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Claims

  • APL 21-002
    Find information for Cost Avoidance & Post-Payment Recovery.
  • Claims Submission
    Find information for registering with SFHP’s claims system and claims submission guidelines on this page.
  • EDI
    Find information for electronic submission of claims and other HIPAA transactions on this page.
  • Proposition 56
    Find information regarding DHCS Proposition 56 Supplemental Payments program.
  • 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.
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