San Francisco Health Plan Contact Directory
16 contact channels across 3 types (Email, Fax, Phone) for claims, prior authorization, provider services, and more.
Last verified Sep 2, 2026 from the payer's published directories.
Phone
7 rows
| Contact | Purpose | Line of Business | Hours | Notes | Source |
|---|---|---|---|---|---|
| 415-547-7818 ext. 7115 | Claims Status | Medicaid | N/A | Claims Department – questions regarding claims | View source |
| 415-547-7800 | General | Medicaid | N/A | Key information document for Medi-Cal providers lists this main number. - Main line for Medi-Cal providers | View source |
| 415-547-7818 ext. 7080 | Medical Management | All | N/A | Utilization Management staff available to providers and members during regular business hours (Monday–Friday, 8:30am–5:00pm) to discuss UM issues, including denial decisions. - Utilization Management (UM) provider line | View source |
| 415-547-7818 ext. 7085 | Pharmacy | Medicaid | N/A | Medi-Cal formulary provides this contact for formulary questions. - SFHP Pharmacy department – formulary questions | View source |
| 800-788-2949 | Pharmacy | All | N/A | Pharmacy Prior Authorization Requests page identifies MedImpact as Pharmacy Benefits Manager (PBM) and provides this number for verbal PA requests. - PBM MedImpact – verbal pharmacy prior authorization requests | View source |
| 888-989-0091 | Pharmacy | Medicaid | N/A | Medi-Cal formulary identifies PerformRx as Pharmacy Benefits Manager and provides this number for verbal PA requests. - PBM PerformRx – verbal pharmacy prior authorization requests | View source |
| 415-547-7818 ext. 7084 | Provider Services | Medicaid | N/A | Provider Relations – questions about provider manual and network | View source |
Fax
7 rows
| Contact | Purpose | Line of Business | Hours | Notes | Source |
|---|---|---|---|---|---|
| 415-547-7821 | General | Medicaid | N/A | Fax listed in Key Information for Medi-Cal Providers. - General fax for Medi-Cal providers | View source |
| 415-547-7822 | Medical Management | All | N/A | Utilization Management fax for inpatient requests. - UM inpatient fax | View source |
| 855-811-9330 | Pharmacy | Medicaid | N/A | Medi-Cal formulary indicates this fax for standard pharmacy prior authorization requests. - Pharmacy prior authorization – standard requests (PBM PerformRx) | View source |
| 855-811-9331 | Pharmacy | Medicaid | N/A | Medi-Cal formulary indicates this fax for urgent pharmacy prior authorization requests. - Pharmacy prior authorization – urgent requests (PBM PerformRx) | View source |
| 858-790-7100 | Pharmacy | All | N/A | Provider manual describes this fax for pharmacy prior authorization requests for both standard and urgent requests (PBM MedImpact context). - Pharmacy prior authorization fax (PBM MedImpact) | View source |
| 415-357-1292 | Prior Authorization, Medical Management | All | N/A | Instruction manual for prior authorization request form indicates this fax for completed forms. | Utilization Management fax for outpatient requests. - Prior Authorization Request Form fax (general PA companion guide) | UM outpatient fax | View source |
| 415-615-6450 | Provider Services | Medicaid | N/A | Provider Relations – submit NPI form and W-9 | View source |
2 rows
| Contact | Purpose | Line of Business | Hours | Notes | Source |
|---|---|---|---|---|---|
| claims@sfhp.org | Claims Status | Medicaid | N/A | Claims Department – questions regarding claims | View source |
| pharmacy@sfhp.org | Pharmacy | Medicaid | N/A | Medi-Cal formulary provides this email for formulary questions. - SFHP Pharmacy department – formulary questions | View source |
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Sources
Where this data comes from
Every contact in this directory comes from documents the payers publish themselves, such as provider manuals, quick reference guides, and contact pages, and each payer page shows when its contacts were last verified. You can see all of our data sources and how we process them.
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