Sharp Rees-Stealy Medical Group
Information for Sharp Rees-Stealy Providers
Download documents about claims and related disclosures.
The following PDF 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
- Claims settlement practices, dispute resolution mechanism and fee schedule disclosures
- Policy administrative module
- Provider dispute resolution request form
- ICD-10 coding frequently asked questions
Electronic funds transfer documents are also available:
Information for noncontracted providers.
- Appeals process for noncontracted Medicare providers
- Payment dispute process for noncontracted providers
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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"It is an honor to be a part of a health care organization that is committed to patient-centered care."
"Along with the present condition, I am concerned and enthusiastic about helping the whole person achieve wellness."
"The Sharp Experience is providing the right care at the right time in a manner in which the patient feels like family."
"My goal is to treat patients in the same manner I would my own parents — with a five-star experience."
"It is a privilege to help patients improve health and quality of life and to prevent illness."
"The Sharp Experience means delivering superior patient care for optimal health and well-being."
"In addition to thorough evaluation and treatment, I also like to emphasize patient education."
"The Sharp Experience means being a part of a cohesive group whose goal is to provide a positive experience for staff and patients alike."