IMPORTANT INFORMATION


Dear Patients, Colleagues, and Friends,

 

Golden Shore Medical Group closed its doors for good on January 31, 2019.  Our story began nearly 38 years ago with one clinic and the pursuit to be an exemplary organization.

Effective February 1, 2019, some of our clinics and doctors have opened their doors once again as WellSpace facilities in Sacramento County.  In addition, at later date this year, The Children’s Clinic will start seeing patients at the Golden Shore Long Beach locations. The clinics in the Inland Empire will be operated by Unicare Community Health Center or LaSalle Medical Associates. These partnerships represent a great opportunity to provide continuity of care for patients, while positioning your Golden Shore doctors for future success.

Golden Shore patients:  You have been our daily inspiration as well as the force behind our mission and our brand. We thank you for your support, your loyalty, and your continuous perseverance in the face adversity.  Some of your doctors stand ready to continue caring for you, but they will now do so wearing a The Children’s Clinic, LaSalle, Unicare or WellSpace lab coat. 

We are very proud of what we were able to accomplish as an organization, but more importantly we feel fulfilled by the positive effect we had on the health our patients and our community.

Vendors and Partners:

ABC PROCESS - UPDATE TO FORMER GOLDEN SHORE MEDICAL GROUP PROVIDERS & VENDORS

This update is to help clarify the Assignment to the Benefit of Creditors (“ABC”) notice sent to you by the Stapleton Group in March of this year (the “Notice”). Please read this carefully, as it contains important information which will help ensure that your outstanding claims will be considered for payment. Attached here is the Notice and Proof of Claim form that was sent. If you have any questions after reading this update, please contact Stapleton Group at claims@stapletoninc.com. Please include the provider name in your email so we can easily identify you.

Please note that the claims process and ultimate review, determination and distribution related to all allowed claims will take some time. We do not expect to make any payment on claims until the end of the case as that will be when we have an idea on the full picture of funds remaining in the GSMG ABC. The ABC process will unfold over the next 6-12 months, as we continue the collection of any outstanding receivables and gather information regarding Creditors’ balances. We greatly appreciate your patience and cooperation in this process, and we hope this update helps clarify any questions you may have had. Stapleton Group and NMM are working diligently to review information submitted.

 Overview

·       As stated in the Notice, on February 22, 2019, Golden Shore Medical Group (“GSMG”) made an ABC in favor of Stapleton Group as the “Assignee.”

·       Stapleton Group will manage the ABC process.

·       The purpose of the ABC process is to liquidate GSMG’s assets (the “GSMG ABC Estate”) and distribute the net liquidation proceeds to all creditors of GSMG (“Creditors”).  “Creditors” includes any individuals, groups, or organizations that are currently owed money by GSMG – including providers, vendors, lessors, etc.

·       If you believe you are a Creditor of GSMG, you must submit a “Creditor Claim” in the GSMG ABC Estate, as outlined in the Notice and “Proof of Claim” Form.

·       At the conclusion of the ABC process, all Creditors with valid Creditor Claims will be paid an amount equal to their pro rata share of the net proceeds after administrative costs - that were generated from the liquidation of the GSMG ABC Estate.

·       Each Creditor’s pro rata share of the GSMG ABC Estate will be computed as follows:

(Allowed Amount of Creditor Claim / Total Allowed Amount of All Creditor Claims) * Net Liquidation Proceeds from the GSMG ABC Estate

Medical Claims vs. Creditor Claims

·       PLEASE NOTE THAT YOUR “CREDITOR CLAIM” THAT YOU MUST FILE IN THE GSMG ABC ESTATE IS A DISTINCT AND SEPARATE PROCESS FROM ANY MEDICAL CLAIMS YOU SUBMITTED AS A PROVIDER.

·       “Medical Claim(s)” means any amounts that you as a provider of care are owed by GSMG for services rendered to GSMG members, which were submitted to GSMG or Network Medical Management (“NMM”) for payment and remain unpaid. Unpaid Medical Claims amounts include any claims checks you received that were returned as unpaid.

·       “Creditor Claim(s)” are the sum total of the amounts currently owed by GSMG to each Creditor and is the amount that should be shown on your Proof of Claim Form submitted to Stapleton.  Your Creditor Claim should include all Medical Claims that remain payable by GSMG. Your Proof of Claim submission must include the following information:

1.     Completed Proof of Claim Form;

2.     W-9; and

3.     Supporting Documents which can be a spreadsheet summarizing all of the Provider Claims that you believe remain payable by GSMG. Your table should include the following information:

a.     Date of Service

b.     Member ID #

c.      Services Provided (by CPT code)

d.     Billed Charges Amount

THE ABOVE DOCUMENTS ARE THE KEY DOCUMENTS THAT MUST BE SUBMITTED BY EACH CREDITOR. FAILURE TO SUBMIT ANY OR ALL OF THESE ITEMS COULD RESULT IN A DELAY AND/OR REDUCTION OR ELIMINATION OF AMOUNTS CONSIDERED IN A CREDITORS’ PAYMENT

About your Medical Claims

·       In accordance with customary claims adjudication and payment processes in determining the allowable amount of claims the ABC process, all Medical Claims will be based on the calculated claims payable amount and NOT the billed charges amount.  Network Medical Management will continue to work with Stapleton to process GSMG Medical Claims throughout the ABC process to determine the appropriate claims payable amount for each valid claim submitted, in accordance with the applicable GSMG-provider contractual provisions and other customary claims adjudication processes, policies and procedures.

·       As per your provider contract with GSMG, Medical Claims are to be submitted to NMM / GSMG for payment within 90 days of the date of service.  As GSMG ceased business on January 31, 2019, the deadline for submitting Medical Claims was May 1, 2019.  For providers that were contracted with GSMG as of the January 31, 2019 GSMG closing date, Medical Clams not received by NMM or GSMG on or before May 1, 2019 will not be considered for payment from the GSMG ABC Estate.

·       THERE IS NO NEED TO RESEND YOUR MEDICAL CLAIMS TO NMM OR GSMG. NMM has received and retained all Medical Claims and will be processing them to determine the appropriate claims payable amount, as described above.

As stated above, this process will take some time and we greatly appreciate your patience and cooperation as we work through the process in an effort to maximize recoveries for Creditors.

Thank you.

Golden Shore Medical Group

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