Authorizations

Authorizations

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  • Code Lookup Tool
    The search tool is for services to members in the CHN and UCS groups. For patients in other networks, contact the network directly for authorizations information. Visit page »
  • 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 »