Payer ID
SHP01
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
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).
Values vary by plan, region, and contract and can change. Confirm in the payer portal or with your clearinghouse before filing.
Stop chasing Sharp Health Plan denials and TFLs
Aethera's AR team works Sharp Health Plan every day — payer rules, appeals, and clean-claim submission, handled.
Get a Free Assessment