Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. Interfaces with other Sharp Health Plan employees to provide information as requested for other Departments. The website information you will be accessing is provided by another organization or vendor. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. 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. Ready for comprehensive Medicare Advantage coverage that could save you money? sorlando@scanhealthplan.com. 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. Read the full disclaimer. Providers who are contracted with Mercy Care can use electronic billing software. Phone: 1-858-499-8100 Click here and follow the instructions. If you feel under the weather or have certain long-term health problems, virtual care can Looking for Provider Login or Agent/Broker Login? The provider should contact MC Claims and/or Network Management to seek additional information prior to initiating a claim dispute. For your protection, we don't recommend using email to send personal medical information. Claim Form - Conference and Travel - Cerritos College - cms cerritos Please include all supporting documentation with the initial claim dispute submission. Need Member Help Logging In? 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. If a provider does not receive an acknowledgement letter within five (5) business days, the provider must contact the Appeals Department. In many cases, payment is sent directly to us from your health insurance provider. 1-844-424-8886 (TTY: 1-800-716-3231) tel. If you do not want to leave our website, please click the X. 1-800-359-2002 . 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? You can call us Monday through Friday, 8 am to 5 pm. Sharp Health Plan 8520 Tech Way, Ste. SCAN Claims Department 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . SharpCare Medical Group patients can use this form to make online payments. 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"). Please do not use this form to convey personal or medical information. We know youre committed to your workforce. Covered Services Complete testing with UPMC Health Plan. California Sharp Medicare Advantage Plans | UHCprovider.com 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. Effective January 1, 2022, all California health care practitioners who are authorized to prescribe will be required to issue prescriptions electronically. At this time, paperless billing is only available for Sharp Rees-Stealy and Sharp hospital bills. Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing information. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. Please check your email for your new password. Sharp Direct Advantage is offered by Sharp Health Plan. Don't want to pick up the phone? The monthly premium for our new VIP Plan is $0. Sharp Health Plan1-800-359-2002 . Award-winning service, comprehensive coverage, plus more. Call our Customer Care team at (855) 995-5004 or submit a form. 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. A copay is a predetermined (flat) fee that you pay for health care services, in addition to what your health insurance plan pays. 3800 Kilroy Airport Way, Suite 100 Forms, guides and other resources - Sharp Health Plan April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday Box 90640Phoenix, AZ 85066. These hours may change during holidays see below. 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. 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 . Contracted providers can find reimbursement information in their Mercy Care contracts. Visit our FAQ and get your questions answered. You can call us Monday through Friday, 8 am to 6 pm. Hours may change during holidays. Typically, you will pay your percentage of costs until you reach your plan's annual out-of-pocket maximum. It only takes about 15 to 20 minutes to enroll online securely. Long Beach, CA 90801-5616. 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. Please check the box proving that you are not a robot. Many surgery and procedure names sound similar. You can call us Monday through Friday, 8 am to 5 pm. You should only sign this section if you want to cancel this authorization. You can also search for your primary care doctor to find the medical group you and your doctor belong to. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time Search for a doctor, hospital, pharmacy or drug name. Hours may change during holidays. *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 1-800-837-0959 fax, Network Management Contact your software vendor directly for questions about your electronic billing. You can report potential compliance issues and/or issues with fraud, waste and abuse through any of the following channels: Hours: 2023SCAN Health Plan. You may receive a bill from us after your health insurance plan processes our bill. Health (3 days ago) Web101 Wood Avenue South, 8th Floor. Reduce risk , "We are thrilled with the support that we receive at all levels. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. 1-855-562-8853 (TTY/TDD: 711) 7 am to 8 pm Pacific Time Sharp Health Plan1-800-359-2002 . and Nov. 30, 2023. For member-specific information or questions: up. Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. Our updated Mercy Care Claims Processing Manualis now available to assist you with any claims or billing questions you may have. 400, Wittman Drive Grand Rapids Itasca County MN - 55744 United . Coverage Determinations Visit Medicare to compare other plan ratings and find detailed reports. 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. Thank you for serving our city and San Diegans like us. Financial assistance is available for qualified low-income patients to assist with all or part of a hospital bill. