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. Contact us Coronavirus & COVID-19 , Health (2 days ago) WebCall us at 1-858-499-8300. Give us a call with any additional questions: At this time, we are only able to grant access to accounts for dependent adults and minor children. email us at provider.relations@sharp.comor call 1-858-499-8330. Box 982975 El Paso, TX 79998-2975. Claims information - Sharp Health Plan PDF Chapter H Claims Procedures - UPMC Health Plan Click on the link for answers about Medicare Advantage and coverage. One of our financial counselors will provide estimated out-of-pocket costs for your care with us. Sharp Health Plan . year in a row. Contact your Network Management representative for more information about electronic billing. You can call us Monday through Friday, 8 am to 6 pm. Click here. FBT: SharpHealthPlan.com no longer supports this Internet browser. Sharp Health Plan 8520 Tech Way, Ste. http://oig.hhs.gov/fraud/report-fraud/index.asp. We were named in the 2023 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage inCalifornia. Quality care depends on clear communication between you and your patients. Compliance Officer Please do not use this form to convey personal or medical information. Contact us Coronavirus & COVID-19 resources for providers Contact your software vendor directly for questions about your electronic billing. SCAN Health Plan Hours may change during holidays. See your patients' history. up. Contracted providers can find reimbursement information in their Mercy Care contracts. MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com Please read our. Although physicians are licensed to practice at Sharp's hospitals, they are not Sharp HealthCare employees. Financial assistance is available for qualified low-income patients to assist with all or part of a hospital bill. Read the full disclaimer. Read up on ways to protect your colorectal health. Please refer to our Billing, Collections and Bad Debt policy. Get helpful reminders about how to comply with the timely access laws, which outline maximum wait times for phone calls and appointment requests. MORE OPTIONS + Brokers We're here to help you succeed. 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 Providers. Learn 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. Read the full disclaimer. Fax: 1-858-303-9062 PDF SHARP COMMUNITY MEDICAL GROUP/SHARP HEALTHCARE Billing and Claim - SCMG 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 Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. *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 Written claim disputes must be submitted to the MC Appeals Department. 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). 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). All rights reserved. You can report potential compliance issues and/or issues with fraud, waste and abuse through any of the following channels: Hours: Sharp Health Plan | Login Sign in Email address Password Forgot your password? We are available 7 am to 8 pm, seven days a week. If youre currently not a member and are interested in learning more about SCAN Health Plan, speak to one of our representatives by calling 1-877-452-5898. SharpHealthPlan.com no longer supports this Internet browser. FL 22: Resubmission Code field must be billed with a "7" and the Original Reference Number field . You can call us Monday to Friday, 8 am to 6 pm. 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: . Read the full disclaimer. Sharp Health Plan is an HMO with a Medicare contract. 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. However, making a partial payment will not prevent a past-due bill from going to a collections agency. Need Member Help Logging In? 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. 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. Real Time Claim Status (RTS): NO. Box 22698 Check your coverage documents through Sharp Connect. Long Beach, CA 90806, EthicsPoint SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. UPMC Health Plan claims. 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. The website information you will be accessing is provided by another organization or vendor. 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. Kung ikaw, o ang iyong tinutulangan, ay may mga katanungan tungkol sa Sharp Health Plan, may karapatan ka na makakuha ng tulong at impormasyon sa iyong wika ng walang gastos. 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. For general information or questions about quotes, rates, or materials: For member-specific information or questions: Were here to help you help your patients. Mercy Care's electronic claim submission vendors, https://dentaquest.com/state-plans/regions/arizona/, Augmentative and Alternative Communication. At this time, the Sharp Health Plan . Sharp Health Plan is an HMO with a Medicare contract. Our fax number is 1-858-303-9049 . Call us at 1-858-499-8300. 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. 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. Electronic Remittance Advice (835) [ERA]: YES. If you'd like to pay a bill for a loved one, use our one-time payment form. If a provider disagrees with the MC Notice of Decision, the provider may request a State Fair Hearing. 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. 562-508-6781 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. SCAN Claims Department , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . Your bill will list the services you received under the "Summary of Patient Services." 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. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. Sharp Health Plan 1.800.359.2002. Sharp Health Plan . BOX 22616 www.ethicspoint.com, SCAN SIU Team Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. Call 1-800-827-4277 or view our detailed phone directory. You can join today, right from your laptop or phone. Sharp HealthCare offers financial assistance for qualifying patients who need help with emergency or medically necessary care received in a Sharp hospital. Learn how you can help your patients through the Shingrix shortage. Sharphealthplan.com Category: Health Detail Health Contact us - Phone numbers, email, mailing address Health (2 days ago) WebCall us at 1-858-499-8300. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . These important numbers are located on your billing statement. Sharp Health Plan - HMO 2022-23 Edition - California 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? Refer to our Provider Manual for more detailed information. 3800 Kilroy Airport Way, Suite 100 Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. You may submit feedback about your Medicare Advantage health plan directly to Medicare. Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. Caregivers for SCAN Members can receive help with their login credentials here. Health (3 days ago) Web101 Wood Avenue South, 8th Floor. Contact Us; Forgot Username; Forgot Password; Schedule a Demo (855) 757-6060 Can't find your answer below? Contact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. For more contact information, please click hereto access the Provider Operations Manual. *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. Find your doctor's phone number. These hours may change during holidays see below. Helpful holiday tips, your 2023 coverage checklist and more. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. Provider Account Management: Hours may change during holidays see below. Please check the box proving that you are not a robot. Our updated Mercy Care Claims Processing Manualis now available to assist you with any claims or billing questions you may have. Caregivers for SCAN Members can receive help with their login credentials here. Providers must register with the AHCCCS program to be eligible for payment reimbursement. Sharp hospitals: 858-499-2400 Sharp Rees-Stealy: 858-499-2410 SharpCare: 858-499-2044 Sharp Specialty Groups: 858-346-4321 We look forward to helping you. min ph. Awards and recognition are subject to change each year. Claims and EDI 1-877-778-7226. The claim dispute process should only be used after other attempts to resolve the matter have failed. You can call us Monday through Friday, 8 am to 5 pm. email us at provider.relations@sharp.com or call1-858-499-8330. Complete testing with UPMC Health Plan. These hours may change during holidays see below. 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. 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. . Get free, confidential 24/7 treatment referral and information from the National Helpline. It is important to note that balance billing members is prohibited under all Mercy Care health plans. Find out more , Stay informed. Long Beach, CA 90801-5616, Encounter Data Team Youve earned your Medicare benefits! When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. Clerical Assistant II- Claims / Finance /Healthplan- Tech Way / Full Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of benefits. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. Sharp Direct Advantage is offered by Sharp Health Plan. Hours may change during holidays. We are currently experiencing issues with our provider and site search tools. Sharp Health Plan Performance Plus UnitedHealthcare SignatureValue Alliance and SignatureValue Harmony UnitedHealthcare Group Medicare Advantage and Medicare Advantage Edge Western Health Advantage HMO and MyCare Select Medicare HMO Blue Shield of California and Kaiser Permanente administer their own Pharmacy Benefits. 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. Frequently Asked Billing Questions | Sharp HealthCare 2023 SCAN Health Plan. PDF Provider Dispute Resolution Request - Scmg Never wonder about the status of your claims again. Out-of-State Toll Free: 1-800-523-0231, How to Apply 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. H.S. A deductible is the annual amount that you must pay, out of pocket, before an insurance plan begins reimbursing for eligible services. California Sharp Medicare Advantage Plans | UHCprovider.com
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