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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"I believe in patient-centered care and work with both the child and parent in developing a plan for optimal health."
"I foster open communication to deliver the highest quality of patient-centered care."
"It is a privilege to be able to connect and build relationships with my patients."
"Building trust is the key to helping a patient make the correct informed decision."
"The Sharp Experience means listening and striving to provide superior medical care."
"I treat patients as I would want a physician to treat my own friend or family member."
"I provide a top-notch team approach to delivering patient care with attention to comfort."
"I strive to evaluate the global health of children and to avoid unnecessary medicines."