Simplify the claims process with these tools and resources.
View patients’ eligibility information with Sharp Connect including effective date, primary care physician and copayments.
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 are handy resources that can help guide you through the process of claims overpayments and retractions.
Browse through our guidelines to better understand our process for submission, acknowledgment and payment for claims.
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.
Health care fraud is serious business. It 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 us combat fraud, waste and abuse.
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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