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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"Patient experience is my highest concern and I strive to create a positive and comfortable environment for each individual."
"My job is to be an advocate for your child's health and, as such, I want to be a trusted resource for parents."
"I provide quality, personalized care focused on the best outcomes for each of my patients."
"I strive to deliver care in such a way that patients look forward to coming back to see me."
"My goal is to focus on the needs of the patient and educate to achieve the best outcome possible."
"Helping people see clearly is a privilege that brings me great happiness — personally and professionally."
"My goal is to listen to my patients and to help them return to their cherished activities."