Sharp Rees-Stealy Medical Group
Information for Sharp Rees-Stealy Providers
Download documents about claims and related disclosures.
The following documents meet AB1455, the Department of Managed Health Care regulation that requires medical groups to post the notice documents related to claim settlement and dispute resolution practices.
- Billing and claim payment procedures (PDF)
- Claims settlement practices, dispute resolution mechanism and fee schedule disclosures (PDF)
- Policy administrative module (PDF)
- Provider dispute resolution request form (PDF)
- ICD-10 coding frequently asked questions
Electronic funds transfer documents are also available:
Information for non-contracted providers.
- Appeals process for non-contracted Medicare providers (PDF)
- Payment dispute process for non-contracted providers (PDF)
To learn more about the AB1455 regulation, please visit the California Department of Managed Health Care.
A message to contracted providers, vendors and facilities.
Sharp Rees-Stealy Medical Group practitioners make utilization management decisions based only on appropriateness of care and service and existence of coverage. Practitioners and individuals who conduct utilization review are not rewarded for denials of coverage or service care and there are no financial incentives for utilization management decision makers to encourage decisions resulting in underutilization.
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"My goal is to treat patients in the same manner I would my own parents — with a five-star experience."
"I believe in a humanistic and compassionate approach to deliver the best health care possible to my patients."
"I strive to work in an exceptional manner to achieve unparalleled excellence in the care of my patients."
"My goal is to listen to my patients and to help them return to their cherished activities."
"I provide patients with less invasive options in a thorough, evidence-based manner."
"Along with the present condition, I am concerned and enthusiastic about helping the whole person achieve wellness."
"The doctor-patient relationship is very important to me and I enjoy connecting with and helping my patients."
"Helping people see clearly is a privilege that brings me great happiness — personally and professionally."