HealthPartners member claims

Due to the COVID-19 outbreak, the Department of Labor (DOL) and Internal Revenue Service (IRS) have extended deadlines for members to file claims for benefits, appeal adverse benefit determinations and file requests for external review. Under agency guidance, certain time periods must be disregarded when determining applicable deadlines – the disregarded period is the earlier of one year or the end of the outbreak period (July 10, 2023). If you have questions about a specific deadline applicable to your situation, please contact Member Services.

How to file a claim with us

A claim is a request for us to pay for covered benefits under your plan. You or your provider must file a claim before we can reimburse costs according to your plan’s coverage. Most claims create an Explanation of Benefits (EOB) we’ll send to you.

There are different types of HealthPartners claims, depending on the plans or products you have, including:

  • Medical and dental claims
  • Pharmacy claims
  • Consumer-directed health plan (CDHP) claims, like Flexible Spending Accounts (FSAs) and Health Reimbursement Accounts (HRAs)
Many claims are submitted automatically on your behalf, but claims you submit yourself generally take us about four to six weeks to process. Please note:
  • If your primary insurance isn’t with HealthPartners, you’ll need to provide an EOB from your primary insurance company when submitting a claim to us as a secondary payer.
  • If you have a Medical Assistance (Medicaid) plan with us, we’re unable to process claims you submit yourself.

If you have a question about how to file a claim with us, we’re here to help. Call Member Services at the number on the back of your member ID card or send us a message.

Additional resources

If you have additional questions about claims, call Member Services at the number on the back of your member ID card or send us a message. We’re ready to help.

As part of our coverage criteria policies, some care, services or medicine may require prior authorization before they’re covered. For more information and details, contact Member Services.

Review your plan details

The easiest way to see your insurance plan details is to sign in to your HealthPartners account. If you have questions about your coverage, contact Member Services.

Learn more about claims

Check out these helpful guides to some claims questions we hear most often:

Are you a provider?

Find more information about submitting claims at our provider portal.