Policy Manuals o Within 12 months after the date that eligibility is posted. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Call us at 1-858-499-8300. For the best experience on our website, please upgrade your browser to the latest version. Can't find your answer below? Caregivers for SCAN Members can receive help with their login credentials here. 1-360-975-7000, option 1. P.O. Your most common questions, answered without playing phone tag. You should only sign this section if you want to cancel this authorization. Long Beach, CA 90801-5616. 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). Awards and recognition are subject to change each year. For Providers. 1-800-HHS-TIPS (1-800-447-8477) For general information or questions about quotes, rates or materials: 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. Sharp Direct Advantage is offered by Sharp Health Plan. up. 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. Coverage Determinations 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. checklist. Fax: 1-858-303-9062 Find a If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. Sharp Health Plan is accepting enrollments all year, thanks to the 5-star special enrollment period. Call our Customer Care team at (855) 995-5004 or submit a form. 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. 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: We will review your request and send you an email invitation to complete the connection within 30 days. Get free, confidential 24/7 treatment referral and information from the National Helpline. Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a The provider must follow all applicable laws, policies and contractual requirements when filing. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. Although physicians are licensed to practice at Sharp's hospitals, they are not Sharp HealthCare employees. Box 2906Milwaukee, WI53201-2906. Contact your software vendor directly for questions about your electronic billing. The provider should contact MC Claims and/or Network Management to seek additional information prior to initiating a claim dispute. and Nov. 30, 2023. Para hablar con un intrprete, llame al 1-800-359-2002. Call us We are available 7 am to 8 pm, seven days a week. This could result in the claim being denied for untimely filing. 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. 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). ) 1-800-359-2002. Sharp Health Plan 1.800.359.2002. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. It's easy to register. Covered Services Please read our. Attn: Member Services Click here and follow the instructions. Contact us Coronavirus & COVID-19 resources for providers MORE OPTIONS + Brokers We're here to help you succeed. Enrollment in SCAN Health Plan depends on contract renewal. 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. For the best experience on our website, please upgrade your browser to the latest version. Send us an email instead. 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. 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: . Need Member Help Logging In? Talk to a real person. MC may request an extension of up to 45 days, if necessary. Customer Service Information To find doctors who accept Sharp Health Plan - HMO and their office locations, and more go to http://www.sharphealthplan.com/ Customer service phone number: 1-800-359-2002 Customer service TTY/TDD number: 711 (state relay service) Customer service hours/availability: 8:00am-6:00pm M-F min ph. You may submit feedback about your Medicare Advantage health plan directly to Medicare. Any patient or family member with a patient safety or patient care concern or complaint that is not being addressed should promptly ask a nurse or employee to assist you in contacting a hospital manager or supervisor. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. To provide a more personalized experience, please select a state where SCAN is offered. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. Member Services Phone Number. You can call us Monday through Friday, 8 am to 5 pm. Additionally, a Level Two report is provided to your vendor, which is the only accepted proof of timely filing for electronic claims. Write: Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. 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 AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. Please check your email for your new password. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. 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. Write: Diploma or Equivalent; Essential . 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 Sharphealthplan.com Category: Health Detail Health Contact us - Phone numbers, email, mailing address Health (2 days ago) WebCall us at 1-858-499-8300. PracticeBridge. Contact us. At this time, the Sharp Health Plan . networkmgmt@scanhealthplan.com, Office Ally Clearinghouse 1-858-499-8300. 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. min ph. 1-800-359-2002 . Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. *Original Claim Number: (If multiple claims, use attached spreadsheet), or Original Referral Number: * Health Plan ID Number: Patient Account Number: Service "From/To" Date: ( * Required for Claim, Billing, and Reimbursement Of Overpayment Disputes) Original Claim Amount Billed: Original Claim Amount Paid: *DISPUTE TYPE Go to www.sharphealthplan.com/payment to pay now. Now its our turn to serveyou. Subscribe to Newsletters At this time, paperless billing is only available for Sharp Rees-Stealy and Sharp hospital bills. b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. [SBM Sharp Health Plan [ 1-800-359-2002. Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. Your password has been reset. Encounters_Operations@scanhealthplan.com, Contact Express Scripts for Part D Coverage Reviews A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. refill on a road trip. Contracted providers can find reimbursement information in their Mercy Care contracts. 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. Eligibility, referrals, or claims: We are currently experiencing issues with our provider and site search tools. These hours may change during holidays see below. Caregivers for SCAN Members can receive help with their login credentials here. Enrollment in SCAN Health Plan depends on contract renewal. Sharp Health Plan 1.800.359.2002. 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. All State Fair Hearing Requests must be sent in writing to the follow address: Attention: Hearing Coordinator4500 E. Cotton Center Blvd.Phoenix, AZ 85040, Vendor: Southwestern Provider Services (SPSI). , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . Health (6 days ago) WebContact Us . 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. 562-508-6781 2023 SCAN Health Plan. email us at provider.relations@sharp.comor call 1-858-499-8330. Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31. AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. 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. If you do not have a Sharp Account yet, you can submit a completed authorization form to request access. 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. Find out more , Stay informed. Thats why were committed to you. You may submit your claim dispute in writing through the mail or send electronically to us through fax. For general questions or provider portal registration, contact our Provider Account Management team. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. Submit authorizations. *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. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time If you believe your responsibility is inaccurate, please contact your insurance plan directly. Call Member Services to request translation services. Rated 4.5 out of 5 stars by Medicare six years in a row! Sharp Direct Advantage is offered by Sharp Health Plan. Please check the box proving that you are not a robot. 400, Wittman Drive Grand Rapids Itasca County MN - 55744 United . Electronic prescribing mandate information. Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of benefits. Enrollment with Sharp Health Plan depends on contract renewal. Sharp Community has been caring for San Diegans since 1989.