sharp Rees-Stealy bills or for connected family members at this time. Real Time Claim Status (RTS): NO. Hours may change during holidays. For general information or questions about quotes, rates or materials: Please check the box proving that you are not a robot. o Within 12 months after the date that eligibility is posted. 1-877-251-5896 fax Interested in joining the SCAN provider network? For the best experience on our website, please upgrade your browser to the latest version. Read the full disclaimer. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31. Follow the prompts to set your billing preferences. The program also provides coverage for preventive and behavioral health care services. Contact us. There are three ways for AHCCCS members to change their AHCCCS enrollment: If you need to request an ID card replacement there are four options: Phone: 602-417-4000 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. Members Brokers Providers Employers Members Talk to a real person. email us at provider.relations@sharp.com or call1-858-499-8330. H5386_2022 Medicare Website_Rev10 Page Last Updated: 1/03/2023 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. If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. Don't have a Sharp Account? Sharp Health Plan , 1-800-359-2002. 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. Sharp Health Plan is an HMO with a Medicare contract. Please check your email for your new password. We're here to help shed light on the bills you may receive. BOX 22616 If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. Claims and EDI 1-877-778-7226. Thank you for making us the highest member-rated health plan in California for the eighth For member-specific information or questions: In the event the claim requires resubmission, health care providers have 180 days from , Health (6 days ago) WebContact Sharp Health Plan to learn about our plans or ask questions about your current coverage. This service is free of charge and also includes American Sign Language translators. If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. You can use your Sharp Account to make a partial payment on a bill. 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. Call us at 1-858-499-8300. This could result in the claim being denied for untimely filing. April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday Sharp Direct Advantage is offered by Sharp Health Plan. Ready for comprehensive Medicare Advantage coverage that could save you money? Call us We are available 7 am to 8 pm, seven days a week. Sharp Health Plan 1.800.359.2002. To set up a payment plan for a Sharp Rees-Stealy bill or to inquire about a payment plan for a family member's bill, call us at 858-499-2400. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. 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. FBT: SharpHealthPlan.com no longer supports this Internet browser. The provider must follow all applicable laws, policies and contractual requirements when filing. Please read our. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. If you believe your responsibility is inaccurate, please contact your insurance plan directly. Find out more , Stay informed. Get started now. 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). For more contact information, please click hereto access the Provider Operations Manual. 1-844-424-8886 (TTY: 1-800-716-3231) tel. Looking for Provider Login or Agent/Broker Login? Award-winning service, comprehensive coverage, plus more. Helpful holiday tips, your 2023 coverage checklist and more. Pay Your Premium All electronic submissions shall be submitted in compliance with applicable law including HIPAA regulations and Mercy Care policies and procedures. Due to COVID-19 restrictions, the Sharp Health Plan office is not open to visitors at this time. 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. Attn: Member Services Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. These important numbers are located on your billing statement. 1-855-562-8853 (TTY/TDD: 711) 7 am to 8 pm Pacific Time Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week. You can send us an email at customer.service@sharp.com and we will get back toyou. We know youre committed to your workforce. Long Beach, CA 90801-5616. Contracted providers can find reimbursement information in their Mercy Care contracts. Contact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. 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. MORE OPTIONS + Brokers If a provider does not receive an acknowledgement letter within five (5) business days, the provider must contact the Appeals Department. 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. Complete ALL required fields, and include additional documentation when necessary. Were here to help you help your patients. Explore SCAN plans available in your area! LEARN MORE . With our providers, patients and health plan working together, we can ensure the best possible outcome every time. Credentialing: Fax: 1-858-303-9049 1-562-308-3699 fax 3800 Kilroy Airport Way, Suite 100 Enrollment with Sharp Health Plan depends on contract renewal. Submit authorizations. Sharp Health Plan . Encounters_Operations@scanhealthplan.com, Contact Express Scripts for Part D Coverage Reviews instructions from the Health Plan and the Department of Managed Health Care. We are currently experiencing issues with our provider and site search tools. Refer to your insurance card or call your insurance provider to determine your medical group. We were named in the 2023 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage inCalifornia. Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. Talk to a real person. Mercy Care's electronic claim submission vendors, https://dentaquest.com/state-plans/regions/arizona/, Augmentative and Alternative Communication. 