. email us at provider.relations@sharp.comor call 1-858-499-8330. There are three ways for AHCCCS members to change their AHCCCS enrollment: If you need to request an ID card replacement there are four options: Phone: 602-417-4000 The website information you will be accessing is provided by another organization or vendor. You can use Medicares 5-star special enrollment period to switch from your current Medicare plan to a Medicare plan with a 5-star quality rating. Electronic prescribing mandate information. SharpHealthPlan.com no longer supports this Internet browser. When you connect to a loved one's Sharp Account, you can: To manage the care of a dependent adult, such as a parent, you will need to provide proof of conservatorship, power of attorney or an advance directive. We are making improvements to how you can view and pay your bills through your Sharp Account. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. Contact Sharp HealthCare To find a doctor or register for a class or event, call us at 1-800-827-4277. In many cases, payment is sent directly to us from your health insurance provider. refill on a road trip. Easily submit pre-authorizations without extra steps. However, making a partial payment will not prevent a past-due bill from going to a collections agency. Electronic Remittance Advice (835) [ERA]: YES. The program also provides coverage for preventive and behavioral health care services. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. In addition, we have interpreters available for our members when needed and can arrange to have a translator meet members at their doctors appointments (Tambin tenemos intrpretes disponibles, si usted necesita uno). Phone: 1-858-499-8330 You can pay by credit or debit card or by check. American Indians and Alaska Natives (AI/AN) enrolled in AHCCCS or Children's Health Insurance Program (KidsCare) may choose to receive their coverage through the AHCCCS American Indian Health Program (AIHP) or one of the AHCCCS-contracted managed health plans called AHCCCS Complete Care Plans ("ACC"). If you cannot provide the CPT code, please contact your doctor's office for the CPT or a detailed description of services. The provider must follow all applicable laws, policies and contractual requirements when filing. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) You can also search for your primary care doctor to find the medical group you and your doctor belong to. Please do not use this form to convey personal or medical information. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. Box 22698 Although the hospital and the physician may use the same language to describe each charge, their bills are for separate services. Si usted, o alguien a quien usted est ayudando, tiene preguntas acerca de Sharp Health Plan, tiene derecho a obtener ayuda e informacin en su idioma sin costo alguno. Box 982975 El Paso, TX 79998-2975. All rights reserved | Email: [emailprotected], Edison health solutions provider portal eligibility, Central texas transgender health coalition, Federal retirees open season health insurance, Eastern shore rural health patient portal. You may need to complete a final step to connect to your family member in FollowMyHealth. Our fax number is 1-858-303-9049 . . GET INFO , Half of Americans have at least one risk factor for heart disease. 1-855-562-8853 (TTY/TDD: 711) 7am to 8pm Pacific Time Cookies must be enabled to properly use this website. These hours may change during holidays see below. Please check your email for your new password. Call us at 1-858-499-8300. b) Through the mail to the appropriate address: Additional information regarding claim submissions can be found in theProvider Manual. For example, if you had an emergency room visit that required X-rays and lab tests, you may receive a bill from the hospital for technical resources, a bill from the emergency room physician for professional services, a bill from the radiologist for interpreting your X-rays and a bill from the pathologist for analyzing specimens from your lab tests. According to the Arizona Revised Statute, Arizona Administrative Code and AHCCCS guidelines, all claim disputes related to a claim for system covered services must be filed in writing and received by the administration or the prepaid capitated provider or program contractor: Contact your Provider Relations representative for more information about electronic billing. 