Sharp Health Plan
Also covers / subsidiaries: SHP
Core Payer & Clearinghouse Profile
Electronic Payer ID
SHP76
Varies by clearinghouse — Office Ally SHP01; Change Healthcare SHPPN; Trizetto SHP76; Waystar SHP03 (DOS on/after 11/1/2023).
Timely Filing Limit (TFL)
180 days from date of service (non-contracted; contracted is contract-dependent)
Appeal Window
Provider dispute up to 180 calendar days after claim decision
Clearinghouse Gateway
Office Ally; Change Healthcare; Trizetto; Waystar
Provider Services
858-499-8200
Claims Fax
858-303-9049
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
https://provider.sharphealthplan.com/
San Diego County commercial HMO/POS/PPO (also Medicare Advantage, FEHB).
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Sharp Health Plan.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Sharp Health Plan.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Sharp Health Plan | SHP76 | Non-Par | Required | 837P837I835 ERA |
| Sharp Health Plan | 10967 | Non-Par | None | 276/277 |
Resolution Tools for Sharp Health Plan Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
Tired of Chasing Sharp Health Plan Denials & Delayed Payments?
Aethera's billing specialists work Sharp Health Plan every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.