Sharp Community Medical Group providers

Download documents about claims and related disclosures

The following documents meet AB 1455, 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

• Claims Settlement Practices, Dispute Resolution Mechanism and Fee Schedule Disclosures

• Provider Dispute Resolution Request Form

Information for non-contracted providers

• Appeals process for non-contracted Medicare providers

• Payment dispute process for non-contracted providers

• Air ambulance negotiation request form

View our fee schedules

• Immunization Administration Fee Schedule

• Medicare Fee Schedule - Classified, 1st Quarter 2024

• Medicare Fee Schedule - Unclassified, 1st Quarter 2024

• Vaccine Fee Schedule - 4th Quarter 2024

Learn more

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 Community 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.