1-360-975-7000, option 1. For questions about this process, contact UPMC Health Plan Web Services at 1-800-937-0438 from 8 a.m. to 4:30 p.m., Monday through Friday. From Oct. 1 to March 31, hours are 8 a.m. to 8 p.m., seven days a week. The request for State Fair Hearing must be filed in writing no later than 30 days after receipt of the Notice of Decision. Claims Processor at Sharp HealthCare in San Diego Claims Processor Job ID JR133620 Date Posted 01/25/2023 San Diego, California Corporate Offices Day Regular Apply now Responsibilities Hours Shift Start Time: Variable Shift End Time: Variable Additional Shift Information: between 05:00 am - 09:00 am Weekend Requirements: As Needed On-Call Required: If you have questions regarding your claims for DentaQuest, you can contact them directly at 844-234-9831. To learn more about our community programs and how these may work for your organization or event, call 1-877-806-7226 or email us. Call us at 858-627-5201, Monday to Friday, 6 am to 8 pm, so we may assist you. Don't want to pick up the phone? Learn how you can help your patients through the Shingrix shortage. Your most common questions, answered without playing phone tag. Address. By clicking on this link you will be leaving the SCAN webpage and will be directed to the CMS Electronic Complaint Form. Claims and EDI 1-877-778-7226. Claims Mailing Address: Medical. If you would like to discuss your bill or payment options, please give us a call: To set up a payment plan for a hospital bill, sign in to your Sharp Account. 2023SCAN Health Plan. You may receive a bill from us after your health insurance plan processes our bill. Not only do we now have the ability to receive disputes by fax, but we can also respond back to our providers via fax, allowing you to receive faster decisions. Encounters_Operations@scanhealthplan.com, Contact Express Scripts for Part D Coverage Reviews Contact Express Scripts for Part D Coverage Reviews Coverage Determinations 1-844-424-8886 (TTY: 1-800-716-3231) tel. Health (1 days ago) WebSharp Health Plan Login Sign in Email address Password Forgot your password? You will need to provide your personal information and the invoice or visit number from your paper statement for each payment. Please read our. We are sorry, but we are unable to process your price estimate if you live or are travelling within the EU or affiliated nations. instructions from the Health Plan and the Department of Managed Health Care. Messages received on holidays and outside of our business hours will be returned within one business day. You have entered a ZIP code that is not currently accepting enrollments. You can report potential compliance issues and/or issues with fraud, waste and abuse through any of the following channels: Hours: Oct. 1 March 31, 8 a.m. 8 p.m., seven days a week. Sharp Health Plan Payer ID: SHP01; Electronic Services Available (EDI) Professional/1500 Claims: YES: Institutional/UB Claims: YES: Electronic Remittance (ERA) YES: ERA Enrollment Required: This insurance is also known as: . As the parent or guardian of a child aged 12 to 17, you cannot view billing information (including balances, statements and payment history) or other related items. You can call us Monday through Friday, 8 am to 5 pm. 1-877-251-5896 fax , Sharp Health Plan , ,1-800-359-2002 , Sharp Health Plan 1-800-359-2002. We know youre committed to your workforce. Pay Your Premium P.O. Your password has been reset. Thats why were committed to you. Check your coverage documents through Sharp Connect. Learn how to create one now. Electronic submission*: Through Electronic Clearing House You can use this special enrollment period only once between Dec. 8, 2022, UPMC Health Plan claims. 200 San Diego, CA 92123-1450 Fax: (619) 740-8571 7. SHARP HEALTH PLAN - 16 Photos & 197 Reviews - Insurance - 8520 Tech Way, San Diego, CA - Phone Number - Yelp Sharp Health Plan 197 reviews Claimed Insurance Closed 8:00 AM - 5:00 PM Steve Lyons - State Farm Insurance Agent Rich Nye - State Farm Insurance Agent Frequently Asked Questions about Sharp Health Plan How is Sharp Health Plan rated? Never wonder about the status of your claims again. 400, Wittman Drive Grand Rapids Itasca County MN - 55744 United . To include supporting documentation, such as members medical records, clearly label and send to the Claims Department at the correct address. Sharp Health Plan Performance Plus UnitedHealthcare SignatureValue Alliance and SignatureValue Harmony UnitedHealthcare Group Medicare Advantage and Medicare Advantage Edge Western Health Advantage HMO and MyCare Select Medicare HMO Blue Shield of California and Kaiser Permanente administer their own Pharmacy Benefits. Effective January 1, 2022, all California health care practitioners who are authorized to prescribe will be required to issue prescriptions electronically. The Health Plan encourages electronic claims submission . If you do not want to leave our website, please click the X. , , Sharp Health Plan, . We will review your request and send you an email invitation to complete the connection within 30 days. sorlando@scanhealthplan.com. Messages received on holidays and outside of normal business hours will be returned within one business day. 1-800-837-0959 fax, Network Management H.S. Call us at 1-858-499-8300. Need Member Help Logging In? Get started now. It's National Drug & Alcohol Facts Week. REVOCATION You may revoke this authorization at any time by signing and dating this section of the form and returning it to Sharp Health Plan. For general information or questions about quotes, rates or materials: Enrollment in SCAN Health Plan depends on contract renewal. Thank you for serving our city and San Diegans like us. Caregivers for SCAN Members can receive help with their login credentials here. