Quality care depends on clear communication between you and your patients. Frequently Asked Billing Questions | Sharp HealthCare Mercy Care Claims Department P. O. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. You can call us Monday through Friday, 8 am to 5 pm. email us at provider.relations@sharp.com or call1-858-499-8330. Sharp Health Plan - HMO 2022-23 Edition - California Visit our FAQ and get your questions answered. 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. P.O. Messages received on holidays and outside of our business hours will be returned within one business day. Send us an email instead. 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. You should only sign this section if you want to cancel this authorization. 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 . FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. This service is free of charge and also includes American Sign Language translators. Hours may change during holidays. There is a problem with enrollment at this time. It's easy to register. If you believe that the determination is not correct, you or your authorized representative has the right to appeal the decision by filing a grievance with your health plan. a) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention. Helpful holiday tips, your 2023 coverage checklist and more. Sharp Health Plan: Fill & Download for Free - cocodoc.com [SBM Sharp Health Plan [ 1-800-359-2002. Contact your Network Management representative for more information about electronic billing. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. Recently completed plans and new plans may not display on the Hospital Payment Plans section within Sharp Account. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. 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. Provider Tools | Oscar Health - hioscar.com Learn how , These two screening tests can help prevent cervical cancer or detect it early. 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. Claim Form - Conference and Travel - Cerritos College - cms cerritos Find a local SCAN Representative in your neighborhood who speaks your language. Ready for comprehensive Medicare Advantage coverage that could save you money? 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. Fax: 1-858-303-9049 Interested in joining the SCAN provider network? 562-508-6781 If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. Thank you for making us the highest member-rated health plan in California for the eighth All rights reserved. For member-specific information or questions: Claims information - Sharp Health Plan The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. Get the right support so that no questions are left unanswered. 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 It only takes about 15 to 20 minutes to enroll online securely. Health (1 days ago) WebSharp Health Plan Login Sign in Email address Password Forgot your password? Rated 4.5 out of 5 stars by Medicare six years in a row! ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of benefits. 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. 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. MORE OPTIONS + Brokers We're here to help you succeed. 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. SCAN Health Plan is an HMO plan with a Medicare contract. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. 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). For general information or questions about quotes, rates, or materials: For member-specific information or questions: Were here to help you help your patients. Enjoy direct access to Sharp HealthCare and The Sharp Experience.*. OptumRx Pharmacy Benefits - CalPERS 2023SCAN Health Plan. 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. MORE OPTIONS + Brokers We're here to help you succeed. Encounter Data Team Encounters_Operations@scanhealthplan.com. Please do not use this form to convey personal or medical information. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. Contacts - San Diego - Sharp Community Medical Group - SCMG The Sharp Experience - Sharp Health Plan This year's theme is #EmbraceEquity. See if your doctor is covered under Sharp Direct Advantage Medicare plans. All of the points of contact are professional, committed and passionate about providing high-quality service. Coinsurance takes place when you reach your deductible and you and your insurance plan share in paying a percentage of the remaining costs. If you feel under the weather or have certain long-term health problems, virtual care can It's easy to register. AHCCCSOnline Website Enrollment in SCAN Health Plan depends on contract renewal. 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. You can report potential compliance issues and/or issues with fraud, waste and abuse through any of the following channels: Hours: Sharp HealthCare Phone Numbers and Email - San Diego Contact your software vendor directly for questions about your electronic billing. About the billing process Paying your bill Payment plans Understanding your bill Paying a family member's bills Consumer protections from surprise billing About the billing process. 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. Check your coverage documents through Sharp Connect. Claims Processor at Sharp HealthCare in San Diego At this time, paperless billing is only available for Sharp Rees-Stealy and Sharp hospital bills. Hours may change during holidays. Thank you for serving our city and San Diegans like us. Go to www.sharphealthplan.com/payment to pay now. Select the appropriate claim form (refer to table below): Hospital inpatient, outpatient, skilled nursing and emergency room services, Dental services that are considered medical services (oral surgery, anesthesiology), Mercy Care Claims DepartmentP. O. 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. We are available 7 am to 8 pm, seven days a week. Sharp Community has been caring for San Diegans since 1989. Sharp Direct Advantage is offered by Sharp Health Plan. The monthly premium for our new VIP Plan is $0. If you have questions about eligibility, costs or what kind of coverage you can expect give us a call today! Sharp Direct Advantage is offered by Sharp Health Plan. Read the update , Share these tips with our members to help them reduce their risk of colon cancer. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. Please do not use this form to convey personal or medical information. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Please contact Member Services. Your password has been reset. 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 For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, 8 a.m. to 8 p.m., Seven days a week, from October 1 to March 31. SharpHealthPlan.com no longer supports this Internet browser. Our billing office will make several attempts to collect payment.