San Francisco Health Plan provider portal, phone and payer ID quick facts
| Provider resource entry point | https://sfhpprovider.healthtrioconnect.com/ |
|---|---|
| Payer contact reference | 1-415-547-7818Claims: extension 7115. Provider Relations/manual questions: extension 7084. |
| Claims payer ID | Use the service and delegate matrix; the accessed source does not establish one claim ID for all SFHP members and delegated services. |
| Eligibility payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| ERA payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: This registry has not established one national ERA payer ID for San Francisco Health Plan. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment. |
| Timely filing | 365 days (verify applicability) |
| Prior auth route | Verify the current product policy and delegated reviewer; X12 278 support is not established by a portal link |
| Last reviewed | 2026-04-23 |
- Claims: extension 7115. Provider Relations/manual questions: extension 7084.
- This registry has not established a payer-specific appeal ladder for San Francisco Health Plan. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
- This registry has not established one national ERA payer ID for San Francisco Health Plan. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment.
San Francisco Health Plan at a glance
| Legal name | San Francisco Health Plan |
|---|---|
| Also known as | SFHP |
| Category | Medicaid MCO |
| Parent organization | San Francisco Health Authority |
| Claims payer ID | Use the service and delegate matrix; the accessed source does not establish one claim ID for all SFHP members and delegated services. |
| Eligibility (270/271) payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| ERA (835) payer ID | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: This registry has not established one national ERA payer ID for San Francisco Health Plan. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment. |
| NAIC company code | Not established in this registry |
| States covered | California |
| Provider resource entry point | https://sfhpprovider.healthtrioconnect.com/ |
| Provider phone | 1-415-547-7818Claims: extension 7115. Provider Relations/manual questions: extension 7084. |
Always verify claims-routing details against the member ID card and the payer's current EDI companion guide before submission.
Timely filing & appeals for San Francisco Health Plan
This registry lists 365 days as an initial-claim reference for San Francisco Health Plan. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
| Submission type | Window |
|---|---|
| Initial claim reference | 365 days (verify applicability) |
| Out-of-network initial claim | Verify the member's plan and applicable out-of-network rules |
| Secondary / coordination of benefits | Verify the allowed window and start event; a primary EOB does not automatically restart filing |
| Corrected claim | Verify correction instructions; do not substitute an appeal deadline |
| Reconsideration / appeal | Use the applicable denial or decision notice and the process below |
This registry has not established a payer-specific appeal ladder for San Francisco Health Plan. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
Source: San Francisco Health Plan provider policy. Always confirm before disputing a TFL denial — payer policies are versioned and product-specific.
Prior authorization with San Francisco Health Plan
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
CMS-0057-F decision-timeframe requirements and exclusions
Verify San Francisco Health Plan electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable. Authorization requirements and submission channels depend on the product, service and delegated reviewer. Verify the applicable policy before scheduling; a portal listing is not proof of X12 278 connectivity.
This registry does not provide a current prior-authorization code list for San Francisco Health Plan. Start with the provider resources or the policy documents below, then confirm the applicable product, service and effective date. A resource link does not establish that a live code-lookup tool is available.
Top denial reasons for San Francisco Health Plan
Per-payer denial benchmarks publish here once the QuickIntell anonymized ETL pipeline ingests sufficient San Francisco Health Plan volume. Until then, see the broader CARC reference for industry-wide remediation guides.
Electronic claims, eligibility & ERA
| Transaction | Registry indication — not verification | Routing reference |
|---|---|---|
| 837P / 837I claims | Listed in registry; verify current scope | Use the service and delegate matrix; the accessed source does not establish one claim ID for all SFHP members and delegated services. |
| 270 / 271 eligibility | Listed in registry; verify current scope | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately |
| 278 prior authorization | Listed in registry; verify current scope | Verify X12 278 routing separately |
| 835 ERA | Verify support and enrollment separately | No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: This registry has not established one national ERA payer ID for San Francisco Health Plan. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment. |
Payer IDs vary by clearinghouse — confirm against your clearinghouse payer list (Availity, Change Healthcare/Optum, Waystar) before configuring submitter routing.
What revenue cycle teams should verify before submitting claims
- Claim destinations depend on medical-network delegation and service: confirm whether SFHP, the medical group, Carelon or VSP is responsible.
- Claims routing evidence does not independently verify eligibility, ERA enrollment, or X12 278 support. Confirm each transaction separately.
Source checks and remaining limits
The latest partial comparison is dated . Retained earlier findings keep their original dates below. This is a partial source check, not a whole-page, clinical or legal review. It does not refresh the legacy review date above.
portal_url
Source comparison: 2026-09-26
The claims submission page links the provider login at sfhpprovider.healthtrioconnect.com, separate from the member portal.
Primary source for portal_urlprovider_phone
Source comparison: 2026-09-26
SFHP lists Claims Department 415-547-7818 extension 7115; Provider Relations uses extension 7084. Baseline 415-547-7800 is a general site contact.