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. For the best experience on our website, please upgrade your browser to the latest version. doctor, hospital or urgent care, Inflation Reduction Act and Sharp Health Plan, City of San Diego employees & retirees (SDPEBA), 7 questions about the COVID-19 vaccine for kids, The young adults guide to accessing care, Get the most out of your pharmacy benefits, Safe disposal of prescription medications, Medicare and other insurance coverage questionnaire, Access to a loved ones health information, 4 ways to help employees prepare for open enrollment, Covered California expands financial help, Counseling patients to self-isolate at time of testing, Grace periods for delinquent payments by members, Mental health & substance use disorder services. The percentage you pay of the remaining costs depends on your plan. Hours may change during holidays. FBT: SharpHealthPlan.com no longer supports this Internet browser. For eligibility, referrals, claims, credentialing, contracting, assistance with Sharp Connect or any other provider-related matter, please Non-contracted providers can refer to the AHCCCS fee schedule for reimbursement information. Get better Medicare from San Diegos only 5-star plan with direct access to Sharp HealthCare. a) Claims must be legible and suitable for imaging and/or microfilming for permanent record retention. If you choose to send via fax, please fax your disputes to 602 351-2300. Now its our turn to serveyou. Please do not use this form to convey personal or medical information. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. Visit our FAQ and get your questions answered. For credentialing inquiries about your application or credentialing status, contact our Credentialing team. 700+ Doctors More than 800 primary and specialty care physicians providing exceptional care and quality health services. Find your doctor's phone number. b) The claim form may be returned unprocessed (unaccepted) if illegible or poor quality copies are submitted or required documentation is missing. Contact your software vendor directly for questions about your electronic billing. Please contact Member Services. You can send us an email at customer.service@sharp.com and we will get back toyou. Cscs bill payer program volunteer application form return to: bill payer program council of senior centers and services of nyc, inc. 195 montague street, b-15 brooklyn, new york, ny 11201 phone: 718-858-2358 fax: 718-858-2702 personal: (this. Read the full disclaimer. Voz y TTY (telfono de texto):1-800-855-3000. If you are experiencing a medical emergency, call 911 or visit the nearest emergency room. Following your medical procedure, our billing office files a claim with your primary health insurance for the services performed. Refer to our Provider Manual for more detailed information. Coverage Determinations Please contact Member Services. We offer high-quality, affordable health insurance for San Diegans of all ages with For general questions or provider portal registration, contact our Provider Account Management team. Once received, the claim dispute will be reviewed, and a decision will be rendered within 30 days after receipt. Click on the link for answers about Medicare Advantage and coverage. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. If possible, please provide the current procedure terminology (CPT) code, which can be found on the order from your doctor. Due to California privacy regulations, the information you can access for minor patients will depend on their age. We are currently experiencing issues with our provider and site search tools. Yog koj, los yog tej tus neeg uas koj pab ntawd, muaj lus nug txog Sharp Health Plan, koj muaj cai kom lawv muab cov ntshiab lus qhia uas tau muab sau ua koj hom lus pub dawb rau koj. Enrollment with Sharp Health Plan depends on contract renewal. We are currently experiencing issues with our provider and site search tools. And when you do, you'll get access to tools, tips and programs to help you reach your healthiest you. SCAN Health Plan is an HMO plan with a Medicare contract. To set up a payment plan for a Sharp Rees-Stealy bill or to inquire about a payment plan for a family member's bill, call us at 858-499-2400. Need to pay a medical bill or copay? These hours