Sharp Community Medical Group
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 (PDF)
- Claims Settlement Practices, Dispute Resolution Mechanism and Fee Schedule Disclosures (PDF)
- Provider Dispute Resolution Request Form (PDF)
- Frequently Asked Questions About ICD-10
Information for non-contracted providers.
- Appeals process for non-contracted Medicare providers (PDF)
- Payment dispute process for non-contracted providers (PDF)
Download our fee schedules.
- Immunization Administration Fee Schedule (PDF)
- Medicare Fee Schedule, Classified (PDF)
- Medicare Fee Schedule, Unclassified (PDF)
- Vaccine Fee Schedule (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 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.
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"My mission is to provide advanced and state-of-the-art care with a personal and friendly touch."
"My goal is to provide information and treatment options to help you through this challenging time."
"I strive to provide state-of-the-art imaging and interventional services in a caring and cost effective manner."
"The Sharp Experience is about connecting with patients and walking alongside them down the path of health and wellness."
"My mission is to provide the best prenatal care possible in a compassionate and understanding way."
"I provide a wide range of services for my patients with a great and caring staff."