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Financial assistance is available for qualified low-income patients to assist with all or part of a hospital bill. 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. Follow the prompts to set your billing preferences. For more contact information, please click hereto access the Provider Operations Manual. We're here to help shed light on the bills you may receive. [email protected], Contact Express Scripts for Part D Coverage Reviews b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. 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. You can talk to a nurse 5 pm to 8am, Monday to Friday, and 24 hours a day on weekends by calling 1-800-359-2002. We offer high-quality, affordable health insurance for San Diegans of all ages with 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? 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. Out-of-State Toll Free: 1-800-523-0231, How to Apply If you'd like to pay a bill for a loved one, use our one-time payment form. checklist. Phone: 1-858-499-8100 Our updated Mercy Care Claims Processing Manualis now available to assist you with any claims or billing questions you may have. Written claim disputes must be submitted to the MC Appeals Department. Clerical Assistant II- Claims / Finance /Healthplan- Tech Way / Full Eligibility, referrals, or claims: Call Member Services to request translation services. 1-877-251-5896 fax Home Delivery from Express Scripts Pharmacy . Sharphealthplan.com Category: Health Detail Health Contact us - Phone numbers, email, mailing address Health (2 days ago) WebCall us at 1-858-499-8300. 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). SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Hours may change during holidays see below. According to the Arizona Revised Statute, Arizona Administrative Code and AHCCCS guidelines, all claim disputes related to a claim for system covered services must be filed in writing and received by the administration or the prepaid capitated provider or program contractor: Contact your Provider Relations representative for more information about electronic billing. Learn how you can help your patients through the Shingrix shortage. Cash is accepted at hospitals only. Claims Mailing Address: Medical. Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a Enrollment in SCAN Health Plan depends on contract renewal. Select the appropriate claim form (refer to table below): Hospital inpatient, outpatient, skilled nursing and emergency room services, Dental services that are considered medical services (oral surgery, anesthesiology), Mercy Care Claims DepartmentP. O. Were here to help you help your patients. Click here and follow the instructions. Awards and recognition are subject to change each year. Sharp Health Plan: Fill & Download for Free - cocodoc.com If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. 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. You can report potential compliance issues and/or issues with fraud, waste and abuse through any of the following channels: Hours: Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. For your protection, we don't recommend using email to send personal medical information. Box 982975 El Paso, TX 79998-2975. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. Sharp Community Medical Group (SCMG) - San Diego Find your health plan's address (PDF). Enjoy retirement with a plan you cantrust. REDUCE RISK , Learn how to reduce colon cancer risk by making healthy lifestyle changes. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) For general information or questions about quotes, rates or materials: 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 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. Members Brokers Providers Employers Members Talk to a real person. Please contact Member Services. , , Sharp Health Plan , ' . Diploma or Equivalent; Essential . 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. Sharp hospitals: 858-499-2400 Sharp Rees-Stealy: 858-499-2410 SharpCare: 858-499-2044 Sharp Specialty Groups: 858-346-4321 We look forward to helping you. Iselin, New Jersey 08830. The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. Every hospital visit involves both physician and hospital resources. AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. Online Bill Pay | Sharp HealthCare Every year, Medicare evaluates plans based on a 5-star rating system. SCAN Claims Department A deductible is the annual amount that you must pay, out of pocket, before an insurance plan begins reimbursing for eligible services. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Click hereand follow the instructions. 1-877-863-3362 Sharp Health Plan , 1-800-359-2002. 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. You can also use this form to pay a bill for another person. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. Phone: 1-858-499-8330 Were your neighbors, so you can count on us to be accessible. *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. Claims information - Sharp Health Plan This could result in the claim being denied for untimely filing. Every year, Medicare evaluates plans based on a 5-star rating system. 1-888-705-7226 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. Hours are 8 a.m. to 8 p.m. from April 1 to Sept. 30, Monday through Friday. To set up a hospital payment plan for a family member, call us at 858-499-2400. 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. For your employees' protection, we don't recommend using email to send personal medical information. