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SCAN Claims Department Interested in joining the SCAN provider network? Please contact Member Services. You can use your Sharp Account to make a partial payment on a bill. Health (6 days ago) WebContact Us . , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . We know youre committed to your workforce. Diploma or Equivalent; Essential . SharpHealthPlan.com no longer supports this Internet browser. 1-877-251-5896 fax 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. FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) You can report potential compliance issues and/or issues with fraud, waste and abuse through any of the following channels: Hours: GET INFO , Half of Americans have at least one risk factor for heart disease. Every year, Medicare evaluates plans based on a 5-star rating system. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. You can choose how you want to receive your billing statements and notifications via mail, email or both. TTY/TDD users can dial 711 or use the California Relay Services toll-free phone numbers. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. Please do not use this form to convey personal or medical information. . Click on the link for answers about Medicare Advantage and coverage. Talk to a real person. Fax: 1-858-303-9062 Sharp Health Plan , 1-800-359-2002. Hours may change during holidays. *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. See your patients' history. Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. Thank you for your understanding as we work to ensure everyone remains healthy and safe. SharpHealthPlan.com no longer supports this Internet browser. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. REDUCE RISK , Learn how to reduce colon cancer risk by making healthy lifestyle changes. Refer to our Provider Manual for more detailed information. The program also provides coverage for preventive and behavioral health care services. You can join today, right from your laptop or phone. 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 eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, email us at provider.relations@sharp.com or call 1-858-499-8330. Messages received on holidays and outside of our business hours will be returned within one business day. AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. For general questions or provider portal registration, contact our Provider Account Management team. For the best experience on our website, please upgrade your browser to the latest version. Cookies must be enabled to properly use this website. 400, Wittman Drive Grand Rapids Itasca County MN - 55744 United . With Sharp Account, you can request access to a minor child's (age 11 or younger) or dependent adult's account to manage health information, view and pay bills, and more. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. Provider Account Management: Please see the below for more contact options. To set up a hospital payment plan for a family member, call us at 858-499-2400. For the best experience on our website, please upgrade your browser to the latest version. Don't have a Sharp Account? Compliance Officer Fax: 1-858-303-9049 email us at provider.relations@sharp.comor call 1-858-499-8330. 1-800-359-2002. Sharp HealthCare offers many payment options, including monthly payment installments for qualified or eligible hospital bills, which you can set up via Sharp Account. 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. 1-858-499-8211 Hours may change during holidays see below. min ph. 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. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. Box 2906Milwaukee, WI53201-2906. MORE OPTIONS + Brokers 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 Award-winning service, comprehensive coverage, plus more. Contracted providers can find reimbursement information in their Mercy Care contracts. Sharp Health Plan . 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. Sharphealthplan.com Category: Health Detail Health Contact us - Phone numbers, email, mailing address Health (2 days ago) WebCall us at 1-858-499-8300. There is a problem with enrollment at this time. A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. All of the points of contact are professional, committed and passionate about providing high-quality service. 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). Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. Box 982975 El Paso, TX 79998-2975. The Health Plan encourages electronic claims submission . 2023 SCAN Health Plan. . Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. AHCCCSOnline Website Call us at 1-858-499-8300. Box 982975El Paso, TX 79998-2975. Contact Sharp Health Plan to get answers on anything from paying a bill to signing up for coverage. Search for a doctor, hospital, pharmacy or drug name. Para hablar con un intrprete, llame al 1-800-359-2002. Phone: 1-858-499-8100 Caregivers for SCAN Members can receive help with their login credentials here. Click here to read the full disclaimer. If you use FollowMyHealth, you may grant account access to any adult. 2023SCAN Health Plan. 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). Follow the prompts to set your billing preferences. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. You can call us Monday to Friday, 8 am to 6 pm. Please contact Member Services. Enrollment with Sharp Health Plan depends on contract renewal. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. News & Press Releases, Can't find what you're looking for? Para hablar con un intrprete, llame al 1-800-359-2002. Credentialing: From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. Rated 4.5 out of 5 stars by Medicare six years in a row! checklist. Sharp Health Plan . a) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention. Call our Customer Care team at (855) 995-5004 or submit a form. Long Beach, CA 90806, EthicsPoint Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. 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: 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. Send us an email instead. Visit Medicare to compare other plan ratings and find detailed reports. