Provider Claims
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Status & Appeals

Paper Claim Status Claims Appeals

Paper Claim Status Checks Available by Phone

Would you like to check the status of your paper claim at SCFHP? With a phone call, you can obtain formal acknowledgment that we have received your claim, or track your claim’s status.

You can get a status report 15 business days after we receive your claim. To check on the status of a claim, please call our Claims Department at (408) 376-2000, then press the 7 key. If you have concerns with this method of acknowledgement, please contact our Provider Services Department at (408) 874-1788.

Email Address for Provider Claims Appeals

The Claims Department at Santa Clara Family Health Plan now has an electronic option for providers who submit claims appeals. Providers may now e-mail claims appeals by using the following address: claimsappeals@scfhp.com.

This address is only for providers who wish to appeal a denied claim.

To be able to process the appeal, the Claims Department will need all of the following information :

  • Provider Name, Address and Telephone Number
  • Member’s Name and ID#
  • Date of Service
  • Narrative description of the appeal
  • Desired resolution

We hope this process will improve our efficiency and make the appeal process easier for our providers.

 

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