may change during holidays see below. Well help you choose the coverage thats right for you. To select your communication preferences, including whether to have your plan materials mailed to you or sent electronically, register a member account. Sharp Health Plan 1.800.359.2002. o Within 12 months after the date that eligibility is posted. Cash is accepted at hospitals only. Click hereand follow the instructions. If you are still concerned, you may contact The Joint Commission at 1-800-994-6610. Sharphealthplan.com Category: Health Detail Health Contact us - Phone numbers, email, mailing address Health (2 days ago) WebCall us at 1-858-499-8300. MC may request an extension of up to 45 days, if necessary. Phone: 1-858-499-8200. Contact us Coronavirus & COVID-19 , Health (2 days ago) WebCall us at 1-858-499-8300. Hospital payments: 858-499-2400 Sharp Rees-Stealy payments: 858-499-2410 SharpCare payments: 858-499-2044 Monday through Friday: 8 am to 4:30 pm Need to pay your monthly Sharp Health Plan health insurance premium? Click here. 1-877-251-5896 fax Home Delivery from Express Scripts Pharmacy . If you believe that the determination is not correct, you or your authorized representative has the right to appeal the decision by filing a grievance with your health plan. However, a member can change from one managed health care plan to another (for example, Mercy Care Plan to Molina Healthcare) only once a year. The claim dispute must specifically state the factual and legal basis for the relief requested, along with copies of any supporting documentation, such as remittance advice(s), medical records or claims. Sharp Health Plan1-800-359-2002 . direct access to Sharp HealthCare. 1-888-445-2038. Mercy Care Claims Department P. O. MORE OPTIONS + Brokers Select the appropriate claim form (refer to table below): Hospital inpatient, outpatient, skilled nursing and emergency room services, Dental services that are considered medical services (oral surgery, anesthesiology), Mercy Care Claims DepartmentP. O. Make sure your contact information is up to date. PracticeBridge. We invite you to share our women's preventive care Find out more , Stay informed. Ready for comprehensive Medicare Advantage coverage that could save you money? Registered providers agree to abide by state laws and agree to accept the state Medicaid payment as payment in full. min ph. Complete ALL required fields, and include additional documentation when necessary. We offer high-quality, affordable health insurance for San Diegans of all ages with direct access to Sharp HealthCare. 1-858-499-8009 [SBM Sharp Health Plan [ 1-800-359-2002. Encounter Data Team Encounters_Operations@scanhealthplan.com. It's easy to register. To provide a more personalized experience, please select a state where SCAN is offered. You can call us Monday through Friday, 8 am to 6 pm. This service is free of charge and also includes American Sign Language translators. Thank you for your understanding as we work to ensure everyone remains healthy and safe. Coinsurance takes place when you reach your deductible and you and your insurance plan share in paying a percentage of the remaining costs. Dr. Alan Kadet's office New York, NY Check eligibility & benefits. To get started, sign in to your Sharp Account and select "Paperless Billing" from the menu options. Preferred Qualifications. Ranked one of the Best Medicare Advantage plans in California for 2023 for the 5th consecutive year. You can call us Monday through Friday, 8 am to 5 pm. Home Delivery from Express Scripts PharmacySM You may also mail your payment to the address listed on your statement. 2023, Help me find urgent care centers in my network, Consumer protections from surprise billing, permission to discuss protected health information form, Sharp Mary Birch Hospital for Women & Newborns. Hours may change during holidays see below. General office experience, preferably in a service oriented environment. Read the full disclaimer. If you believe your responsibility is inaccurate, please contact your insurance plan directly. It is the responsibility of each provider or practitioner submitting claims to become familiar with billing and coverage and requirements. Caregivers for SCAN Members can receive help with their login credentials here. Need to pay a medical bill or copay? 