Claims

Claims

  • APL 21-002
    Find information for Cost Avoidance & Post-Payment Recovery. Visit page »
  • Claims Submission
    Find information for registering with SFHP’s claims system and claims submission guidelines on this page. Visit page »
  • EDI
    Find information for electronic submission of claims and other HIPAA transactions on this page. Visit page »
  • Proposition 56
    Find information regarding DHCS Proposition 56 Supplemental Payments program. Visit page »
  • Provider Disputes
    SFHP offers a fair and cost-effective dispute resolution mechanism to providers who are dissatisfied with a claim, billing or contract determination. Find more information regarding provider disputes on this page. Visit page »