Dear SFHP Members: Congress was unable to reach an agreement on funding for Fiscal Year 2026, and the federal government was shut down on October 1, 2025. While we do not know how long the shutdown will last, SFHP will continue its operations as normal. You can still access the care you need. We are committed to ensuring your access to care is not interrupted. If you encounter any issues, please contact SFHP Customer Service at 1(415) 547 7800 or toll-free 1(800) 288 5555 (TTY users can dial 711). We’re open Monday through Friday, from 8:00am to 5:00pm.

1(415) 547-7800 Contact Us

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 »
×

Cookies Policy

We use cookies and other tools to make our website easier to use.