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. We offer high-quality, affordable health insurance for San Diegans of all ages with direct access to Sharp HealthCare. Call 1-800-827-4277 or view our detailed phone directory. Every hospital visit involves both physician and hospital resources. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Cash is accepted at hospitals only. To provide a more personalized experience, please select a state where SCAN is offered. General office experience, preferably in a service oriented environment. However, making a partial payment will not prevent a past-due bill from going to a collections agency. 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. AI/AN members can switch their enrollment between AHCCCS AIHP and an AHCCCS managed health care plan and back again at any time. ", - Sherri R., Director of Benefits & HR Information Systems, Palomar Health. This could result in the claim being denied for untimely filing. 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. For your protection, we don't recommend using email to send personal medical information. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. Provider Relations Phone Number. , , Sharp Health Plan, . To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. Think of us as your personal health care assistant. 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 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: . Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week. Contact us to learn how to get started with Sharp Direct Advantage today! Call us We are available 7 am to 8 pm, seven days a week. Ready for comprehensive Medicare Advantage coverage that could save you money? Youve earned your Medicare benefits! Mercy Care's electronic claim submission vendors, https://dentaquest.com/state-plans/regions/arizona/, Augmentative and Alternative Communication. 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. Submit authorizations. 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 Hours may change during holidays. H.S. Seffrah Orlando, Senior Public Relations Specialist FBT: SharpHealthPlan.com no longer supports this Internet browser. 1-844-424-8886 (TTY: 1-800-716-3231) tel. 1-800-600-4441. Electronic Remittance Advice (835) [ERA]: YES. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. 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. If you do not have a Sharp Account yet, you can submit a completed authorization form to request access. H5386_2022 Medicare Website_Rev10 Page Last Updated: 1/03/2023 MORE OPTIONS + Brokers We're here to help you succeed. 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. Learn about the basics of Medicare, how to enroll, andmore. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. Complete testing with UPMC Health Plan. Many surgery and procedure names sound similar. You can also use Sharp Account to view itemized bills, check your current balance and view your payment history. Need to pay a medical bill or copay? At this time, the Sharp Health Plan . You can call us Monday through Friday, 8 am to 5 pm. You will also be able to save your preferred payment method for future use. UPMC Health Plan claims. 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. We will review your request and send you an email invitation to complete the connection within 30 days. 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. 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. CALL NOW. 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. Effective January 1, 2022, all California health care practitioners who are authorized to prescribe will be required to issue prescriptions electronically. Get started now. For general questions or provider portal registration, contact our Provider Account Management team. Financial assistance is available for qualified low-income patients to assist with all or part of a hospital bill. 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. Members Brokers Providers Employers Members Talk to a real person. Please check the box proving that you are not a robot. 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 . Claims denied for timely filing must have an explanation for the delay as well as specific documentation. Quality care depends on clear communication between you and your patients. The monthly premium for our new VIP Plan is $0. As reported in Medicare & You 2023 member rating of plan. 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 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. 1-800-837-0959 fax, Network Management Coverage Determinations Awards and recognition are subject to change each year. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: Instructions on how to fill out the claim forms can be found at the following AHCCCS website addresses: Submit original copies of claims electronically or through the mail (do NOT fax). With our cost-saving benefits, you could put more money back into your monthly budget. Dr. Alan Kadet's office New York, NY Check eligibility & benefits. 1-855-562-8853 (TTY/TDD: 711) 7 am to 8 pm Pacific Time Encounter Data Team Encounters_Operations@scanhealthplan.com. Electronic submission*: Through Electronic Clearing House Refer to your insurance card or call your insurance provider to determine your medical group. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. Your bill will list the services you received under the "Summary of Patient Services." Were here to help you help your patients. 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. 3800 Kilroy Airport Way, Suite 100 March is Colorectal Cancer Awareness Month. Your most common questions, answered without playing phone tag. The only way to ensure you have the full Sharp Experience, from coverage to care, is with a Sharp Direct Advantage plan - only from Sharp Health Plan. To have your name removed from our advertising mailing list, please complete and submit the Mailing List Removal form. 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. Read the full disclaimer. 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. All rights reserved. You can send us an email at customer.service@sharp.com and we will get back toyou. Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. Following your medical procedure, our billing office files a claim with your primary health insurance for the services performed.

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