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. Fax: 1-858-303-9049 Please check your email for your new password. We are available 7 am to 8 pm, seven days a week. 2023 SCAN Health Plan. 1-855-562-8853 (TTY/TDD: 711) 7 am to 8 pm Pacific Time Contact us to learn how to get started with Sharp Direct Advantage today! We will review your request and send you an email invitation to complete the connection within 30 days. TTY/TDD users can dial 711 or use the California Relay Services toll-free phone numbers. We are currently experiencing issues with our provider and site search tools. To call a medical , Category: Doctor, Medical Detail Health, Health (3 days ago) WebFor eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, email us at Sharphealthplan.com Category: Health , Health (6 days ago) WebDon't hesitate to send us an email or call us Monday through Friday, from 8 am to 4:30 pm: Sharp hospitals: 858-499-2400 Sharp Rees-Stealy: 858-499-2410 SharpCare: 858-499 , Health (9 days ago) WebCall us We are available 7 am to 8 pm, seven days a week. SCAN Health Plan is an HMO plan with a Medicare contract. FL 22: Resubmission Code field must be billed with a "7" and the Original Reference Number field . Address. Sharp Health Plan Payer ID: SHP01; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Electronic Remittance (ERA) YES: ERA Enrollment Required: This insurance is also known as: . Learn how to create one now. Email your SCAN Network Management representative. Sharp Health Plan - HMO 2022-23 Edition - California Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. H.S. Covered Services 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. If you prefer not to create an account, you can still pay your bill online by using our one-time payment form. 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. Mercy Care Claims Department P. O. If you cannot pay the entire amount, you can set up a payment plan via Sharp Account for qualifying or eligible hospital bills. Sharp health plan provider phone number, Health (2 days ago) WebFor eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, email us at [emailprotected] or call 1-858-499-8330. Read the update , Share these tips with our members to help them reduce their risk of colon cancer. 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. Please check your email for your new password. Sharp Health Plan Performance Plus UnitedHealthcare SignatureValue Alliance and SignatureValue Harmony UnitedHealthcare Group Medicare Advantage and Medicare Advantage Edge Western Health Advantage HMO and MyCare Select Medicare HMO Blue Shield of California and Kaiser Permanente administer their own Pharmacy Benefits. With our cost-saving benefits, you could put more money back into your monthly budget. 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. LEARN MORE , Let our members know about screening tests to help prevent or detect cervical cancer. Enjoy direct access to Sharp HealthCare and The Sharp Experience.*. This means the hospital and each of your treating physicians will send you a bill for their parts of your care. The monthly premium for our new VIP Plan is $0. MORE OPTIONS + Brokers http://oig.hhs.gov/fraud/report-fraud/index.asp. Frequently Asked Billing Questions | Sharp HealthCare 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. 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. See if your doctor is covered under Sharp Direct Advantage Medicare plans. Every hospital visit involves both physician and hospital resources. Para hablar con un intrprete, llame al 1-800-359-2002. Read the full disclaimer. Sharp Health Plan Claims Address Sharp Health Plan 1.800.359.2002. We are making improvements to how you can view and pay your bills through your Sharp Account. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Read up on ways to protect your colorectal health. 1-800-359-2002. 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. Find a FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. Youve earned your Medicare benefits! Sharp Health Plan , 1-800-359-2002. 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. Check your coverage documents through Sharp Connect. This position provides support and assistance to the Claims Department. Cookies must be enabled to properly use this website. Sharp is not-for-profit and relies on fundraising. Phone: 1-858-499-8200. 1-888-327-9791 tel. Find your doctor's phone number. Refer to your insurance card or call your insurance provider to determine your medical group. 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 [email protected] and we will get back to you. Policy Manuals 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. 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. Box 90640Phoenix, AZ 85066. Electronic Remittance Advice (835) [ERA]: YES. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. PracticeBridge. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. Recently completed plans and new plans may not display on the Hospital Payment Plans section within Sharp Account. As reported in Medicare & You 2023 member rating of plan. 3800 Kilroy Airport Way, Suite 100 www.ethicspoint.com, SCAN SIU Team 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. Once received, the claim dispute will be reviewed, and a decision will be rendered within 30 days after receipt. All rights reserved. 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? Caregivers for SCAN Members can receive help with their login credentials here. Easily submit pre-authorizations without extra steps. Encounter Data Team [email protected]. b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. , , Sharp Health Plan, . Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of benefits. Send us an email instead. 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 eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, Search for a doctor, hospital, pharmacy or drug name. Click here to read the full disclaimer. For member-specific information or questions: Effective January 1, 2022, all California health care practitioners who are authorized to prescribe will be required to issue prescriptions electronically. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. Sharp Health Plan is an HMO with a Medicare contract. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. These hours may change during holidays see below. Sharp HealthCare offers many payment options, including monthly payment installments for qualified or eligible hospital bills, which you can set up via Sharp Account. Please read our. Contacts - San Diego - Sharp Community Medical Group - SCMG Enrollment with Sharp Health Plan depends on contract renewal. Ready for comprehensive Medicare Advantage coverage that could save you money? 