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. We invite you to share our women's preventive care We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. Provider Relations Phone Number. Learn how , These two screening tests can help prevent cervical cancer or detect it early. For member-specific information or questions: For our members' protection, we don't recommend using email to send personal medical information. 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. LEARN MORE . In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Learn More. Refer to your insurance card or call your insurance provider to determine your medical group. Cookies must be enabled to properly use this website. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Use your member ID number to sign Your password has been reset. Call 1-800-827-4277 or view our detailed phone directory. Many surgery and procedure names sound similar. To call a medical group office or department: Sharp Rees-Stealy: Department phone directory Sharp Community: 858-499-2550 SharpCare: 619-522-4000 Other contact information: Billing If you have questions about eligibility, costs or what kind of coverage you can expect give us a call today! See if your doctor is covered under Sharp Direct Advantage Medicare plans. It's easy to register. 1-800-359-2002. 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. You may also mail your payment to the address listed on your statement. Paper Corrected Claim Submission Updates | Fidelis Care checklist. Sharp Health Plan , 1-800-359-2002. You can call us Monday through Friday, 8 am to 5 pm. All rights reserved. If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. This service is free of charge and also includes American Sign Language translators. o Or within 60 days after the date of the denial of a timely claim submission, whichever is later. We're your neighbors, so you can count on us to be accessible. You can send us an email at customer.service@sharp.com and we will get back toyou. 1-562-308-3699 fax Hours are 8 a.m. to 8 p.m. from April 1 to Sept. 30, Monday through Friday. Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. For your employees' protection, we don't recommend using email to send personal medical information. Click here. Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. FL 22: Resubmission Code field must be billed with a "7" and the Original Reference Number field . 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). 1-360-975-7000, option 1. These hours may change during holidays see below. Messages received on holidays and outside of our business hours will be returned within one business day. Claims and EDI 1-877-778-7226. Box 982975 El Paso, TX 79998-2975. You can use your Sharp Account to make a partial payment on a bill. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. Your most common questions, answered without playing phone tag. Long Beach, CA 90801-5616, Encounter Data Team 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. Our fax number is 1-858-303-9049 . We are working to resolve this as quickly as possible. , , Sharp Health Plan, . Contact us - Phone numbers, email, mailing address - Sharp Health Plan FBT: SharpHealthPlan.com no longer supports this Internet browser. Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of benefits. 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. Click below to learn more about which plans, benefits and doctors are available in your area. For general information or questions about quotes, rates or materials: Cancer Resource , Health (7 days ago) WebProvider Services / Claims ( 877 ) 853 - 8019 ( 855 ) 297 - 4247 Enrollment ( 855 ) 593 - 5757 Care Management ( 888 ) 995 - 1689 7(32) 421 - 4317 Mailing Address for , Edison health solutions provider portal eligibility, Online mba for healthcare professionals, Central texas transgender health coalition, Federal retirees open season health insurance, Atrium health one health family medicine, Eastern shore rural health patient portal, 2022 health-mental.org. See your patients' history. All rights reserved. , , Sharp Health Plan, . We're here to help shed light on the bills you may receive. Find your health plan's address (PDF). a) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. Think of us as your personal health care assistant. PDF SHARP COMMUNITY MEDICAL GROUP/SHARP HEALTHCARE Billing and Claim - SCMG CLAIM.MD | Payer Information | Sharp Health Plan You can pay by credit or debit card or by check. 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. Policy Manuals Send us an email instead. Mercy Care Claims Department P. O. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. PracticeBridge. instructions from the Health Plan and the Department of Managed Health Care. SHARP HEALTH PLAN - 19 Photos & 207 Reviews - 8520 Tech Way, San Diego REDUCE RISK , Learn how to reduce colon cancer risk by making healthy lifestyle changes. With our providers, patients and health plan working together, we can ensure the best possible outcome every time. Claims Processor at Sharp HealthCare in San Diego 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. MORE OPTIONS + Brokers We're here to help you succeed. [SBM Sharp Health Plan [ 1-800-359-2002. The Health Plan encourages electronic claims submission . To provide a more personalized experience, please select a state where SCAN is offered. 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. Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. It is important to note that balance billing members is prohibited under all Mercy Care health plans. Diploma or Equivalent; Essential . 