1. Who can become a contracted medical provider with HealthPartners?


2. How long does the contracting process take?


3. Does my facility require a site survey to become contracted?


4. Can I start seeing members if I have applied for a contract?


5. Who can I contact about my HealthPartners contract?
   


6. Do I need to be credentialed?


7. How do I check on the status of a credentialing application?


8. After receiving my credentialing letter, what is the next step?


9. What if I am currently credentialed and join a new clinic?


10. How do I verify if a practitioner is credentialed and linked to my clinic?
    


11. How do I register for account on the HealthPartners Provider Portal?


12. Where can I learn more about HealthPartners Electronic Commerce capabilities (claims, remittances, and ACH/EFT)?
    


13. Why can't I see a practitioner at my site(s)?


14. What do I submit to add/change a practitioner for my group?


15. I submitted an add/change practitioner form; how do I know if it has been processed


16. What do I submit to add/change a location for my group?
    


17. Who do I contact about HealthPartners day-to-day operational questions?


18. Who do I contact about claims questions?


19. Who do I contact about member questions?

Who can become a contracted medical provider with HealthPartners?
Anyone who provides services covered by HealthPartners may apply to be contracted; however, applying does not guarantee you will receive a contract. All requests are reviewed to ensure members have adequate access to quality providers in the network.

To apply for a contract, complete the Contracting Application Form.

If you are a behavioral health provider please complete the Behavioral Health (Mental Health and Chemical Health) Application Form.
How long does the contracting process take?
The timing can vary based on a number of variables. Typically contracts are completd in less than 60 days if your application for network participation is accepted.

Does my facility require a site survey to become contracted?
Certain facility types require a site survey as part of the contracting process. To determine whether or not a site survey will be required for your group, please review our policy on Quality Monitoring of Organizational Providers.

Can I start seeing members if I have applied for a contract?
No, you may not begin seeing members until a contract has been signed and a Provider Contracting representative has informed you that you may begin seeing members.

Who can I contact about my HealthPartners contract?
If you are a Primary Care provider you can look up your assigned Contract Manager on our Primary Care Contact List .

If you are a Specialty Care provider you can look up your assigned Contract Manager on our Specialty Care Contact List .

If you are a Hospital provider you can call 952-883-5604 and be directed to the appropriate contract manager.

Do I need to be credentialed?
To determine whether or not you need to be credentialed, review our list of credentialed and non-credentialed practitioner types under Who We Credential.

How do I check on the status of a credentialing application?
The credentialing process can take up to 90 days to complete. It if has been longer than 90 days since you sent in yoru credentialing application, you can contact the HealthPartners Credentialing Services Bureau by phone (952-883-5755) or e-mail credentialing@healthpartners.com.

After receiving my credentialing letter, what is the next step?
Contact your assigned Contract Manager to let them know you are ready to move to the next step in the contracting process. Receipt of a credentialing approval letter does not mean that your contract is complete.

What if I am currently credentialed and join a new clinic?
A practitioner who is currently credentialed with HealthPartners, and is just changing clinic sites, needs to notify HealthPartners. Medical and Behavioral Health practitioners can fax (952-853-8703), or email the Minnesota Uniform Practitioner Change Form with the Site Location Addendum page, if applicable to Provider Data Support.

How do I verify if a practitioner is credentialed and linked to my clinic?
You will be able to go into the Provider Data Profiles and view the information if a practitioners credentialing has been completed. If you are not able to find the information you are looking for or have questions, contact either the HealthPartners Credentialing Service Bureau or your assigned service specialist.

How do I register for an account on the HealthPartners Provider Portal?
To register for an account on the Provider Portal, Register Now or use the Register Your Facility button on the Provider home page.

Where can I learn more about HealthPartners Electronic Commerce capabilities (claims, remittances, and ACH/EFT)?
HealthPartners Electronic Commerce capabilities have been developed with your convenience and efficiency in mind. Review our electronic options and connections.

Why can't I see a practitioner at my site(s)?

• The practitioner's add information may not have been submitted yet.
• The practitioner has been linked to the site but the Provider Data Profiles information has not been updated yet.
• The practitioner credentialing application has not yet been received OR is currently undergoing credentialing.
• The practitioner's information is waiting processing in Provider Data Support.
• The individual may not be able to see all of the applicable sites and thus can't see all of their practitioners. This is typically an issue if there is a change in NPI and/or Tax ID and security access isn't updated. They can contact their HealthPartners Service Specialist (contracting) if they can't see a location.

What do I submit to add/change a practitioner for my group?
If you want to add or change a practitioner within your group, you will need to fill out a Minnesota Uniform Practitioner Change Form noting the change in practitioners, and submit it to Provider Data Support by fax at 952-853-8703 or email at ProviderData@HealthPartners.com.

If you want to add a practitioner to your group that is not currently credentialed with HealthPartners, then you will need to submit a Minnesota Uniform Credentialing Application to the HealthPartners Credentialing Service Bureau by fax at 952-853-8702 or email at Credentialing@HealthPartners.com.

I submitted an add/change practitioner form; how do I know if it has been processed?
You can log into your account on the Provider Portal and sign up to get access to the Provider Data Profiles (PDP) application. You will be able to go into the PDP and determine if the practitioner has been added to your facility. If you are not able to find the information you are looking for or have questions, then contact your assigned service specialist.

What do I submit to add/change a location for my group?
If you want to add or change a location within your group, log on to your Provider Portal account and make changes using the Provider Data Profiles application. You can also contact your assigned service specialist and he/she can let you know what information is needed and where to send it.

Who do I contact about HealthPartners day-to-day operational questions?
If you are a Primary Care provider you can look up your assigned Service Specialist on our Primary Care Contact List .

If you are a Specialty Care provider you can look up your assigned Service Specialist on our Specialty Care Contact List .

If you are a Hospital provider you can call 952-883-5604 and be directed to the appropriate contract manager.

Who do I contact about claims questions?
For claims related questions, please call Claims Customer Service at (952) 883-7755 (or 1-800-444-4558). Medicare products call 952-883-7699.

Who do I contact about member questions?
HealthPartners Members: Questions regarding HealthPartners members should be directed to HealthPartners Member Services at (952) 883-5000 (or 1-800-883-2177). For MA or Medicare Eligibility call 952-883-7979 (or 1-800-233-9645).

CIGNA Members: Questions regarding CIGNA members should be directed to CIGNA Customer Service at 1-800-244-6224. You can also find out more information about CIGNA by using CIGNA Reference Guide .