DialClerk Directory

Sharp Health Plan

Prior authorization

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

prior authorization

Medical prior authorization requests (Sharp Health Plan UM)

Official page read
Phone844-483-9012

Dedicated provider line for questions.

Fax

619-740-8111

Completed prior authorization form and clinical documentation.

Published hours

Not published in this record

Product, plan and location

commercial · exchange
California

Mailing address

Not researched for this route

Use the provider portal when available; otherwise fax the complete prior authorization form with clinicals (incomplete forms are faxed back). Members assigned to delegated medical groups have UM handled by that group — see the plan utilization-management page.

View source ↗ · Source checked 2026-10-24

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

fax prior auth

Pharmacy prior authorization fax — Covered California members

Official page read
Phone

No phone listed for this route

Fax

855-245-2134

Published hours

Not published in this record

Product, plan and location

exchange
California

Mailing address

Not researched for this route

Prescription prior authorization form fax for members who bought coverage through Covered California.

View source ↗ · Source checked 2026-10-24

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prior authorization

Out-of-network emergency admission notification (medical)

Official page read
Phone858-499-2345Published hours

Not published in this record

Product, plan and location

commercial · exchange
California

Mailing address

Not researched for this route

Non-contracted facilities must notify Sharp Health Plan when a member presents; medical notifications go to Sharp Out-of-Network Management (behavioral health to Optum).

View source ↗ · Source checked 2026-10-24

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Call preparation · editorial guide

Make the call count.

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

Have ready in your secure workspace

  • Ordering and rendering provider details
  • Service codes, requested dates and units
  • Existing authorization or submission reference

Questions to resolve

  • Is this the correct reviewer for this service and product?
  • Which documents are missing, and where should they be sent?
  • What is the case number and next status-check date?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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