Call us at 1-858-499-8300. Rated 4.5 out of 5 stars by Medicare six years in a row! It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. Claims Processor at Sharp HealthCare in San Diego We are currently experiencing issues with our provider and site search tools. Looking for Provider Login or Agent/Broker Login? Sharp Health Plan . Need Member Help Logging In? April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday Toll-free 1-855-562-8853 TTY/TDD: 711 Our offices are closed on the following holidays in 2023: Email us You can send us an email at customer.service@sharp.com and we will get back to you. *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. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. Learn how to create one now. Thank you for serving our city and San Diegans like us. California Sharp Medicare Advantage Plans | UHCprovider.com And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. Go to www.sharphealthplan.com/payment to pay now. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. If you have questions about eligibility, costs or what kind of coverage you can expect give us a call today! Sharp Health Plan , 1-800-359-2002. Click here to read the full disclaimer. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. 1-800-837-0959 fax, Network Management It only takes about 15 to 20 minutes to enroll online securely. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. You have entered a ZIP code that is not currently accepting enrollments. Your most common questions, answered without playing phone tag. This position provides support and assistance to the Claims Department. For your employees' protection, we don't recommend using email to send personal medical information. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. Mail-Order MORE OPTIONS + Brokers We're here to help you succeed. Sharp Community has been caring for San Diegans since 1989. Please check the box proving that you are not a robot. Our fax number is 1-858-303-9049. year in a row. 1-858-499-8300. 1-800-600-4441. Contact Sharp Health Plan to get answers on anything from paying a bill to signing up for coverage. Send us an email instead. We were named in the 2023 U.S. News and World Report list of Best Insurance Companies for Medicare Advantage inCalifornia. 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. 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. We are making improvements to how you can view and pay your bills through your Sharp Account. Search for a doctor, hospital, pharmacy or drug name. 1-800-359-2002. Sharp health plan provider phone number, Health (2 days ago) WebFor eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, email us at [emailprotected] or call 1-858-499-8330. , , Sharp Health Plan, . Seffrah Orlando, Senior Public Relations Specialist Please clearly state State Fair Hearing Request on your correspondence. Every year, Medicare evaluates plans based on a 5-star rating system. The claim dispute process should only be used after other attempts to resolve the matter have failed. Please read our. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Read the full disclaimer. 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. Learn how , These two screening tests can help prevent cervical cancer or detect it early. 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. Find a 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. One of our financial counselors will provide estimated out-of-pocket costs for your care with us. . Due to COVID-19 restrictions, the Sharp Health Plan office is not open to visitors at this time. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, email us at provider.relations@sharp.com or call 1-858-499-8330. Stay up-to-date on Sharp Health Plan-related information related to coronavirus and COVID-19. Click hereand follow the instructions. For Providers. It's easy to register. 1-855-562-8853 (TTY/TDD: 711) 7 am to 8 pm Pacific Time Talk to a real person. Sharp Health Plan | Login Sign in Email address Password Forgot your password? There is a problem with enrollment at this time. Thank you for making us the highest member-rated health plan in California for the eighth *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. Box 22698 Long Beach, CA 90801-5616. 562-508-6781 FBT: SharpHealthPlan.com no longer supports this Internet browser. Sharp Health Plan is an HMO with a Medicare contract. Attn: Member Services Enrollment with Sharp Health Plan depends on contract renewal. Messages received on holidays and outside of our business hours will be returned within one business day. The provider should contact MC Claims and/or Network Management to seek additional information prior to initiating a claim dispute. To call a medical , Category: Doctor, Medical Detail Health, Health (3 days ago) WebFor eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, email us at Sharphealthplan.com Category: Health , Health (6 days ago) WebDon't hesitate to send us an email or call us Monday through Friday, from 8 am to 4:30 pm: Sharp hospitals: 858-499-2400 Sharp Rees-Stealy: 858-499-2410 SharpCare: 858-499 , Health (9 days ago) WebCall us We are available 7 am to 8 pm, seven days a week. Call 1-800-827-4277 or view our detailed phone directory. This service is free of charge and also includes American Sign Language translators. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. 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. Write: Claims | Mercy Care 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. Members Brokers Providers Employers Members Talk to a real person. You can use your Sharp Account to make a partial payment on a bill. Para hablar con un intrprete, llame al 1-800-359-2002. These hours may change during holidays see below. These hours may change during holidays see below. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. These important numbers are located on your billing statement. FL 64: Document Control Number field must be billed with the Fidelis Care original claim number. 1-877-251-5896 fax AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. email us at provider.relations@sharp.comor call 1-858-499-8330. Please visit Sharp.com or call your provider. Coverage Determinations 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. http://oig.hhs.gov/fraud/report-fraud/index.asp. American Indian Health Program - azahcccs.gov Sharp Health Plan Claims Address We're here to help shed light on the bills you may receive. Use your member ID number to sign http://oig.hhs.gov/fraud/report-fraud/index.asp. Every year, Medicare evaluates plans based on a 5-star rating system. Manage your claims. . 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. Eligibility, referrals, or claims: MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com You will need to provide your personal information and the invoice or visit number from your paper statement for each payment. Click here and follow the instructions. Every hospital visit involves both physician and hospital resources. FL 22: Resubmission Code field must be billed with a "7" and the Original Reference Number field . You can use this special enrollment period only once between Dec. 8, 2022, 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 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. 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 Enrollment with Sharp Health Plan depends on contract renewal. Subscribe to Newsletters 1-888-327-9791 tel. Box 90640Phoenix, AZ 85066. REDUCE RISK , Learn how to reduce colon cancer risk by making healthy lifestyle changes. For general information or questions about quotes, rates or materials: MORE OPTIONS + Brokers Providers who are contracted with Mercy Care can use electronic billing software. PDF SHARP COMMUNITY MEDICAL GROUP/SHARP HEALTHCARE Billing and Claim - SCMG Talk to a real person. 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 Get started now. 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. Fax: 1-858-303-9062 Medicare Crossover To set up a hospital payment plan for a family member, call us at 858-499-2400. In many cases, payment is sent directly to us from your health insurance provider. GET INFO , Half of Americans have at least one risk factor for heart disease. To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. Learn how you can help your patients through the Shingrix shortage. Read the full disclaimer. We are working to resolve this as quickly as possible. Interested in joining the SCAN provider network? Sharp Health Plan 1.800.359.2002. The physician's bill will be for the professional services. 1-858-499-8009 Additionally, a Level Two report is provided to your vendor, which is the only accepted proof of timely filing for electronic claims. If you do not want to leave our website, please click the X. Contact your software vendor directly for questions about your electronic billing. Address. 400, Wittman Drive Grand Rapids Itasca County MN - 55744 United . And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. Your password has been reset. You can join today, right from your laptop or phone. For general questions or provider portal registration, contact our Provider Account Management team. It is important to note that balance billing members is prohibited under all Mercy Care health plans. You can send us an email at customer.service@sharp.com and we will get back toyou. 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. 1-800-359-2002 . For the best experience on our website, please upgrade your browser to the latest version. SCAN Health Plan Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a With our providers, patients and health plan working together, we can ensure the best possible outcome every time. 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. Health Insurance for Children, Provider Enrollment These important numbers are located on your billing statement. 1-562-308-3699 fax It's National Drug & Alcohol Facts Week. Box 982975 El Paso, TX 79998-2975. 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.