Submitting claims has never been easier! For the best provider experience, we recommend using one of our approved claims clearinghouses to submit and manage your claims electronically.
Capario (Change Healthcare)1-800-792-5246 | changehealthcare.comSharp Health Plan Payer ID: SHPPN
Office Ally1-360-957-7000 | officeally.comSharp Health Plan Payer ID: SHP01
Trizetto (Gateway EDI) 1-800-556-2231 | trizettoprovider.comSharp Health Plan Payer ID: SHP76
Waystar (Zirmed)1-844-492-9782 | waystar.comSharp Health Plan Payer ID for claims with Date of Service before 11/1/2023: SHP102
Sharp Health Plan Payer ID for claims with Date of Service after 11/1/2023: SHP03
You can also submit claims and check the status of a claim through your Sharp Health Plan online account. If you don’t have an account, you can use our guest claims check online.
Make sure your claims are submitted correctly by following the guidelines. Doing so will ensure your claims are processed accurately and timely.
Avoid delays by signing up for direct deposit. By enrolling in the EFT (Electronic Funds Transfer) service, you can get your money in a safer and more convenient way.
Our policies and procedures guide is a handy resource that can help you with the process of claims overpayments and retractions.
See our practices for claim submission and overpayments, the dispute resolution process, and fee schedules.
Get an overview of the process, documentation and steps we take to resolve provider claims disputes.
Looking for more information about our claims processes? View and download the Provider Operations Manual for the commercial and Medicare lines of business.
Health care fraud results in higher premiums and reduced budgets, which can negatively impact the quality of health care. Learn about our efforts and what you can do to help.
Find useful information about audit criteria, required documentation, and the rules and regulations for ensuring health care compliance.
Attention non-contracted providers: here you will find our guidelines for processing claims.
Here’s what you need to know if your patient’s premium payment is late.
Use this document to understand Sharp Health Plan's guidelines for processing claims that may require a prior authorization.
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