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.