General office experience, preferably in a service oriented environment. All rights reserved | Email: [emailprotected], Edison health solutions provider portal eligibility, Central texas transgender health coalition, Federal retirees open season health insurance, Eastern shore rural health patient portal. Providers must register with the AHCCCS program to be eligible for payment reimbursement. Sharp Health Plan , 1-800-359-2002. For member-specific information or questions: 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 These hours may change during holidays see below. Well help you choose the coverage thats right for you. Your password has been reset. To make changes to your payment plan, such as changing your payment method or making an extra payment, call us at 858-499-2400. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., seven days a week. Write: If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. 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. Don't want to pick up the phone? If you opt for paperless billing, you may continue to receive paper bills for some services for yourself or loved ones. 1-800-359-2002 . Sharp Health Plan . 1-800-600-4441. Many surgery and procedure names sound similar. Careers Please check the box proving that you are not a robot. , , Sharp Health Plan, . Looking for Provider Login or Agent/Broker Login? AHCCCS American Indian Health Program (AIHP) provides medically necessary services for enrolled members. You may need to complete a final step to connect to your family member in FollowMyHealth. TTY/TDD users can dial 711 or use the California Relay Services toll-free phone numbers. 1-858-499-8300. Sharp is not-for-profit and relies on fundraising. Complete ALL required fields, and include additional documentation when necessary. Address. We're here to help shed light on the bills you may receive. Need to pay a medical bill or copay? Need Member Help Logging In? 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. You can also use Sharp Account to view itemized bills, check your current balance and view your payment history. Cancer Resource , Health (7 days ago) WebProvider Services / Claims ( 877 ) 853 - 8019 ( 855 ) 297 - 4247 Enrollment ( 855 ) 593 - 5757 Care Management ( 888 ) 995 - 1689 7(32) 421 - 4317 Mailing Address for , Edison health solutions provider portal eligibility, Online mba for healthcare professionals, Central texas transgender health coalition, Federal retirees open season health insurance, Atrium health one health family medicine, Eastern shore rural health patient portal, 2022 health-mental.org. Contact us Coronavirus & COVID-19 , Health (2 days ago) WebCall us at 1-858-499-8300. If you believe your responsibility is inaccurate, please contact your insurance plan directly. Get free, confidential 24/7 treatment referral and information from the National Helpline. Thank you for making us the highest member-rated health plan in California for the eighth Refer to your insurance card or call your insurance provider to determine your medical group. Although physicians are licensed to practice at Sharp's hospitals, they are not Sharp HealthCare employees. Ready for comprehensive Medicare Advantage coverage that could save you money? TTY/TDD users can dial 711 or use the California Relay Services toll-free phonenumbers. SharpHealthPlan.com no longer supports this Internet browser. SCAN Claims Department ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Make sure your contact information is up to date. Read up on ways to protect your colorectal health. You will need to provide your personal information and the invoice or visit number from your paper statement for each payment. You can use this special enrollment period only once between Dec. 8, 2022, GET INFO , Share this information with our members to help reduce their heart disease risk. *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. Click here and follow the instructions. Interfaces with other Sharp Health Plan employees to provide information as requested for other Departments. Read the full disclaimer. Caregivers for SCAN Members can receive help with their login credentials here. All of the points of contact are professional, committed and passionate about providing high-quality service. Additionally, a Level Two report is provided to your vendor, which is the only accepted proof of timely filing for electronic claims. Box 982975 El Paso, TX 79998-2975. To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. 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. 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. Now its our turn to serveyou. For general information or questions about quotes, rates or materials: At this time, the Sharp Health Plan office is not open to visitors due to coronavirus (COVID-19) restrictions. Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. Helpful holiday tips, your 2023 coverage checklist and more. AHCCCSOnline Website Search for a doctor, hospital, pharmacy or drug name. FBT: SharpHealthPlan.com no longer supports this Internet browser. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. Have a computer with Internet access Can download and install a free Active-X secure FTP add-on. Sharp Health Plan | Login Sign in Email address Password Forgot your password? Sharp Direct Advantage is offered by Sharp Health Plan. With Sharp Account, you can request access to a minor child's (age 11 or younger) or dependent adult's account to manage health information, view and pay bills, and more. Manage your claims. Refer to your insurance card or call your insurance provider to determine your medical group. Long Beach, CA 90801-5616, Encounter Data Team 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 You have entered a ZIP code that is not currently accepting enrollments. Looking for Provider Login or Agent/Broker Login? 1-877-251-5896 fax Home Delivery from Express Scripts Pharmacy . Sharp HealthCare will make every effort to ensure the information contained in this guide is accurate and current. Don't have a Sharp Account? 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. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, please 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). Caregivers for SCAN Members can receive help with their login credentials here. Click hereand follow the instructions. Please do not use this form to convey personal or medical information. 2023 SCAN Health Plan. Youve earned your Medicare benefits! and Nov. 30, 2023. This year's theme is #EmbraceEquity. For general questions or provider portal registration, contact our Provider Account Management team. Sharp Health Plan 1.800.359.2002. If you do not have a Sharp Account yet, you can submit a completed authorization form to request access. With our cost-saving benefits, you could put more money back into your monthly budget. If you feel under the weather or have certain long-term health problems, virtual care can 400, Wittman Drive Grand Rapids Itasca County MN - 55744 United . 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. Once received, the claim dispute will be reviewed, and a decision will be rendered within 30 days after receipt. Para hablar con un intrprete, llame al 1-800-359-2002. You may receive a bill from us after your health insurance plan processes our bill. Please see the below for more contact options. You can join today, right from your laptop or phone. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Learn how to create one now. Health Insurance for Children, Provider Enrollment In the event the claim requires resubmission, health care providers have 180 days from , Health (6 days ago) WebContact Sharp Health Plan to learn about our plans or ask questions about your current coverage. Your password has been reset. http://oig.hhs.gov/fraud/report-fraud/index.asp. Out-of-State Toll Free: 1-800-523-0231, How to Apply American Indians and Alaska Natives (AI/AN) enrolled in AHCCCS or Children's Health Insurance Program (KidsCare) may choose to receive their coverage through the AHCCCS American Indian Health Program (AIHP) or one of the AHCCCS-contracted managed health plans called AHCCCS Complete Care Plans ("ACC"). 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. 1-858-499-8211 April 1 Sept. 30, 8 a.m. 8 p.m., Monday Friday Submit authorizations. Sharp Health Plan . BOX 22616 b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. DentaQuest administers dental benefits for Mercy Care and Mercy Care Advantage. Get the right support so that no questions are left unanswered. Sharp Direct Advantage is offered by Sharp Health Plan. Phone: 1-858-499-8100 b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. We are available 7 am to 8 pm, seven days a week. 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. Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a Effective immediately, providers who are submitting paper corrected claims to Fidelis Care must follow the claim and field billing guidelines below. 1 Practice Locations Offering you and your family convenient access to care where you work, live and play. Think of us as your personal health care assistant. The monthly premium for our new VIP Plan is $0. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. min ph. 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). These hours may change during holidays see below. It's easy to register. Messages received on holidays and outside of normal business hours will be returned within one business day.