Referral Management/Affirmative Statement

Sierra Medical Group or its affiliates do not reward or offer incentives to employees or associates to encourage inappropriate under-utilization of services. Sierra Medical Group is committed to providing quality care to our members, and therefore: Utilization Management decision making is based only on appropriateness of care and service and existence of coverage.

  • Sierra Medical Group does not specifically reward practitioners or other individuals for issuing denials of coverage or service care.
  • Financial incentives for UM decision makers do not encourage decisions that result in underutilization.

For any questions regarding Sierra Medical Group Utilization Management decision making or other issues related to the Utilization Management process, please call (661) 945-9411.