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. From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., seven days a week. 1-800-600-4441.
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. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Sharp HealthCare offers financial assistance for qualifying patients who need help with emergency or medically necessary care received in a Sharp hospital. For the best experience on our website, please upgrade your browser to the latest version. FBT: SharpHealthPlan.com no longer supports this Internet browser. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. Contact your Network Management representative for more information about electronic billing. Provider Relations Phone Number. Messages received on holidays and outside of our business hours will be returned within one business day. This could result in the claim being denied for untimely filing. 1-800-454-3730. You can call us Monday through Friday, 8 am to 5 pm. Hours may change during holidays. Written claim disputes must be submitted to the MC Appeals Department. 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. If a provider disagrees with the MC Notice of Decision, the provider may request a State Fair Hearing. 400, Wittman Drive Grand Rapids Itasca County MN - 55744 United . ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. All rights reserved. Enrollment with Sharp Health Plan depends on contract renewal. Diploma or Equivalent; Essential . It's easy to register. Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. All of the points of contact are professional, committed and passionate about providing high-quality service. The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. Send us an email instead. You may submit your claim dispute in writing through the mail or send electronically to us through fax. Need to pay a medical bill or copay? Think of us as your personal health care assistant. Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. Electronic submission*: Through Electronic Clearing House Please see the below for more contact options. It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. You can also use this form to pay a bill for another person. Claims and EDI 1-877-778-7226. 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. Your password has been reset. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. Contact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. Call our Customer Care team at (855) 995-5004 or submit a form. With our providers, patients and health plan working together, we can ensure the best possible outcome every time. Submit authorizations. When you create an account on sharp.com, you will be able to view your statements for Sharp Rees-Stealy and Sharp hospitals in one place, make payments and pay all your invoices by credit card, debit card or via your checking account in one transaction. Read up on ways to protect your colorectal health. Interested in joining the SCAN provider network? 1-800-HHS-TIPS (1-800-447-8477) min ph. Call us at 1-858-499-8300. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. Box 22698 Long Beach, CA 90801-5616. Looking for Provider Login or Agent/Broker Login? 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. 3800 Kilroy Airport Way, Suite 100 Messages received on holidays and outside of our business hours will be returned within one business day. 1-877-251-5896 fax Home Delivery from Express Scripts Pharmacy . If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. . 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: Financial assistance is available for qualified low-income patients to assist with all or part of a hospital bill. Sharp Health Plan is an HMO with a Medicare contract. 2023 SCAN Health Plan. Our fax number is 1-858-303-9049 . You can also use Sharp Account to view itemized bills, check your current balance and view your payment history. 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. Messages received on holidays and outside of normal business hours will be returned within one business day. , 1-800-359-2002 , Sharp Health Plan , 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. Explore SCAN plans available in your area! Every year, Medicare evaluates plans based on a 5-star rating system. 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. To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. Need Member Help Logging In? For credentialing inquiries about your application or credentialing status, contact our Credentialing team. *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. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. FL 22: Resubmission Code field must be billed with a "7" and the Original Reference Number field . Click on the link for answers about Medicare Advantage and coverage. One of our financial counselors will provide estimated out-of-pocket costs for your care with us.
For general information or questions about quotes, rates or materials: Sharp Health Plan 1.800.359.2002. Compliance Officer 1-858-499-8211 If you believe your responsibility is inaccurate, please contact your insurance plan directly. Make sure your contact information is up to date. 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. March is Colorectal Cancer Awareness Month. Sharp Direct Advantage is offered by Sharp Health Plan. P.O. Mercy Care's electronic claim submission vendors, https://dentaquest.com/state-plans/regions/arizona/, Augmentative and Alternative Communication. 1-562-308-3699 fax Electronic Remittance Advice (835) [ERA]: YES. Sharp Health Plan . Long Beach, CA 90801-5616. 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. Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. For general questions or provider portal registration, contact our Provider Account Management team. Sharp is not-for-profit and relies on fundraising. We are currently experiencing issues with our provider and site search tools. Hours may change during holidays. Many surgery and procedure names sound similar. 1-800-359-2002 . If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. Awards and recognition are subject to change each year. At this time, the Sharp Health Plan . Click below to learn more about which plans, benefits and doctors are available in your area. You can choose how you want to receive your billing statements and notifications via mail, email or both. To provide a more personalized experience, please select a state where SCAN is offered. Talk to a real person. , , 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. 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"). *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. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. Find a
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. Please check your email for your new password. 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. In many cases, payment is sent directly to us from your health insurance provider. It is important to note that balance billing members is prohibited under all Mercy Care health plans. UPMC Health Plan claims. If you feel under the weather or have certain long-term health problems, virtual care can
Read the update , Share these tips with our members to help them reduce their risk of colon cancer. 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). Phone: 1-858-499-8100
Contracted providers can find reimbursement information in their Mercy Care contracts. Fee-for-Service Fee Schedules, Contact Us
To include supporting documentation, such as members medical records, clearly label and send to the Claims Department at the correct address. 1-800-359-2002. Don't want to pick up the phone? Visit your health plan's website to learn how benefits, claims, and payment of claims are covered, as well as the service limitations and exclusions that may apply. direct access to Sharp HealthCare.