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. Long Beach, CA 90801-5616, Encounter Data Team 2023 SCAN Health Plan. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, please This year's theme is #EmbraceEquity. Your password has been reset. , , Sharp Health Plan, . Electronic Remittance Advice (835) [ERA]: YES. Every hospital visit involves both physician and hospital resources. http://oig.hhs.gov/fraud/report-fraud/index.asp. P.O. DentaQuest administers dental benefits for Mercy Care and Mercy Care Advantage. Your password has been reset. You will need to provide your personal information and the invoice or visit number from your paper statement for each payment. Sharp is not-for-profit and relies on fundraising. Long Beach, CA 90806, EthicsPoint Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. Need Member Help Logging In? Voz y TTY (telfono de texto):1-800-855-3000. 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. 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. Manage your claims. 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. and Nov. 30, 2023. If you have questions that include personal details, like your medical history, please call your doctor directly. SharpHealthPlan.com no longer supports this Internet browser. You can call us Monday through Friday, 8 am to 5 pm. 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). sorlando@scanhealthplan.com. 1-858-499-8009 Were your neighbors so you can count on us to be accessible. Search for a doctor, hospital, pharmacy or drug name. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. We offer high-quality, affordable health insurance for San Diegans of all ages with AI/AN members can switch their enrollment between AHCCCS AIHP and an AHCCCS managed health care plan and back again at any time. min ph. FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. Don't want to pick up the phone? For credentialing inquiries about your application or credentialing status, contact our Credentialing team. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. Contact your software vendor directly for questions about your electronic billing. 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. 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. The monthly premium for our new VIP Plan is $0. You can pay by credit or debit card or by check. 1-877-863-3362 Subscribe to Newsletters Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. However, making a partial payment will not prevent a past-due bill from going to a collections agency. Fee-for-Service Fee Schedules, Contact Us MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from , Health (9 days ago) WebContact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. It's easy to register. Click on the link for answers about Medicare Advantage and coverage. It's easy to register. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. The Health Plan encourages electronic claims submission . 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. Hours are 8 a.m. to 8 p.m. from April 1 to Sept. 30, Monday through Friday. This position provides support and assistance to the Claims Department. Send us an email instead. Please include all supporting documentation with the initial claim dispute submission. 1-858-499-8211 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. Awards and recognition are subject to change each year. TTY/TDD users can dial 711 or use the California Relay Services toll-free phonenumbers. Caregivers for SCAN Members can receive help with their login credentials here. Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. We are available 7 am to 8 pm, seven days a week. You can call us Monday through Friday, 8 am to 5 pm. Encounter Data Team Encounters_Operations@scanhealthplan.com. Quality care depends on clear communication between you and your patients. You can call us Monday through Friday, 8 am to 5 pm. MORE OPTIONS + Brokers We're here to help you succeed. When you go to the hospital for a medical procedure or to your doctor's office for a checkup, we confirm your billing information including who is responsible for payment and which health insurance plan should be billed. Every hospital visit involves both physician and hospital resources. You can call us Monday through Friday, 8 am to 6 pm. Recently completed plans and new plans may not display on the Hospital Payment Plans section within Sharp Account. Although physicians are licensed to practice at Sharp's hospitals, they are not Sharp HealthCare employees. Sharp is not-for-profit and relies on fundraising. Enjoy retirement with a plan you cantrust. Write: SCAN Claims Department P.O. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. We are working to resolve this as quickly as possible. H.S. All of the points of contact are professional, committed and passionate about providing high-quality service. With our cost-saving benefits, you could put more money back into your monthly budget. Visit Medicare to compare other plan ratings and find detailed reports. Messages received on holidays and outside of normal business hours will be returned within one business day. 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. 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 . For credentialing inquiries about your application or credentialing status, contact our Credentialing team. b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. Learn More. Get the right support so that no questions are left unanswered. To provide a more personalized experience, please select a state where SCAN is offered. Please visit Sharp.com or call your provider. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Go to www.sharphealthplan.com/payment to pay now. If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more.