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Don't have a Sharp Account? b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. 1-360-975-7000, option 1. Sharp Health Plan 1.800.359.2002. Send us an email instead. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. With our providers, patients and health plan working together, we can ensure the best possible outcome every time. A deductible is the annual amount that you must pay, out of pocket, before an insurance plan begins reimbursing for eligible services. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. Please do not use this form to convey personal or medical information. Cookies must be enabled to properly use this website. Read the full disclaimer. Submit authorizations. For more contact information, please click hereto access the Provider Operations Manual. Many surgery and procedure names sound similar. http://oig.hhs.gov/fraud/report-fraud/index.asp. 1-858-499-8009 Dr. Alan Kadet's office New York, NY Check eligibility & benefits. Find your health plan's address (PDF). 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. Additionally, a Level Two report is provided to your vendor, which is the only accepted proof of timely filing for electronic claims. For general information or questions about quotes, rates, or materials: For member-specific information or questions: Were here to help you help your patients. Find a local SCAN Representative in your neighborhood who speaks your language. 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. Empire Plan Toll free. Please see the below for more contact options. For your protection, we don't recommend using email to send personal medical information. 1-800-359-2002 . If you feel under the weather or have certain long-term health problems, virtual care can SCAN Claims Department Thats why were committed to you. Now its our turn to serveyou. Need to pay a medical bill or copay? Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. You can use this special enrollment period only once between Dec. 8, 2022, For member-specific information or questions: Pay Your Premium 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. b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. 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. To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. checklist. If you prefer not to create an account, you can still pay your bill online by using our one-time payment form. Contact your software vendor directly for questions about your electronic billing. Required Qualifications. H.S. See your patients' history. Para hablar con un intrprete, llame al 1-800-359-2002. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. UPMC Health Plan claims. Contact Sharp Health Plan to get answers on anything from paying a bill to signing up for coverage. Complete testing with UPMC Health Plan. , , Sharp Health Plan , ' . P.O. Looking for Provider Login or Agent/Broker Login? 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. To include supporting documentation, such as members medical records, clearly label and send to the Claims Department at the correct address. 1-562-308-3699 fax 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. email us at provider.relations@sharp.comor call 1-858-499-8330. You can call us Monday through Friday, 8 am to 6 pm. 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. Box 22698 Long Beach, CA 90801-5616. Enrollment with Sharp Health Plan depends on contract renewal. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. Talk to a real person. Every year, Medicare evaluates plans based on a 5-star rating system. Never wonder about the status of your claims again. 562-508-6781 Written claim disputes must be submitted to the MC Appeals Department. Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a 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. 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. a) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. Although physicians are licensed to practice at Sharp's hospitals, they are not Sharp HealthCare employees. Para hablar con un intrprete, llame al 1-800-359-2002. Home Delivery from Express Scripts PharmacySM Claims denied for timely filing must have an explanation for the delay as well as specific documentation. Caregivers for SCAN Members can receive help with their login credentials here. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. Typically, you will pay your percentage of costs until you reach your plan's annual out-of-pocket maximum. 1-800-359-2002 . If you choose to send via fax, please fax your disputes to 602 351-2300. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. Get free, confidential 24/7 treatment referral and information from the National Helpline. ", - Sherri R., Director of Benefits & HR Information Systems, Palomar Health. 1-800-837-0959 fax, Network Management 1-855-562-8853 (TTY/TDD: 711) 7 am to 8 pm Pacific Time 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? For credentialing inquiries about your application or credentialing status, contact our Credentialing team. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. , , Sharp Health Plan, . Thank you for your understanding as we work to ensure everyone remains healthy and safe. Arizona state law and your Mercy Care provider contract prohibits balance billing MC members for Medicaid covered services and benefits. You can also use this form to pay a bill for another person. MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com Hours may change during holidays. For any claims, eligibility, or referral inquiries, contact our dedicated Customer Care team. 1-800-359-2002. 2023 SCAN Health Plan. 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. 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. Hours are 8 a.m. to 8 p.m. from April 1 to Sept. 30, Monday through Friday. 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. Real Time Claim Status (RTS): NO. email us at provider.relations@sharp.com or call1-858-499-8330. Covered Services Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing information. 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. One of our financial counselors will provide estimated out-of-pocket costs for your care with us. AI/AN members can switch their enrollment between AHCCCS AIHP and an AHCCCS managed health care plan and back again at any time. 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. It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. Sharp Health Plan . Encounters_Operations@scanhealthplan.com, Contact Express Scripts for Part D Coverage Reviews Learn how , These two screening tests can help prevent cervical cancer or detect it early. 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). 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. Sharp Health Plan1-800-359-2002 . Hours may change during holidays see below. Quality care depends on clear communication between you and your patients. Enjoy retirement with a plan you cantrust. Sharp Community has been caring for San Diegans since 1989. April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday 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"). 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. March is Colorectal Cancer Awareness Month. Sharp Health Plan | Login Sign in Email address Password Forgot your password? Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. min ph. Claims Mailing Address: Medical. Looking for Provider Login or Agent/Broker Login? REDUCE RISK , Learn how to reduce colon cancer risk by making healthy lifestyle changes. Due to California privacy regulations, the information you can access for minor patients will depend on their age. You can call us Monday through Friday, 8 am to 5 pm. 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.