Member Grievance and Appeals Process
The SFHP Grievance process is designed to resolve member concerns in a manner that is accessible, timely and thorough. The grievance process is available across all lines of business, though specific procedures apply only to Medi-Cal members. The grievance process is also used when a provider contests a utilization management or pharmacy authorization decision on behalf of the member.
The links below contain information on our member grievance policy and multiple-language member grievance forms for your practices’ waiting rooms:
Member Grievance Form