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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"The Sharp Experience is about compassionate care and treating patients like they are a part of my family."
"My goal is to treat patients in the same manner I would my own parents — with a five-star experience."
"My goal is to improve the quality of life of patients who are limited by painful bone and/or joint disorders."
"It is every bit as important to listen to our patients as it is to perform comprehensive evaluations."
"I believe that exceptional patient care stems from mutual trust and open communication."
"I understand my patients' sacrifice of time and ensure experiences in my care are always positive."
"I foster open communication to deliver the highest quality of patient-centered care."
"The thought of helping kids when they cannot express themselves is very compelling."