8 a.m. to 8 p.m., Monday Friday, from April 1 to September 30. year in a row. Sharp Health Plan1-800-359-2002 . Fax: 1-858-303-9049 The claim dispute process should only be used after other attempts to resolve the matter have failed. For the best experience on our website, please upgrade your browser to the latest version. Sharp Health Plan is an HMO with a Medicare contract. A claim dispute is a dispute involving the payment of a claim, denial of a claim, imposition of a sanction or reinsurance. Sharp Community Medical Group 8695 Spectrum Center Blvd., 4th Floor San Diego, CA 92123 Customer Service Department Phone Number: 858-499-2550 Toll Free Phone Number: 1-877-518-7264 TDD/TTY: 711 Fax Number: 858-636-2038 Appeals Department Address Sharp Community Medical Group Attention: Appeals Department 8695 Spectrum Center Boulevard, 4th Floor It is important to note that balance billing members is prohibited under all Mercy Care health plans. Instructions on how to fill out the claim forms can be found at the following AHCCCS website addresses: Submit original copies of claims electronically or through the mail (do NOT fax). Can't find your answer below? Interfaces with other Sharp Health Plan employees to provide information as requested for other Departments. Toll-free 1-855-562-8853 TTY/TDD: 711 Our , Health (9 days ago) WebSharp Health Plan. Enrollment with Sharp Health Plan depends on contract renewal. These hours may change during holidays see below. Sometimes you need minor wound care on a weekend, medical advice on a weeknight, or a News & Press Releases, Can't find what you're looking for? Fee-for-Service Fee Schedules, Contact Us Thank you for making us the highest member-rated health plan in California for the eighth 1-844-424-8886 (TTY: 1-800-716-3231) tel. Send us an email instead. Caregivers for SCAN Members can receive help with their login credentials here. Get the right support so that no questions are left unanswered. If you'd like to pay a bill for a loved one, use our one-time payment form. Recently completed plans and new plans may not display on the Hospital Payment Plans section within Sharp Account. Any patient or family member with a patient safety or patient care concern or complaint that is not being addressed should promptly ask a nurse or employee to assist you in contacting a hospital manager or supervisor. GET INFO , Share this information with our members to help reduce their heart disease risk. Learn More. VISIT THE HELPLINE Sharp Health Plan rated 5 out of 5 stars by Medicare for 2023 Every year, Medicare evaluates plans based on a 5-star rating system. See if your doctor is covered under Sharp Direct Advantage Medicare plans. min ph. For Providers. 1-562-308-3699 fax Use your member ID number to sign For more contact information, please click hereto access the Provider Operations Manual. With our providers, patients and health plan working together, we can ensure the best possible outcome every time. We provide dedicated bilingual (English/Spanish) representatives to our members and free over-the-phone translation services in dozens of other languages. , , Sharp Health Plan , ' . , , Sharp Health Plan , ' . If a provider disagrees with the MC Notice of Decision, the provider may request a State Fair Hearing. . For member-specific information or questions: Our updated Mercy Care Claims Processing Manualis now available to assist you with any claims or billing questions you may have. Required Qualifications. Write: and Nov. 30, 2023. Don't hesitate to send us an email or call us Monday through Friday, from 8 am to 4:30 pm: We know health care billing can seem complicated - so we work hard to ensure your experience with Sharp is straightforward and accurate. If you believe that your needs have not been met, please use the above numbers to contact the hospital where the services were performed and ask to speak to a patient representative. Written claim disputes must be submitted to the MC Appeals Department. Sharp Health Plan | Login Sign in Email address Password Forgot your password? Box 2906Milwaukee, WI53201-2906. Every year, Medicare evaluates plans based on a 5-star rating system. Payment plans are only for hospital bills, and are not available for Sharp Rees-Stealy bills or for connected family members at this time. If you do not pay the entire amount or contact the billing office to arrange a payment plan, your account will be sent to a collection agency. 1-877-863-3362 Para hablar con un intrprete, llame al 1-800-359-2002. ni chuyn vi mt thng dch vin, xin gi 1-800-359-2002. Empire Plan Toll free. Or visit: https://dentaquest.com/state-plans/regions/arizona/, Mercy Care FinanceP.O. Looking for Provider Login or Agent/Broker Login? With Sharp Account, you can request access to a minor child's (age 11 or younger) or dependent adult's account to manage health information, view and pay bills, and more. Yog koj, los yog tej tus neeg uas koj pab ntawd, muaj lus nug txog Sharp Health Plan, koj muaj cai kom lawv muab cov ntshiab lus qhia uas tau muab sau ua koj hom lus pub dawb rau koj. Sharp Health Plan , 1-800-359-2002. Don't want to pick up the phone? Please print and use this permission to discuss protected health information form to allow someone to speak toSharp Rees-Stealy representativesregarding your billing information. MORE OPTIONS + Plans purchased through Covered