Prior authorization

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

prior authorization

SFHP Utilization Management — SFN, CLN, UCSF and SFHP Direct Network members (phone and outpatient fax)

Official page read

Phone415-547-7818Fax

415-357-1292

Outpatient service authorization requests (UM Prior Authorization Request Form with clinical notes).

Published hours

Not published in this record

Product, plan and location

medicaid · dsnp · commercial
California

Mailing address

Not researched for this route

SFHP UM handles authorizations for members assigned to San Francisco Health Network, Community Clinic Network, UCSF or the SFHP Direct Network, plus out-of-San Francisco requests for Brown & Toland or Hill members. Members in AAMG, Brown & Toland, Hill, Jade or NEMS otherwise use their medical group's UM. The page gives the UM extension as 7080 in the medical-group table and 77080 in the inpatient text, so no extension is stored; ask at the main menu.

View source ↗ · Source checked 2026-10-25

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Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

fax prior auth

Inpatient admission face sheet fax (expedited concurrent review)

Official page read

Phone

No phone listed for this route

Fax

415-547-7822

Inpatient admission notification / authorization face sheets.

Published hours

Not published in this record

Product, plan and location

medicaid · dsnp · commercial
California

Mailing address

Not researched for this route

Fax a face sheet within 24 hours (or by 5 p.m. next business day) for inpatient admissions of members assigned to UCSF, SFN, CLN or SDN; processed via expedited concurrent review. Emergency pre-stabilization services need no authorization.

View source ↗ · Source checked 2026-10-25

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Call preparation · editorial guide

Make the call count.

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

Have ready in your secure workspace

Ordering and rendering provider details
Service codes, requested dates and units
Existing authorization or submission reference

Questions to resolve

Is this the correct reviewer for this service and product?
Which documents are missing, and where should they be sent?
What is the case number and next status-check date?

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