Authorizations
Please select a topic:
- Code Lookup Tool
The search tool is for services to SFN, CLN, UCSF, and SDN members. For patients in other networks, contact the network directly for authorizations information. Visit page » - Emergency & Post-Stabilization Services
Procedures for coordinating care and communicating with emergency departments. Visit page » - Experimental-Investigational Authorizations
Authorization requests for experimental/Investigational (E/I) services are never delegated to our medical groups; please use this fax form and send the request, with all supporting documents, to San Francisco Health Plan to process. - Inpatient Admissions
Authorizations are based on medical necessity and covered services. More infomration on inpatient admissions can be found on this page. Visit page » - Medical Criteria
SFHP uses MCG clinical criteria where available. More specific clinical criteria can be found on this page. Visit page » - Member Appeals
A Member Appeal is a request for review of services that has been denied, modified, or delayed by SFHP or one of its contracted Medical Groups. More information on Member Appeals can be found on this page. Visit page » - Pre-Authorizations
Authorization Forms for members regarding outpatient services, planned admissions, dialysis, DME, Home Health, transportation, etc can be found on this page. Visit page »