San Francisco Health Plan
medicalvision
Summary
San Francisco Health Plan is a medical and vision payer operating in California. Claims route under payer ID SFHP1, with 4 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.
At a glance
- Payer ID
SFHP1Also seen as 02735, 10849, 6633, 6736- Service area
- CA
Clearinghouse transaction setup
Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.
| Transaction | Enrollment | Typical setup |
|---|---|---|
| Eligibility checks (270/271) | Not required | Immediate |
| Professional claims (837P) | Not required | Immediate |
| Institutional claims (837I) | Not required | Immediate |
| ERA / remittance (835) | Required | Several weeks |
Common questions
- What is the payer ID for San Francisco Health Plan?
- The payer ID for San Francisco Health Plan is SFHP1. Alternate IDs seen across clearinghouses include 02735, 10849, 6633, 6736.
- Does San Francisco Health Plan require ERA enrollment?
- Yes. San Francisco Health Plan requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
- What states does San Francisco Health Plan cover?
- San Francisco Health Plan operates in CA. Coverage can differ by plan and product line, so confirm the specific plan before you file.
- What types of coverage does San Francisco Health Plan offer?
- San Francisco Health Plan covers medical and vision.
- Can I submit claims to San Francisco Health Plan electronically?
- Yes. San Francisco Health Plan is reachable through clearinghouses for eligibility checks, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).
Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.