DentaQuest administers dental benefits for Mercy Care and Mercy Care Advantage. 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 When all insurance has been processed, you are billed if there is any unpaid patient responsibility and will receive a statement in the mail. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . Health (1 days ago) WebSharp Health Plan Login Sign in Email address Password Forgot your password? am, Monday through Friday, and 24 hours a day on weekends. * Every year, Medicare evaluates plans based on a 5-star rating system. Award-winning service, comprehensive coverage, plus more. Click here to read the full disclaimer. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. Claims and EDI 1-877-778-7226. Sharp Health Plan . For Providers. If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. We provide dedicated bilingual (English/Spanish) representatives to our members and free over-the-phone translation services in dozens of other languages. Messages received on holidays and outside of normal business hours will be returned within one business day. If you believe that your needs have not been met, please use the above numbers to contact the hospital where the services were performed and ask to speak to a patient representative. Hours are 8 a.m. to 8 p.m. from April 1 to Sept. 30, Monday through Friday. checklist. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. Sharp is not-for-profit and relies on fundraising. Fax: 1-858-303-9049 SCAN Health Plan is an HMO plan with a Medicare contract. You can call us Monday through Friday, 8 am to 5 pm. Electronic prescribing mandate information. http://oig.hhs.gov/fraud/report-fraud/index.asp. 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 a provider disagrees with the MC Notice of Decision, the provider may request a State Fair Hearing. 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). For questions about plans and benefits, members should call: April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday All of the points of contact are professional, committed and passionate about providing high-quality service. Privacy Policy| Terms of Use| Nondiscrimination and Accessibility Requirements. Messages received on holidays and outside of normal business hours will be returned within one business day. Contact Sharp Health Plan to get answers on anything from paying a bill to signing up for coverage. 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. AI/AN members can switch their enrollment between AHCCCS AIHP and an AHCCCS managed health care plan and back again at any time. We are available 7 am to 8 pm, seven days a week. If you believe your responsibility is inaccurate, please contact your insurance plan directly. LEARN MORE , Let our members know about screening tests to help prevent or detect cervical cancer. . Financial assistance is available for qualified low-income patients to assist with all or part of a hospital bill. Submit authorizations. 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: . 1-877-7NYSHIP (1-877-769-7447), choose UnitedHealthcare . To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. Please include all supporting documentation with the initial claim dispute submission. 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 Subscribe to Newsletters Please visit Sharp.com or call your provider. Easily submit pre-authorizations without extra steps. 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. Visit our provider website and Portal for helpful resources including information on member eligibility, claims, medical policies, pharmacy, CMS programs, and more. Read the update , Share these tips with our members to help them reduce their risk of colon cancer. Enrollment in SCAN Health Plan depends on contract renewal. Please read our. To set up a payment plan for a Sharp Rees-Stealy bill or to inquire about a payment plan for a family member's bill, call us at 858-499-2400. Contact us Coronavirus & COVID-19 resources for providers AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. 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. Health Insurance for Children, Provider Enrollment Quality care depends on clear communication between you and your patients. Seven days a week, Get the most out of your pharmacy benefits, Understanding your explanation of benefits. Looking for Provider Login or Agent/Broker Login? For credentialing inquiries about your application or credentialing status, contact our Credentialing team. Click here to read the full disclaimer. You may submit your claim dispute in writing through the mail or send electronically to us through fax. To see an example of a bill like yours, with descriptions for each section, please review our sample bill. Call 1-800-827-4277 or view our detailed phone directory. Please read our. Electronic submission*: Through Electronic Clearing House Call Member Services to request translation services. These important numbers are located on your billing statement. 1-877-251-5896 fax Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. Learn how , These two screening tests can help prevent cervical cancer or detect it early. Our fax number is 1-858-303-9049. You can report potential compliance issues and/or issues with fraud, waste and abuse through any of the following channels: Hours: Sharp Health Plan , 1-800-359-2002. Thats why were committed to you. Health (3 days ago) Web101 Wood Avenue South, 8th Floor. 1-855-562-8853 (TTY/TDD: 711) 7 am to 8 pm Pacific Time If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. Sharp Community has been caring for San Diegans since 1989. You can call us Monday through Friday, 8 am to 5 pm. Need Member Help Logging In? These hours may change during holidays see below. *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. 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. If you feel under the weather or have certain long-term health problems, virtual care can Now its our turn to serveyou. Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. To set up a hospital payment plan for a family member, call us at 858-499-2400. Enrollment with Sharp Health Plan depends on contract renewal. You may submit feedback about your Medicare Advantage health plan directly to Medicare. Enrollment in SCAN Health Plan depends on contract renewal. If you have any questions about the process or your specific bill, please don't hesitate to send us an email or give us a call: We want to make it as easy as possible to manage your bills, which is why we offer paperless billing. For member-specific information or questions: For our members' protection, we don't recommend using email to send personal medical information. If you use FollowMyHealth, you may grant account access to any adult. Address. 1-562-308-3699 fax Attn: Member Services Email your SCAN Network Management representative. To have your name removed from our advertising mailing list, please complete and submit the Mailing List Removal form. Encounter Data Team Encounters_Operations@scanhealthplan.com. Please submit a copy of the front and back of your statement and a brief explanation of your situation, along with any other relevant information, to the address of your health plan. 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. email us at provider.relations@sharp.com or call1-858-499-8330. Refer to your insurance card or call your insurance provider to determine your medical group. In addition, we have interpreters available for our members when needed and can arrange to have a translator meet members at their doctors appointments (Tambin tenemos intrpretes disponibles, si usted necesita uno). FBT: SharpHealthPlan.com no longer supports this Internet browser. Hours may change during holidays. Coverage Determinations Sharp Health Plan is an HMO with a Medicare contract. March is Colorectal Cancer Awareness Month. Sharp Health Plan 8520 Tech Way, Ste. Sharp Direct Advantage is offered by Sharp Health Plan. For any claims, eligibility, or referral inquiries, contact our dedicated Customer Care team. Para hablar con un intrprete, llame al 1-800-359-2002. min ph. Thank you for your understanding as we work to ensure everyone remains healthy and safe. Thank you for making us the highest member-rated health plan in California for the eighth Read the full disclaimer. Member Services Phone Number. We know youre committed to your workforce. Please check the box proving that you are not a robot. Although physicians are licensed to practice at Sharp's hospitals, they are not Sharp HealthCare employees. If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. Search for a doctor, hospital, pharmacy or drug name. You may receive a bill from us after your health insurance plan processes our bill. Rated 4.5 out of 5 stars by Medicare six years in a row! Failure to specifically state the factual and legal basis may result in denial of the claim dispute. Call our dedicated Customer Care provider line: For credentialing inquiries about your application or credentialing status, contact our Credentialing team. You can pay by credit or debit card or by check. Click here and follow the instructions. These hours may change during holidays see below. You may need to complete a final step to connect to your family member in FollowMyHealth.
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