Here are some useful manuals to help make your experience with us smooth and beneficial for everyone involved.
To make this partnership as effective and positive as possible, we’ve provided some helpful guidelines for managing your patients through Sharp health plan. Using these tools should help you operate, understand, and make the most out of your time with us and our members
Browse through our Provider Operations Manual for commercial plans to see all of the benefits we offer, a list of provider responsibilities and efforts towards quality improvement.
View the revised July 2019 operations manual for commercial plans here.
With our Provider Operations Manual for Medicare, you can learn about a variety of different topics ranging from coverage to services and offerings that are unique to Sharp Health Plan.
Sharp Health Plan's Prior Authorization Guide makes it easier to determine when prior authorization is required for a particular service. Note that these guidelines are specific to services for members enrolled in an HMO plan and assigned to providers who are independently contracted with Sharp Health Plan.
Use our helpful guide below to determine when prior authorization is needed for a specific behavior health and chemical dependency service.
If your service requires prior authorization, please fill out this form and fax it to 1-619-740-8111 to receive approval.
Provider forms ➜
Medicare forms ➜
Language assistance ➜
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