What is the Stedi payer ID for San Francisco Health Plan?

The Stedi payer ID for San Francisco Health Plan is TQPKO.

What is the primary payer ID for San Francisco Health Plan?

The primary payer ID for San Francisco Health Plan is SFHP1.

What payer IDs does San Francisco Health Plan use?

In addition to its primary payer ID SFHP1, San Francisco Health Plan uses several other payer IDs, including 02735, 10849, 6633, 6736, and SFHP1.

What transactions does San Francisco Health Plan support?

San Francisco Health Plan supports the following transactions: 270/271 eligibility checks, 837P professional claims, 837I institutional claims, and 835 Electronic Remittance Advices (ERAs).

What transaction types require transaction enrollment with San Francisco Health Plan?

San Francisco Health Plan requires transaction enrollment for 835 Electronic Remittance Advices (ERAs). Other supported transactions don't require enrollment. Stedi handles transaction enrollment steps for you.

What is transaction enrollment?

Transaction enrollment is a process required by some payers before you can send or receive certain transactions. Stedi handles this process for you.

What is a coordination of benefits (COB) check?

A COB checks determines if a member has coverage from more than one payer. San Francisco Health Plan supports COB checks through Stedi.

All payers

PAYER

San Francisco Health Plan

This page contains information you can use to exchange healthcare transactions with San Francisco Health Plan using Stedi.

Use any of the following payer IDs to send transactions to San Francisco Health Plan using Stedi APIs or SFTP. Read the docs

Primary Payer ID

SFHP1

Stedi Payer ID

TQPKO

Payer ID aliases

02735, 10849, 6633, 6736, SFHP1

EIN

94-3226498

Coverage types

Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with San Francisco Health Plan using APIs or SFTP. Send transactions as JSON or raw EDI files.

Eligibility & benefit verification

Supported

Eligibility checks

(270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to San Francisco Health Plan.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to San Francisco Health Plan to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Not supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to San Francisco Health Plan in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to San Francisco Health Plan and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to San Francisco Health Plan and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from San Francisco Health Plan to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to San Francisco Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to San Francisco Health Plan.

Get started

Use Stedi's APIs to get fast and reliable connectivity to San Francisco Health Plan and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and San Francisco Health Plan today.

Payer Network

All payers

PAYER

San Francisco Health Plan

This page contains information you can use to exchange healthcare transactions with San Francisco Health Plan using Stedi.

Use any of the following payer IDs to send transactions to San Francisco Health Plan using Stedi APIs or SFTP. Read the docs

Primary Payer ID

SFHP1

Stedi Payer ID

TQPKO

Payer ID aliases

02735, 10849, 6633, 6736, SFHP1

EIN

94-3226498

Coverage types

Medical

Operating states

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMIMNMOMPMSMTNCNDNENHNJNMNVNYOHOKORPAPRRISCSDTNTXUTVAVIVTWAWIWVWY

Covered

Not covered

Supported transactions

Use Stedi to exchange the following transactions with San Francisco Health Plan using APIs or SFTP. Send transactions as JSON or raw EDI files.

Eligibility & benefit verification

Supported

Eligibility checks

(270/271)

Verify member coverage and benefits by sending real-time and batch eligibility checks to San Francisco Health Plan.

Not supported

Coordination of benefits checks

(COB)

Submit coordination of benefit checks to San Francisco Health Plan to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.

Claims processing

Not supported

Real-time claim status

(276/277)

Check on the status of a claim previously submitted to San Francisco Health Plan in real-time by sending a claim status check (276/277).

Supported

Professional claims

(837P)

Submit professional claims to San Francisco Health Plan and receive 277 claim acknowledgments asynchronously.

Supported

Institutional claims

(837I)

Submit institutional claims to San Francisco Health Plan and receive 277 claim acknowledgments asynchronously.

Supported, enrollment required

Claim payments

(835 ERA)

Receive electronic remittance advice (ERAs) from San Francisco Health Plan to review full payment details.

Not supported

Dental claims

(837D)

Submit dental claims to San Francisco Health Plan and receive 277 claim acknowledgments asynchronously.

Not supported

Unsolicited claim attachments

(275)

Receive unsolicited attachments for claims submitted to San Francisco Health Plan.

Get started

Use Stedi's APIs to get fast and reliable connectivity to San Francisco Health Plan and start processing healthcare claims and eligibility checks within minutes.

Start processing healthcare claims and eligibility checks with Stedi and San Francisco Health Plan today.