Provider Dispute Resolution Form
SFHP offers a fair and cost-effective dispute resolution mechanism to providers who are dissatisfied with a claim, billing or contract determination. A Provider Dispute Resolution Request may be submitted in writing using the Provider Dispute Resolution Request Form. Dispute requests must be submitted within 365 days of SFHP’s most recent action on the disputed claim.
If SFHP never received a prior authorization request for services that have now been rendered, please submit a retrospective authorization request to SFHP’s Utilization Management Department.
SFHP allows providers to appeal decisions that resulted in the denial of authorization for clinical services. A provider can file a Provider Dispute Resolution (PDR) to request reconsideration of a UM denial for clinical services that have already been rendered. Please follow instructions on the form when submitting a PDR.
To help ensure the expeditious resolution of the dispute, please include the following:
- A complete, signed Provider Dispute Resolution Request Form, including SFHP’s original claim number and a clear description of the dispute and the expected outcome
- Any relevant, additional documentation that may affect the outcome of the dispute
For further instructions on how to submit a Provider Dispute Resolution Request, please contact SFHP’s Claim Department at 1(415) 547-7818 ext 7115, Monday-Friday, 8:30am – 5:30pm, or email firstname.lastname@example.org.