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. SCAN Health Plan is an HMO plan with a Medicare contract. 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. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. It's National Drug & Alcohol Facts Week. 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. Medicare Crossover You can call us Monday through Friday, 8 am to 5 pm. If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. , , Sharp Health Plan, . Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. P.O. Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. Enrollment in SCAN Health Plan depends on contract renewal. Easily submit pre-authorizations without extra steps. Learn More. SharpHealthPlan.com no longer supports this Internet browser. Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week, Write: networkmgmt@scanhealthplan.com, Office Ally Clearinghouse Claims denied for timely filing must have an explanation for the delay as well as specific documentation. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. Real Time Claim Status (RTS): NO. direct access to Sharp HealthCare. Phone: 1-858-499-8330 Cookies must be enabled to properly use this website. Box 90640Phoenix, AZ 85066. Call 1-800-827-4277 or view our detailed phone directory. 1-800-454-3730. You may submit feedback about your Medicare Advantage health plan directly to Medicare. For your employees' protection, we don't recommend using email to send personal medical information. Messages received on holidays and outside of our business hours will be returned within one business day. Call Member Services to request translation services. Click hereand follow the instructions. A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. It's easy to register. Sharp Health Plan is an HMO with a Medicare contract. MORE OPTIONS + Brokers am, Monday through Friday, and 24 hours a day on weekends. These important numbers are located on your billing statement. Manage your claims. There are three ways for AHCCCS members to change their AHCCCS enrollment: If you need to request an ID card replacement there are four options: Phone: 602-417-4000 1-888-445-2038. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. SharpHealthPlan.com no longer supports this Internet browser. Empire Plan Toll free. Sharp Health Plan 1.800.359.2002. Write: Members Brokers Providers Employers Members Talk to a real person. Can't find your answer below? General office experience, preferably in a service oriented environment. Voz y TTY (telfono de texto):1-800-855-3000. Provider Account Management: We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. Call us at 1-858-499-8300. However, making a partial payment will not prevent a past-due bill from going to a collections agency. FraudWaste&AbuseProg@scanhealthplan.com, Office of Inspector General, U.S. Department of Health & Human Services. 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. In the event the claim requires resubmission, health care providers have 180 days from , Health (6 days ago) WebContact Sharp Health Plan to learn about our plans or ask questions about your current coverage. AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. The provider must follow all applicable laws, policies and contractual requirements when filing. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. . Thats why were committed to you. year in a row. These hours may change during holidays see below. 562-508-6781 b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. Our fax number is 1-858-303-9049 . ) 1-800-359-2002. We're here to help shed light on the bills you may receive. Mercy Care's electronic claim submission vendors, https://dentaquest.com/state-plans/regions/arizona/, Augmentative and Alternative Communication. For the best experience on our website, please upgrade your browser to the latest version. Many surgery and procedure names sound similar. Sharp Health Plan is accepting enrollments all year, thanks to the 5-star special enrollment period. We are currently experiencing issues with our provider and site search tools. Coverage Determinations We are making improvements to how you can view and pay your bills through your Sharp Account. Electronic submission*: Through Electronic Clearing House 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. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. You can send us an email at customer.service@sharp.com and we will get back toyou. Learn about the basics of Medicare, how to enroll, andmore. *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 a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. 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 You can join today, right from your laptop or phone. 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. Refer to your insurance card or call your insurance provider to determine your medical group. 1-844-424-8886 (TTY: 1-800-716-3231) tel. Every hospital visit involves both physician and hospital resources. 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. Your most common questions, answered without playing phone tag. Seffrah Orlando, Senior Public Relations Specialist Click here and follow the instructions. [SBM Sharp Health Plan [ 1-800-359-2002. 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. You can use this special enrollment period only once between Dec. 8, 2022, Electronic prescribing mandate information. For more contact information, please click hereto access the Provider Operations Manual. 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. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. If you believe your responsibility is inaccurate, please contact your insurance plan directly. Hours may change during holidays. Messages received on holidays and outside of normal business hours will be returned within one business day. 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. You may submit your claim dispute in writing through the mail or send electronically to us through fax. The hospital's bill will be for the technical resources and supplies, such as procedures and equipment, needles and scalpels or medications. Claims Mailing Address: Medical. Refer to our Provider Manual for more detailed information. 1-877-251-5896 fax If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. Visit Medicare to compare other plan ratings and find detailed reports. Long Beach, CA 90801-5616. We are available 7 am to 8 pm, seven days a week. March is Colorectal Cancer Awareness Month. To provide a more personalized experience, please select a state where SCAN is offered. Find out more , Stay informed. 1-800-359-2002. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. Please read our. You can also use this form to pay a bill for another person. Claims and EDI 1-877-778-7226. Search for a doctor, hospital, pharmacy or drug name. Policy Manuals www.ethicspoint.com, SCAN SIU Team SharpHealthPlan.com no longer supports this Internet browser. Need to pay a medical bill or copay? Reduce risk , "We are thrilled with the support that we receive at all levels. 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. 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Please clearly state State Fair Hearing Request on your correspondence. 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. 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. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. 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: . o Within 12 months after the date that eligibility is posted. 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 . 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. If you'd like to pay a bill for a loved one, use our one-time payment form. Write: SCAN Claims Department P.O. TTY/TDD users can dial 711 or use the California Relay Services toll-free phone numbers. Contact Express Scripts for Part D Coverage Reviews Coverage Determinations 1-844-424-8886 (TTY: 1-800-716-3231) tel. 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. Box 2906Milwaukee, WI53201-2906. a) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention. email us at provider.relations@sharp.com or call1-858-499-8330. MC may request an extension of up to 45 days, if necessary.
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