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. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. Make sure your contact information is up to date. 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. Call us at 1-858-499-8300. 1-800-359-2002. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. We are working to resolve this as quickly as possible. Your password has been reset. Your bill will list the services you received under the "Summary of Patient Services." Sharp Health Plan | Login Sign in Email address Password Forgot your password? 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"). Learn More. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. Find out more , Stay informed. Need Member Help Logging In? Please check the box proving that you are not a robot. 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. year in a row. For any claims, eligibility, or referral inquiries, contact our dedicated Customer Care team. Call our Customer Care team at (855) 995-5004 or submit a form. Box 982975El Paso, TX 79998-2975. If you do not have a Sharp Account yet, you can submit a completed authorization form to request access. Claims Processor at Sharp HealthCare in San Diego Claims Processor Job ID JR133620 Date Posted 01/25/2023 San Diego, California Corporate Offices Day Regular Apply now Responsibilities Hours Shift Start Time: Variable Shift End Time: Variable Additional Shift Information: between 05:00 am - 09:00 am Weekend Requirements: As Needed On-Call Required: FBT: SharpHealthPlan.com no longer supports this Internet browser. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. Compliance Officer View past statements and payment history from the last 18 months, Save a payment method for quicker check out, Access patient portals and other digital tools. You should only sign this section if you want to cancel this authorization. Don't want to pick up the phone? Claims Processor at Sharp HealthCare in San Diego Box 2906Milwaukee, WI53201-2906. For the best experience on our website, please upgrade your browser to the latest version. MORE OPTIONS + Brokers We're here to help you succeed. For the best experience on our website, please upgrade your browser to the latest version. 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. , , Sharp Health Plan, . Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: http://oig.hhs.gov/fraud/report-fraud/index.asp. Please visit Sharp.com or call your provider. Para hablar con un intrprete, llame al 1-800-359-2002. 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. Don't want to pick up the phone? Due to COVID-19 restrictions, the Sharp Health Plan office is not open to visitors at this time. Thank you for making us the highest member-rated health plan in California for the eighth up. email us at [email protected] call 1-858-499-8330. 1-877-251-5896 fax . Complete ALL required fields, and include additional documentation when necessary. You will also be able to save your preferred payment method for future use. These hours may change during holidays see below. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. To provide a more personalized experience, please select a state where SCAN is offered. Contact us. Sharp Health Plan . Member Services Phone Number. For general information or questions about quotes, rates or materials: Find a local SCAN Representative in your neighborhood who speaks your language. 1-858-499-8300. If you use FollowMyHealth, you may grant account access to any adult. Paper Corrected Claim Submission Updates | Fidelis Care AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. Sharp Direct Advantage is offered by Sharp Health Plan. 1-858-499-8211 Sharp Health Plan is an HMO with a Medicare contract. To have your name removed from our advertising mailing list, please complete and submit the Mailing List Removal form. SCAN Health Plan is an HMO plan with a Medicare contract. Contact your software vendor directly for questions about your electronic billing. a) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention. You can choose how you want to receive your billing statements and notifications via mail, email or both. Please see the below for more contact options. Cscs bill payer program volunteer application form return to: bill payer program council of senior centers and services of nyc, inc. 195 montague street, b-15 brooklyn, new york, ny 11201 phone: 718-858-2358 fax: 718-858-2702 personal: (this. Many surgery and procedure names sound similar. The Sharp Experience - Sharp Health Plan Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. Don't want to pick up the phone? The provider should contact MC Claims and/or Network Management to seek additional information prior to initiating a claim dispute. Payer Name: Sharp Health Plan - thePracticeBridge Manage your claims. California Sharp Medicare Advantage Plans | UHCprovider.com Messages received on holidays and outside of normal business hours will be returned within one business day. 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. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. The claim dispute process should only be used after other attempts to resolve the matter have failed. MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time instructions from the Health Plan and the Department of Managed Health Care. You can use your Sharp Account to make a partial payment on a bill. ) 1-800-359-2002. Sharp Health Plan1-800-359-2002 . GET INFO , Half of Americans have at least one risk factor for heart disease. Never wonder about the status of your claims again. Thank you for serving our city and San Diegans like us. [email protected], Office of Inspector General, U.S. Department of Health & Human Services. Our fax number is 1-858-303-9049. 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. 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.