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