San Francisco Health Plan Provider Portal: Secure Access for Healthcare Professionals

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The San Francisco Health Plan (SFHP) Provider Portal is a comprehensive digital platform designed to streamline healthcare provider interactions, offering efficient management tools and critical resources for medical professionals serving Medi-Cal and Healthy Workers HMO populations.

Official Links

What Providers Can Do in the Portal

Medical professionals using the SFHP Provider Portal can access multiple critical functions:

Key Portal Capabilities

  • Submit and track claims
  • Perform code lookups
  • Access provider directories
  • Review authorization requirements
  • Submit inpatient admission documentation
  • Access medical criteria information

Portal Access and Registration

Who Can Use

  • Contracted healthcare providers
  • Medical group representatives
  • Healthcare facility administrators

Login Process

  1. Visit the SFHP website
  2. Navigate to the Provider Portal section
  3. Use provided credentials for secure access

Essential Provider Resources

The portal offers comprehensive resources including:

  • Pharmacy and formulary information
  • Provider forms
  • Clinical guidelines
  • Quality improvement tools
  • Network management resources

Training and Support

Provider Training

  • Access to Litmos platform for required courses
  • Ongoing professional development opportunities

Code Lookup Tool

  • Quick service code authorization verification
  • Streamlined administrative processes

Compliance and Quality Improvement

Program Highlights

  • Provider Quality Performance (PQP) Program
  • CalAIM implementation support
  • Care management resources
  • Diabetes Prevention Program integration

Privacy and Security

While specific security details aren’t comprehensively outlined, SFHP emphasizes:

  • Secure online platform
  • Compliance with healthcare data protection standards

Customer Support

Contact Information

  • Primary Phone: 1(415) 547-7800
  • Provider Support: Direct communication channels available

Additional Portal Features

Newsletter and Updates

  • Monthly Provider Update newsletter
  • Urgent news alerts
  • Option to sign up for email communications

Unprovided Information

Some details not explicitly specified in source documents:

  • Exact portal login URL
  • Specific security protocol details
  • Comprehensive feature list

The San Francisco Health Plan Provider Portal represents a robust digital platform enabling healthcare providers to efficiently manage patient care, administrative tasks, and professional resources with streamlined, secure access.

Recommended Next Steps

  • Review portal capabilities
  • Complete required registration
  • Explore available training resources

Disclaimer: Information based on San Francisco Health Plan’s official documentation as of August 2025.

FAQ

Is San Francisco Health Plan the same as Medi-Cal?

AI Overview
    • San Francisco Health Plan
      https://www.sfhp.org
      Qualify – San Francisco Health Plan

    • San Francisco Health Plan
      https://www.sfhp.org
      Managed Care Health Plan Serving SF – San Francisco Health Plan
      San Francisco’s #1 Choice for Medi-Cal! Created by the City and County of San Francisco, San Francisco Health Plan (SFHP) is the City’s number one choice for Me…

    • DHCS (.gov)
      https://www.dhcs.ca.gov
      Medi-Cal Overview – DHCS – CA.gov
      Nov 6, 2024 — Medi-Cal is California’s Medicaid program.

Who owns the San Francisco Health Plan?Created by the City and County of San Francisco, San Francisco Health Plan (SFHP) is the City’s number one choice for Medi-Cal, providing the community with access to award-winning health care for the past 30 years.

Does UCSF take SF Health Plan?We accept most insurance plans: Medi-Care. Medi-Cal, SF Health Plan, and Anthem Blue Cross Medi-Cal plans.

What is the phone number for San Francisco Health Plan provider?Overview of Provider Resources

Choose from the menu to access our online resources, tools and materials for Providers. If you have an idea or suggestion for improving our Provider website or if there is a tool you would like to see online, please email Provider Relations or call 1(415) 547-7818 ext 7084.

https://www.sfhp.org/providers/

For Providers. Provider Portal · Code Lookup · Pharmacy & Formulary · Forms · Benefits Grid. Provider Site Directory.

https://www.sfhp.org/for-members/medi-cal/benefits/member-portal/

Start at sfhp.org and click the Member Portal Login button at the top of the home page. You’ll be directed to the SFHP Member Portal Login Page. Click New User

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