Sharp Health Plan Utilization Program

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Utilization management - Sharp Health Plan

(1 days ago) WebSharp Health Plan’s utilization management guidelines are designed to help you and your patients. Use the contact information below to get details about utilization management for Sharp Health Plan commercial members. For mental health and substance use …

https://www.sharphealthplan.com/for-providers/utilization-management/utilization-management

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Utilization Management Sharp HealthCare

(7 days ago) WebTo learn more about utilization management, please call your treating physician. Be sure to select a primary care doctor at Sharp Rees-Stealy when you choose your insurance …

https://www.sharp.com/medical-groups/sharp-rees-stealy/utilization-management

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Download the forms you need - Sharp Health Plan of San Diego

(9 days ago) WebCall us at 1-855-995-5004 or send us a message. CONTACT US. Made with ♥ by Sharp Health Plan. Get the information and care that you need in one place with these …

https://calpers.sharphealthplan.com/basic-plan/manage-your-plan/forms

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Over-the-counter (OTC) allowance benefit - Sharp Health Plan

(8 days ago) WebOnline: Access mybenefitscenter.com with your Advantage Card number. Go to “Locations” and select “CVS Health.”. You’ll be redirected to the CVS online order …

https://www.sharpmedicareadvantage.com/members/pharmacy-group-page/otc-benefit

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2023 CalPERS Important Plan Information - Sharp Health Plan

(8 days ago) WebSharp Health Plan staf are available seven days a week, 7 a.m. to 8 p.m., to answer questions regarding utilization management. Call 1-855-995-5004. Sharp Health Plan …

https://calpers.sharphealthplan.com/docs/librariesprovider2/pdfs/medical-pharmacy-benefits/2023/2023_sharphp_importantplaninfo-calpers_final_508_compliant.pdf

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Sharp Health Plan Policy & Procedure

(Just Now) WebH. R. 2617—1442 (1) IN GENERAL.— (A) STUDY.—The Secretary shall. conduct a study using medical record review, as described in subparagraph (C), on program integrity …

https://www.sharpmedicareadvantage.com/docs/default-source/providers/provider-hub/policies-and-procedures/medicare/clinical-policies/shp-hs_cp_t2-telehealth-policy-ma.pdf

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Individual plans - Sharp Health Plan

(3 days ago) WebWe offer three Sharp Direct Advantage ® plans for San Diego County residents. Our Medicare Advantage plans for individuals provide comprehensive medical …

https://www.sharpmedicareadvantage.com/our-plans/explore/individual-plans

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Sharp Performance Plus Basic Plan

(3 days ago) WebSharp Health Plan will not infringe on your choice of contraceptive drug, device, or product and will not impose any restrictions or delays on Family Planning Services such as prior …

https://calpers.sharphealthplan.com/docs/default-source/plan-documents/member-handbooks/calpers_2024-handbook.pdf

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Provider Tools & Resources - Sharp Health Plan of San Diego, CA

(5 days ago) WebFor eligibility, referrals, claims, credentialing, contracting, assistance with your Sharp Health Plan online account or any other provider-related matter, email us at …

https://www.sharphealthplan.com/for-providers

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Sharp Rees-Stealy’s Surgical Care Program Sharp HealthCare

(2 days ago) WebWith surgery on the horizon, Alpert, immediate past chair of the Sharp HealthCare Board of Directors, would soon discover a key benefit to being a Medicare …

https://www.sharp.com/health-news/helping-medicare-patients-navigate-surgical-care

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Log in to your Sharp Health Plan online account

(7 days ago) WebThis amount is based on the gross premium and includes consideration of both direct and indirect compensation. Log in to your Sharp Health Plan online account to manage your …

http://www.sharphealthplan.com/login?sel=member

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Sharp Health Plan A Look at Your Child's VSP Vision Coverage …

(1 days ago) WebElements Program With Sharp Health Plan and VSP, your health comes first. VSP ® Vision Care Elements™ Program provides personalized vision care coverage and …

https://www.sharphealthplan.com/docs/default-source/plan-documents/embedded-benefits/vision_pediatric_idx-91030-91031-5837-5838-5839_1031.pdf

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Nursing jobs at Sharp HealthCare

(8 days ago) WebClinical Nurse Specialists. At Sharp, our clinical nurse specialists (CNS) serve as clinical experts, educators, researchers and consultants — playing a vital role in our successful …

https://careers.sharp.com/nursing-jobs

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Horizon NJ Health QUICK REFERENCE GUIDE

(7 days ago) WebFor questions about Behavioral Health claim submissions, please call 1-800-682-9091. PRIOR AUTHORIZATION To confirm Horizon NJ Health’s receipt of a Prior …

https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf

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Chiropractic & Physical Medicine Services Program Frequently …

(6 days ago) WebMouse over Eligibility & Benefits and select Eligibility & Benefits Inquiry. If you do not have access to NaviNet, you may obtain member benefit information by calling Physician …

https://www.horizonblue.com/sites/default/files/2019-07/ASH_External_FAQ.pdf

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Find a San Diego Doctor Sharp HealthCare

(9 days ago) WebSharp HealthCare has many affiliated San Diego doctors to choose from. Find a doctor near you by using our Find a Doctor tool or calling 1-800-82-SHARP. At Sharp, we …

https://www.sharp.com/doctors

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Maternal Mental Health Program Sharp HealthCare

(3 days ago) WebSharp HealthCare is San Diego's health care leader with hospitals in San Diego, affiliated medical groups, urgent care centers and a health plan. Sharp provides medical services …

https://www.sharp.com/services/maternal-mental-health

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Horizon Blue Cross Blue Shield of New Jersey Points of Contact

(3 days ago) WebHorizon Behavioral HealthSM Provider Relations, credentialing and contracting questions Authorizations, complaints, appeals and/or general inquiries eBusiness helpdesk 1-800 …

https://www.horizonblue.com/sites/default/files/2017-04/2017_Navigating_Horizon_POC_Worksheet_FINAL.pdf

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