San Francisco Health Plan: Providers: Provider Resources: Download Forms/

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Authorizations
Facility Site Reviews
Grievances
Staying Healthy
Provider Claim Dispute
Age Specific Progress Notes with PE/Growth/Development Anticipatory Guidance
Advanced Directives
Behavioral Health Referrals

Provider Claim Dispute

The SFHP Claim Dispute process offers providers dissatisfied with the processing or payment of a claim, resubmission of a claim, or a claim adjustment, a method for resolving problems.

A dispute may be submitted in writing (using the Provider Dispute form) within 1 year of the decision on the claim. All disputes must be signed. Do not submit an dispute if the claim is in a pend status. Providers may also include additional information that may affect the outcome of the dispute.

For further instructions on how to file a Claim Dispute, please contact SFHP Claims Department at (415) 547-7818 x7115, Monday through Friday, 9am-4pm.