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Customer care representatives are available to assist you. Rated 4.5 out of 5 stars by Medicare six years in a row! LEARN MORE , Let our members know about screening tests to help prevent or detect cervical cancer. However, making a partial payment will not prevent a past-due bill from going to a collections agency. Contact us. 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 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Call Member Services to request translation services. 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. 1-888-327-9791 tel. 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. . 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. It only takes about 15 to 20 minutes to enroll online securely. Manage your claims. 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 A deductible is the annual amount that you must pay, out of pocket, before an insurance plan begins reimbursing for eligible services. 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. 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. For your protection, we don't recommend using email to send personal medical information. Please refer to our Billing, Collections and Bad Debt policy. Write: 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 Email your SCAN Network Management representative. Caregivers for SCAN Members can receive help with their login credentials here. 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. Request a price estimate to learn more about charges for services at a Sharp hospital or Sharp Rees-Stealy location. For general information or questions about quotes, rates, or materials: For member-specific information or questions: Were here to help you help your patients. Visit Medicare to compare other plan ratings and find detailed reports. Caregivers for SCAN Members can receive help with their login credentials here. If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. With our providers, patients and health plans working together, we can ensure the best possible outcome every time. Check your coverage documents through Sharp Connect. 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. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Call us at 1-858-499-8300. TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. SCAN Health Plan is an HMO plan with a Medicare contract. Hours may change during holidays. To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. Complete ALL required fields, and include additional documentation when necessary. Learn More. . Encounters_Operations@scanhealthplan.com, Contact Express Scripts for Part D Coverage Reviews AHCCCS (Arizona Health Care Cost Containment System) is Arizonas Medicaid Managed Care Program. These hours may change during holidays see below. SharpCare Medical Group patients can use this form to make online payments. 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. Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. These hours may change during holidays see below. These important numbers are located on your billing statement. Sharp Health Plan . You can join today, right from your laptop or phone. Members Brokers Providers Employers Members Talk to a real person. Click here and follow the instructions. Sharp Health Plan . SharpHealthPlan.com no longer supports this Internet browser. To set up a hospital payment plan for a family member, call us at 858-499-2400. email us at provider.relations@sharp.com or call1-858-499-8330. Thank you for serving our city and San Diegans like us. 1-800-359-2002. We could not identify your account with email address alone, please enter your first and last name to retrieve your security question. * Every year, Medicare evaluates plans based on a 5-star rating system. checklist. 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. Sharp Health Plan is an HMO with a Medicare contract. Your most common questions, answered without playing phone tag. direct access to Sharp HealthCare. Not only do we now have the ability to receive disputes by fax, but we can also respond back to our providers via fax, allowing you to receive faster decisions. Health (6 days ago) WebContact Us . Click here to read the full disclaimer. Find out more , Stay informed. Don't want to pick up the phone? Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. Claims denied for timely filing must have an explanation for the delay as well as specific documentation. SharpHealthPlan.com no longer supports this Internet browser. H.S. Read the full disclaimer. If you feel under the weather or have certain long-term health problems, virtual care can FBT: SharpHealthPlan.com no longer supports this Internet browser. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. Please check the box proving that you are not a robot. year in a row. You can also search for your primary care doctor to find the medical group you and your doctor belong to. We are working to resolve this as quickly as possible. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. Claims and EDI 1-877-778-7226. The amount you are charged is the portion of your bill your insurance policy does not cover - it is based on what your insurance plan communicates to us on your explanation of benefits (EOB). One of our financial counselors will provide estimated out-of-pocket costs for your care with us. When you connect to a loved one's Sharp Account, you can: To manage the care of a dependent adult, such as a parent, you will need to provide proof of conservatorship, power of attorney or an advance directive. Attn: Member Services SCAN Health Plan We invite you to share our women's preventive care AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. Your bill will list the services you received under the "Summary of Patient Services." 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. [SBM Sharp Health Plan [ 1-800-359-2002. For eligibility, referrals, claims, credentialing, contracting, assistance with SharpConnect or any other provider-related matter, UPMC Health Plan claims. Send us an email instead. Pay Your Premium MORE OPTIONS + Brokers Call our dedicated Customer Care provider line: Call us We are available 7 am to 8 pm, seven days a week. Enrollment with Sharp Health Plan depends on contract renewal. Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing information. 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. Your password has been reset. Clickherefor up-to-date information on COVID-19 testing, vaccines, and care. 1-800-359-2002 . 2023, Help me find urgent care centers in my network, Sharp HealthCare Hospital Billing Customer Service, Sharp Rees-Stealy Medical Group Billing Customer Service, Douglas & Nancy Barnhart Cancer Center at Sharp Chula Vista Medical Center, Sharp Chula Vista Outpatient Nutrition Counseling Program, Sharp Chula Vista Outpatient Surgery Center, Sharp Chula Vista Pre-Anesthesia Evaluation Services, Outpatient Imaging and Cardiovascular Services, Sharp Coronado Payne Family Outpatient Pavilion, Sharp Laboratory Services at Sharp Coronado Hospital, David & Donna Long Cancer Center at Sharp Grossmont Hospital, Sharp Grossmont Hospital Burr Heart & Lung Clinic, Sharp Grossmont Hospital for Women & Newborns, Sleep Disorder Center at Sharp Grossmont Hospital, Sharp Mary Birch Hospital for Women & Newborns, Sharp McDonald Center Detox and Residential Services, Sharp McDonald Center Intensive Outpatient Services, Kevin H. 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