There is a problem with enrollment at this time. *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. Sharp Health Plan 1.800.359.2002. 1-888-445-2038. 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. 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. 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). 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. Contacts - San Diego - Sharp Community Medical Group - SCMG Find your doctor's phone number. A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. PDF Chapter H Claims Procedures - UPMC Health Plan You can send us an email at customer.service@sharp.com and we will get back toyou. Quality care depends on clear communication between you and your patients. If a provider disagrees with the MC Notice of Decision, the provider may request a State Fair Hearing. The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. Please see the below for more contact options. Cookies must be enabled to properly use this website. It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. Please clearly state State Fair Hearing Request on your correspondence. email us at provider.relations@sharp.comor call 1-858-499-8330. 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. You can also search for your primary care doctor to find the medical group you and your doctor belong to. Many surgery and procedure names sound similar. Write: Box 2906Milwaukee, WI53201-2906. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. Claims :: The Health Plan The provider should contact MC Claims and/or Network Management to seek additional information prior to initiating a claim dispute. SCAN Health Plan is an HMO plan with a Medicare contract. . For member-specific information or questions: Read up on ways to protect your colorectal health. You can also log in to myCalPERS to use the Search Health Plans tool to research the health plan coverage and benefits most important to you and your family. 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. Sharp Direct Advantage is offered by Sharp Health Plan. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. Rated 4.5 out of 5 stars by Medicare six years in a row! You can join today, right from your laptop or phone. Contact your software vendor directly for questions about your electronic billing. 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. email us at provider.relations@sharp.com or call1-858-499-8330. Messages received on holidays and outside of our business hours will be returned within one business day. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. Send us an email instead. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Provider Tools | Oscar Health - hioscar.com We offer high-quality, affordable health insurance for San Diegans of all ages with Phone: 1-858-499-8100 Your most common questions, answered without playing phone tag. 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. 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. Sharp HealthCare offers financial assistance for qualifying patients who need help with emergency or medically necessary care received in a Sharp hospital. Box 982975El Paso, TX 79998-2975. ) 1-800-359-2002. Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. For your employees' protection, we don't recommend using email to send personal medical information. News & Press Releases, Can't find what you're looking for? American Indian Health Program - azahcccs.gov 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. For example, if you had an emergency room visit that required X-rays and lab tests, you may receive a bill from the hospital for technical resources, a bill from the emergency room physician for professional services, a bill from the radiologist for interpreting your X-rays and a bill from the pathologist for analyzing specimens from your lab tests. Email your SCAN Network Management representative. Search for a doctor, hospital, pharmacy or drug name. Sharp Health Plan , 1-800-359-2002. Long Beach, CA 90801-5616. 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. Out-of-State Toll Free: 1-800-523-0231, How to Apply Box 22698 Long Beach, CA 90801-5616. Get free, confidential 24/7 treatment referral and information from the National Helpline. 1-800-837-0959 fax, Network Management Sharp Health Plan is an HMO with a Medicare contract. Contracted providers can find reimbursement information in their Mercy Care contracts. SharpHealthPlan.com no longer supports this Internet browser. Please contact Member Services. Sharp Health Plan1-800-359-2002 . To include supporting documentation, such as members medical records, clearly label and send to the Claims Department at the correct address. If you choose to send via fax, please fax your disputes to 602 351-2300. MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com Read the full disclaimer. Visit our FAQ and get your questions answered. Compliance Officer However, making a partial payment will not prevent a past-due bill from going to a collections agency. . We are currently experiencing issues with our provider and site search tools. 1-858-499-8009 Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. You can report potential compliance issues and/or issues with fraud, waste and abuse through any of the following channels: Hours: Please read our. Get helpful reminders about how to comply with the timely access laws, which outline maximum wait times for phone calls and appointment requests. If you do not have a Sharp Account yet, you can submit a completed authorization form to request access. Sharp Health Plan1-800-359-2002 . Don't want to pick up the phone? Complete ALL required fields, and include additional documentation when necessary. These hours may change during holidays see below. a) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention. Were here to help you help your patients. For member-specific information or questions: For our members' protection, we don't recommend using email to send personal medical information. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. Awards and recognition are subject to change each year. For more contact information, please click hereto access the Provider Operations Manual. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. To provide a more personalized experience, please select a state where SCAN is offered. P.O. If you are submitting via mail, the claim dispute, including all supporting documentation, should be sent to: Mercy Care Grievance System Department4500 E. Cotton Center Blvd.Phoenix, AZ 85040. Fax: 1-858-303-9049 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. 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. Contact us. SCAN Directory - SCAN Health Plan Mercy Care Claims Department P. O. 2023, Help me find urgent care centers in my network, Consumer protections from surprise billing, permission to discuss protected health information form, Sharp Mary Birch Hospital for Women & Newborns.