The claim dispute process should only be used after other attempts to resolve the matter have failed. Contact us to learn how to get started with Sharp Direct Advantage today! Subscribe to Newsletters 1-800-HHS-TIPS (1-800-447-8477) 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. , , Sharp Health Plan , ' . AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Interested in joining the SCAN provider network? Helpful holiday tips, your 2023 coverage checklist and more. 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. year in a row. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. * Every year, Medicare evaluates plans based on a 5-star rating system. SharpHealthPlan.com no longer supports this Internet browser. 1-858-499-8211 Contact Express Scripts for Part D Coverage Reviews Coverage Determinations 1-844-424-8886 (TTY: 1-800-716-3231) tel. Contact Sharp Health Plan to get answers on anything from paying a bill to signing up for coverage. If you do not want to leave our website, please click the X. Hours may change during holidays see below. 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. TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. 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. Please read our. This means the hospital and each of your treating physicians will send you a bill for their parts of your care. Visit our FAQ and get your questions answered. Quality care depends on clear communication between you and your patients. FBT: SharpHealthPlan.com no longer supports this Internet browser. H5386_2022 Medicare Website_Rev10 Page Last Updated: 1/03/2023 1-858-499-8009 When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. 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. 400, Wittman Drive Grand Rapids Itasca County MN - 55744 United . 3800 Kilroy Airport Way, Suite 100 Members Brokers Providers Employers Members Talk to a real person. 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. Sharp Health Plan | Login Sign in Email address Password Forgot your password? 1-877-863-3362 Fax: 1-858-303-9062 From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. We invite you to share our women's preventive care You can call us Monday through Friday, 8 am to 5 pm. Thank you for making us the highest member-rated health plan in California for the eighth Complete ALL required fields, and include additional documentation when necessary. 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. Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. The amount you are charged is the portion of your bill your insurance policy does not cover - it is based on what your insurance plan communicates to us on your explanation of benefits (EOB). o Or within 60 days after the date of the denial of a timely claim submission, whichever is later. Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., seven days a week. Messages received on holidays and outside of our business hours will be returned within one business day. SCAN Health Plan is an HMO plan with a Medicare contract. You will also be able to save your preferred payment method for future use. Sharp Health Plan1-800-359-2002 . H.S. Need to pay a medical bill or copay? 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. Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. and Nov. 30, 2023. 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. All rights reserved | Email: [emailprotected], Edison health solutions provider portal eligibility, Central texas transgender health coalition, Federal retirees open season health insurance, Eastern shore rural health patient portal. 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. It is important to note that balance billing members is prohibited under all Mercy Care health plans. Sharp Health Plan is an HMO with a Medicare contract. Please clearly state State Fair Hearing Request on your correspondence. 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. Every year, Medicare evaluates plans based on a 5-star rating system. Thank you for your understanding as we work to ensure everyone remains healthy and safe. 1-877-251-5896 fax In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. 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. Sharp Health Plan . We offer high-quality, affordable health insurance for San Diegans of all ages with For credentialing inquiries about your application or credentialing status, contact our Credentialing team. 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. Looking for Provider Login or Agent/Broker Login? Sharp is not-for-profit and relies on fundraising. A provider may file a claim dispute based on: Before a provider initiates a claims dispute, the following needs to occur: o Within 12 months after the date of service. Click below to learn more about which plans, benefits and doctors are available in your area. Please do not use this form to convey personal or medical information. To set up a hospital payment plan for a family member, call us at 858-499-2400. According to the Arizona Revised Statute, Arizona Administrative Code and AHCCCS guidelines, all claim disputes related to a claim for system covered services must be filed in writing and received by the administration or the prepaid capitated provider or program contractor: Contact your Provider Relations representative for more information about electronic billing. 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. SharpHealthPlan.com no longer supports this Internet browser. TTY/TDD users can dial 711 or use the California Relay Services toll-free phone numbers. If a provider does not receive an acknowledgement letter within five (5) business days, the provider must contact the Appeals Department. Cookies must be enabled to properly use this website. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. networkmgmt@scanhealthplan.com, Office Ally Clearinghouse Hospital payments: 858-499-2400 Sharp Rees-Stealy payments: 858-499-2410 SharpCare payments: 858-499-2044 Monday through Friday: 8 am to 4:30 pm Need to pay your monthly Sharp Health Plan health insurance premium? Caregivers for SCAN Members can receive help with their login credentials here. See your patients' history. 1-800-359-2002. However, making a partial payment will not prevent a past-due bill from going to a collections agency. b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. Provider Account Management: Write: For Providers. Please contact Member Services. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. You can use your Sharp Account to make a partial payment on a bill. BOX 22616 If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. Awards and recognition are subject to change each year. Iselin, New Jersey 08830. Contact us Coronavirus & COVID-19 resources for providers Refer to your insurance card or call your insurance provider to determine your medical group. 1-888-327-9791 tel. If you have a health question or concern after regular business hours, you can talk to a nurse through our after-hours nurse line.Call Sharp Nurse Connection at 1-855-562-8853 from 5 pm to 8 For questions about this process, contact UPMC Health Plan Web Services at 1-800-937-0438 from 8 a.m. to 4:30 p.m., Monday through Friday. Payment plans are only for hospital bills, and are not available for Sharp Rees-Stealy bills or for connected family members at this time. [SBM Sharp Health Plan [ 1-800-359-2002. Box 982975 El Paso, TX 79998-2975. Get started now. Compliance Officer The provider should contact MC Claims and/or Network Management to seek additional information prior to initiating a claim dispute. ", - Sherri R., Director of Benefits & HR Information Systems, Palomar Health. Hours may change during holidays. For questions about plans and benefits, members should call: April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday Coinsurance takes place when you reach your deductible and you and your insurance plan share in paying a percentage of the remaining costs. Never wonder about the status of your claims again. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Go to www.sharphealthplan.com/payment to pay now. ) 1-800-359-2002. We are making improvements to how you can view and pay your bills through your Sharp Account. This position provides support and assistance to the Claims Department. 1-800-359-2002 . Enrollment in SCAN Health Plan depends on contract renewal. When you connect to a loved one's Sharp Account, you can: To manage the care of a dependent adult, such as a parent, you will need to provide proof of conservatorship, power of attorney or an advance directive. You may need to complete a final step to connect to your family member in FollowMyHealth. Cash is accepted at hospitals only. Rated 4.5 out of 5 stars by Medicare six years in a row! If you choose to send via fax, please fax your disputes to 602 351-2300. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. Sharp Direct Advantage is offered by Sharp Health Plan. Hours may change during holidays. www.ethicspoint.com, SCAN SIU Team These important numbers are located on your billing statement. If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. It's easy to register. Every year, Medicare evaluates plans based on a 5-star rating system. For your protection, we don't recommend using email to send personal medical information. Rated 4.5 out of 5 stars by Medicare six years in a row! Para hablar con un intrprete, llame al 1-800-359-2002. PracticeBridge. 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. As reported in Medicare & You 2023 member rating of plan. Sharp HealthCare offers many payment options, including monthly payment installments for qualified or eligible hospital bills, which you can set up via Sharp Account. Find a
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