Provider Information

Santa Clara Senior Medical Group (SMG) is actively recruiting new Primary Care Physicians (PCPs) and Specialist Physicians to support the growing number of members choosing Santa Clara Senior Medical Group for their healthcare needs. Santa Clara Senior Medical Group is committed to supporting independent community physicians. Our unique capitated payment model, with generous PCP capitation compensation combined with incentives for quality care, helps the physicians in our IPA successfully manage both clinical and non-clinical needs for our patients.

Fast Referrals support both patients and physician offices. Many member services are available through Direct Referrals. An Easy Online Referral Portal assists physician offices when a referral is needed for a member. Santa Clara SMG has a referral system where:

• Over 60% of authorizations are auto approved
• Urgent Authorizations are completed in 2 hours
• 90% of authorizations completed in 48 hours

An Easy Claims Submission Process supports rapid claim payment. Santa Clara SMG has:

• Electronic Claims Submission
• A User-friendly Claims Information Portal
• Experienced Claims Examiners

Proactive Physician Office Training and Support Programs are provided by an experienced team which includes Certified Coders and CMS Star Experts. Support Programs and Training are provided in both the Physician office and at off-site training meetings.