California If you purchased your plan directly from Covered California , Sharphealthplan.com Don't have a Sharp Account? Nu qu v, hay ngi m qu v ang gip , c cu hi v Sharp Health Plan, qu v s c quyn c gip v c thm thng tin bng ngn ng ca mnh Cancer Resource , Health (7 days ago) WebProvider Services / Claims ( 877 ) 853 - 8019 ( 855 ) 297 - 4247 Enrollment ( 855 ) 593 - 5757 Care Management ( 888 ) 995 - 1689 7(32) 421 - 4317 Mailing Address for , Edison health solutions provider portal eligibility, Online mba for healthcare professionals, Central texas transgender health coalition, Federal retirees open season health insurance, Atrium health one health family medicine, Eastern shore rural health patient portal, 2022 health-mental.org. Hours may change during holidays. 1-888-327-9791 tel. Sharp Health Plan 1.800.359.2002. , 1-800-359-2002 , Sharp Health Plan , 1-800-359-2002 . Phone: 1-858-499-8100 *Original Claim Number: (If multiple claims, use attached spreadsheet), or Original Referral Number: * Health Plan ID Number: Patient Account Number: Service "From/To" Date: ( * Required for Claim, Billing, and Reimbursement Of Overpayment Disputes) Original Claim Amount Billed: Original Claim Amount Paid: *DISPUTE TYPE AIHP members may receive health care services from Indian Health Facilities (the Indian Health Service, tribally-operated "638" health programs, urban Indian health clinics) and other AHCCCS-registered providers. Fax: 1-858-303-9062 If you have questions about eligibility, costs or what kind of coverage you can expect give us a call today! LEARN MORE , Let our members know about screening tests to help prevent or detect cervical cancer. Upang makausap ang isang tagasalin, tumawag sa 1-800-359-2002. For your employees' protection, we don't recommend using email to send personal medical information. If you have questions that include personal details, like your medical history, please call your doctor directly. Every hospital visit involves both physician and hospital resources. If a claim is a resubmission or a corrected claim, please send to the above address, Attention: Resubmissions. checklist. March is Colorectal Cancer Awareness Month. Sharp Direct Advantage is offered by Sharp Health Plan. Yog koj xav nrog ib tug neeg txhais lus tham, hu rau 1-800-359-2002. TTY/TDD users: dial 711 or use the California Relay Services toll-free phone numbers. Click below to learn more about which plans, benefits and doctors are available in your area. For the best experience on our website, please upgrade your browser to the latest version. Messages received on holidays and outside of normal business hours will be returned within one business day. All State Fair Hearing Requests must be sent in writing to the follow address: Attention: Hearing Coordinator4500 E. Cotton Center Blvd.Phoenix, AZ 85040, Vendor: Southwestern Provider Services (SPSI). If you have a billing question that does not relate to a Sharp hospital or to Sharp Rees-Stealy Medical Group, please contact your doctor's office directly. Para hablar con un intrprete, llame al 1-800-359-2002. Sharp Health Plan is an HMO with a Medicare contract. Copyright document.write(new Date().getFullYear()) Mercy Care, All Rights Reserved. Need Member Help Logging In? One of our financial counselors will provide estimated out-of-pocket costs for your care with us. Looking for Provider Login or Agent/Broker Login? Failure to specifically state the factual and legal basis may result in denial of the claim dispute. Don't want to pick up the phone? Sharp Health Plan . This could result in the claim being denied for untimely filing. Sharp HealthCare offers many payment options, including monthly payment installments for qualified or eligible hospital bills, which you can set up via Sharp Account. Mercy Care is contracted with AHCCCS to provide Medicaid covered benefits and services to Mercy Caremembers. o Or within 60 days after the date of the denial of a timely claim submission, whichever is later. At this time, the Sharp Health Plan . Providers who are contracted with Mercy Care can use electronic billing software. Customer Service Information To find doctors who accept Sharp Health Plan - HMO and their office locations, and more go to http://www.sharphealthplan.com/ Customer service phone number: 1-800-359-2002 Customer service TTY/TDD number: 711 (state relay service) Customer service hours/availability: 8:00am-6:00pm M-F There is a problem with enrollment at this time. Hours may change during holidays. Providers must register with the AHCCCS program to be eligible for payment reimbursement. Typically, you will pay your percentage of costs until you reach your plan's annual out-of-pocket maximum. For any claims, eligibility, or referral inquiries, contact our dedicated Customer Care team. MORE OPTIONS + Brokers We're here to help you succeed.