Primary source for provider_phonerecord_scope
Source comparison: 2026-09-26
Medical-network delegation changes claim destinations; SFHP, medical groups, Carelon and VSP have distinct responsibilities.
Primary source for record_scopeelectronic_claims_supported
Source comparison: 2026-09-26
SFHP supports electronic claims through Office Ally or its provider portal.
Primary source for electronic_claims_supportedpayer_ids.claims
Source comparison: 2026-09-26
The matrix includes delegate-specific identifiers. Do not assign a delegate identifier universally to the SFHP record.
Primary source for payer_ids.claims
Not checked in this pass: Whole-record approval, legal identity, ownership and complete product coverage; Authenticated transactions and QuickIntell integrations; timely_filing_days / supports_278 / payer_ids.eligibility / payer_ids.era: The inspected HTML does not establish the baseline 365-day deadline or transaction-specific 278/eligibility/ERA capability..
Sources used for this guide
State coverage
San Francisco Health Plan operates in the following states. Each link opens state-level Medicaid program details, dominant commercial payers, and state-specific RCM regulations.
Evaluate QuickIntell workflow fit for San Francisco Health Plan
These module references are evaluation starting points, not evidence of a validated connection, supported transaction or customer deployment. Confirm the actual member plan, data access and product scope first.
- QuickRCM
Evaluate claim preparation, follow-up and denial worklists for San Francisco Health Plan; verify the actual plan rules and available connections before implementation.
- QuickAuth
Assess authorization-packet and status workflows for San Francisco Health Plan; confirm product, service, delegated reviewer and permitted submission channels.
- QuickERA
Verify the actual 835 files, posting exceptions and reconciliation requirements for San Francisco Health Plan before evaluating automation. An ERA identifier alone does not establish supported ingestion or posting.
Frequently asked questions about San Francisco Health Plan
Where is the San Francisco Health Plan provider portal?
Use https://sfhpprovider.healthtrioconnect.com/ as a starting point for San Francisco Health Plan provider resources. This link may open a directory or contact page rather than a transaction portal. Select the applicable product and administrator, then verify the available functions, enrollment and access requirements. QuickIntell is not the official payer portal.
What is the timely filing limit for San Francisco Health Plan?
This registry lists 365 days as an initial-claim reference for San Francisco Health Plan. Confirm the applicable product, provider agreement, start event and current payer instructions. Do not apply this value automatically to out-of-network, secondary, corrected or appealed claims.
Does San Francisco Health Plan publish a single claims payer ID?
This registry has not established one all-product claims payer ID for San Francisco Health Plan. Claims: Use the service and delegate matrix; the accessed source does not establish one claim ID for all SFHP members and delegated services.. Eligibility (270/271): No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. ERA (835): No single all-product identifier established in this registry; see source findings and verify the member product and transaction separately. Clearinghouse-specific: This registry has not established one national ERA payer ID for San Francisco Health Plan. ERA enrollment and 835 routing are clearinghouse- and product-specific; verify in the payer portal or clearinghouse payer list before enrollment.. Do not substitute a claims ID for an unverified transaction ID. Look up the correct ID for the member's plan and transaction in your clearinghouse directory and verify against the member ID card before submission.
Does San Francisco Health Plan accept electronic claims?
Verify San Francisco Health Plan electronic claims (837), eligibility (270/271), remittance (835) and authorization (278) separately for the member product and clearinghouse. Registry flags and routing references are not current transaction-complete approval. Confirm the companion guide, enrollment and applicable source findings below. A blank or unverified field does not establish that the transaction is unavailable.
How do I appeal a San Francisco Health Plan denial?
This registry has not established a payer-specific appeal ladder for San Francisco Health Plan. Use the denial notice, plan document, provider agreement, or jurisdictional rule to assign the correct route and deadline. Missing registry evidence does not mean appeal rights are unavailable.
How long do San Francisco Health Plan prior authorization approvals take?
Decision deadlines depend on the product, service and urgency. CMS-0057-F generally starts its decision-timeframe requirements in 2026 for Medicare Advantage, Medicaid and CHIP payers subject to the rule: seven calendar days for standard requests and 72 hours for expedited requests. Those requirements exclude drug authorizations and QHP issuers on the federally facilitated exchanges. Other plans, state rules and permitted extensions can differ. Check the applicable policy; a decision deadline is not a guarantee of approval.
What is the San Francisco Health Plan provider phone number?
This registry lists 1-415-547-7818 as a contact reference for San Francisco Health Plan. Claims: extension 7115. Provider Relations/manual questions: extension 7084.
Automate workflows around San Francisco Health Plan requirements
Connect eligibility, prior authorization, pre-submission claim checks, and remittance routing in one governed workflow. Payer and plan configuration is confirmed during implementation.
Disclaimer
This page is operational reference for medical-billing professionals. It is not legal, clinical, or contractual advice. Payer policies change without notice — always verify against San Francisco Health Plan's current published documents before submission. CPT® is a registered trademark of the American Medical Association.