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  • Ca Sharp Health Plan Provider Dispute Resolution Request 2022

Get Ca Sharp Health Plan Provider Dispute Resolution Request 2022-2025

UTE and EXPECTED OUTCOME. Provide additional information to support the description of the dispute. Do not include a copy of a claim that was previously processed. Multiple LIKE claims are for the same provider and dispute but different members and dates of service. For routine follow-up, please use the Claims Follow-Up Form instead of the Provider Dispute Resolution Form. Sharp Health Plan Mail the completed form to: Attn: Provider Dispute Resolution 8520 Tech Way, Suite 200 San Diego, CA.

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Sharp Rees-Stealy Medical Centers 5651 Copley Drive, Ste A San Diego CA 92111. (858) 499-2600. (858) 521-2344.

Most Common Email Formats at Sharp HealthCare Sharp HealthCare Email FormatsExamplePercentage first.last@sharp.com John.Doe@sharp.com 96% firstlast@sharp.com JohnDoe@sharp.com 2% flast@sharp.com JDoe@sharp.com 1% first.middle@sharp.com John.Michael@sharp.com 1%

If you have a grievance against your health plan, you should first telephone your health plan at 1-800-359-2002 and use your health plan's grievance process before contacting the department. Utilizing this grievance procedure does not prohibit any potential legal rights or remedies that may be available to you.

Call Customer Care You can call us toll-free at 1-855-562-8853 (TTY/TDD: 711) to file a grievance. Our team is available 7 am to 8 pm, seven days a week.

Definition of a Provider Dispute Challenges a request for reimbursement for an overpayment of a claim. Seeks resolution of a billing determination or other contractual dispute.

1. You may file a Grievance or Appeal with Sharp Health Plan up to 180 calendar days following any incident that is subject to your dissatisfaction. Your request will be acknowledged within 5 calendar days of receipt, and resolved within 30 calendar days. 2.

If you choose to complete the paper form instead of filing your grievance online, you can mail it to: Sharp Health Plan, Grievances and Appeals, 8520 Tech Way, Suite 200, San Diego, CA 92123.

If you would like to file a complaint or report a concern about an individual medical provider, you can file a complaint online or call 1 (800) 822-2113. Note: The Pennsylvania Department of State does not address concerns and complaints about medical facilities (e.g. hospitals, nursing homes).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232