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. OptumRx Pharmacy Benefits - CalPERS If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. Awards and recognition are subject to change each year. Messages received on holidays and outside of our business hours will be returned within one business day. Call 1-800-827-4277 or view our detailed phone directory. Need to pay a medical bill or copay? Call Member Services to request translation services. MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com The percentage you pay of the remaining costs depends on your plan. o Within 12 months after the date that eligibility is posted. 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. 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. TTY/TDD users can dial 711 or use the California Relay Services toll-free phone numbers. This means the hospital and each of your treating physicians will send you a bill for their parts of your care. Please refer to our Billing, Collections and Bad Debt policy. Write: Click here to read the full disclaimer. Refer to our Provider Manual for more detailed information. Every hospital visit involves both physician and hospital resources. Written claim disputes must be submitted to the MC Appeals Department. If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. 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. 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. Call us at 1-858-499-8300. We are currently experiencing issues with our provider and site search tools. Phone: 1-858-499-8200. 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. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. Learn More. Easily submit pre-authorizations without extra steps. Additionally, a Level Two report is provided to your vendor, which is the only accepted proof of timely filing for electronic claims. 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. Sharp Community Medical Group (SCMG) - San Diego 1-858-499-8300. Were here to help you help your patients. 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. Following your medical procedure, our billing office files a claim with your primary health insurance for the services performed. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. Dr. Alan Kadet's office New York, NY Check eligibility & benefits. Find out more , Stay informed. We are working to resolve this as quickly as possible. Don't have a Sharp Account? Our fax number is 1-858-303-9049. Please visit Sharp.com or call your provider. 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. For any claims, eligibility, or referral inquiries, contact our dedicated Customer Care team. Get free, confidential 24/7 treatment referral and information from the National Helpline. Every hospital visit involves both physician and hospital resources. Enrollment with Sharp Health Plan depends on contract renewal. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. 1-888-327-9791 tel. Due to COVID-19 restrictions, the Sharp Health Plan office is not open to visitors at this time. Attn: Member Services 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. Make sure your contact information is up to date. , , Sharp Health Plan , ' . For the best experience on our website, please upgrade your browser to the latest version. Seffrah Orlando, Senior Public Relations Specialist There is a problem with enrollment at this time. Send us an email instead. 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 1-858-499-8211 You will also be able to save your preferred payment method for future use. Click on the link for answers about Medicare Advantage and coverage. *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. UPMC Health Plan claims. Long Beach, CA 90806, EthicsPoint Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. . CALL NOW. You can call us Monday to Friday, 8 am to 6 pm. Contact Sharp Health Plan to get answers on anything from paying a bill to signing up for coverage. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. 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. These hours may change during holidays see below. If you prefer not to create an account, you can still pay your bill online by using our one-time payment form. Electronic Remittance Advice (835) [ERA]: YES. Manage your claims. Eligibility, referrals, or claims: Learn how to create one now. The physician's bill will be for the professional services. 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. The claim dispute process should only be used after other attempts to resolve the matter have failed. Click here to read the full disclaimer. Call us at 1-858-499-8300. Due to California privacy regulations, the information you can access for minor patients will depend on their age. Failure to specifically state the factual and legal basis may result in denial of the claim dispute. 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 Sharp HealthCare Phone Numbers and Email - San Diego FraudWaste&AbuseProg@scanhealthplan.com, Office of Inspector General, U.S. Department of Health & Human Services. Awards and recognition are subject to change each year. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . This could result in the claim being denied for untimely filing. 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: Please read our. 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. Call us We are available 7 am to 8 pm, seven days a week. For the best experience on our website, please upgrade your browser to the latest version. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, please 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 Contact us to learn how to get started with Sharp Direct Advantage today! If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. Sharp is not-for-profit and relies on fundraising. direct access to Sharp HealthCare. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. If you choose to send via fax, please fax your disputes to 602 351-2300. Write: