Provider frequently asked questions (FAQ)

  1. What registration path do I choose?
  2. Where do I find remittance advice (EOB)/payment details?
  3. How do I add additional staff or Delegate* accounts to the portal?
  4. How do I add Tax ID/NPI's to my account?
  5. Where do I find information about Payer ID, EFT or other e-Services?
  6. Where do I find information about Contracting & Payer Relations?
  7. How do I add/change a practitioner or location?
  8. How do I access information about the Credentialing process?
  9. What are HealthPartners portal security and privacy policies?

What registration path do I choose?

Provider Registration: If you provide health care services for our members (hospital, physician, dental, specialty and pharmacy providers) click here to begin Provider registration.

Billing Organization Registration: If you contract with providers to provide billing/claim services (revenue cycle management companies, medical billing services and third-party administrators).

Once registered, you have the ability to add multiple providers. This will enable you to log in with a single user ID and password. Click here to begin Billing Service registration.


Where do I find remittance advice (EOB)/payment details?

Go to the Applications menu on the Homepage. The menu defaults to Remittance Inquiry. Click "Go" and enter the check number.

If your Applications menu is blank, Remittance Inquiry and other applications will be available after you validate your account with the PIN that was mailed to your location.

What if I get "No results found" when I search for a check/EFT#? Select "Try another search or view/add your Tax ID & NPI access" to verify that the Tax ID/NPI associated with the check/EFT# is linked to your account.


How do I add additional staff or Delegate* accounts to the portal?

After logging in, select the "View all accounts" button on the Homepage to determine if the individual already has an account. If the individual does not have an account, click "Create new user account."

Our policy is that each person accessing the portal has an account in their own name. Sharing accounts is not allowed.

For additional assistance, click on the "Help ?" icon to access the Help File.

*Delegates create and maintain accounts for staff.


How do I add Tax ID/NPI's to my account?

If you are a health care provider: Select "Tax ID & NPI access" from your Applications menu. If you do not have a check to use for validation, access the "Contact us" link for assistance.

If you are a billing service/third party: Select "Tax ID & NPI access" from the Applications menu. Enter the provider's Tax ID and the contact information for an authorized approver at the provider's location. A system generated request will be sent to the provider to obtain authorization to grant you access.


Where do I find information about Payer ID, EFT or other e-Services?

How do I find a Payer ID?

HealthPartners does not assign Payer IDs. However, our Approved Clearinghouses are listed for your convenience.

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

To register for a Provider Portal account, click register here or you can register your facility from the Homepage.

The Provider Portal Tools page offers many web-based tools and resources.

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

Review our electronic options and connections or go to e-Services (from the top menu bar) for information.


Where do I find information about Contracting & Payer Relations?

Who can become a contracted provider with HealthPartners?

Anyone who provides services covered by HealthPartners may submit an application. A submission is not a guarantee. All requests are reviewed to ensure members have adequate access to quality providers in the network.

To submit an application, complete the Join our network form.

How long does the contracting process take?

If your application for network participation is accepted, the contract is generally completed in less than 60 days.

May I begin seeing members if I have submitted a Join our network form?

You may not begin seeing members until a contract has been signed and a Provider Contracting representative has informed you that you may begin.

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.

For more information about becoming contracted, contact Payer relations and contracting.


How do I add/change a practitioner or location?

Out of Network/National Medical Providers: Submit the Out of Network/National Medical Provider Updates form to update your information.

Contracted providers: Go to the Applications menu to access the Provider Data Profiles application to update your information with HealthPartners.

How do I add/change a practitioner?

You can add, remove or change practitioner and location information through the Provider Data Profiles application. The Minnesota Uniform Practitioner Change Form updates can then be downloaded for you to mail or fax to other payers as needed.

Dental Providers: submit the form by fax at 952-883-5160 or email to DentalContracting@HealthPartners.com. If a practitioner that is not currently credentialed with HealthPartners needs to be added, submit a Minnesota Uniform Credentialing Application to the HealthPartners Credentialing Service Bureau by fax at 952-853-8702 or email to Credentialing@HealthPartners.com.

How will I know when the practitioner change has been processed?

Log into your provider portal account and go to Provider Data Profiles in the Applications dropdown menu. If you do not have the Provider Data Profiles application, contact your site delegate. This application enables you to view if the practitioner has been added to your facility. If you are not able to find the information or have questions, contact your assigned Service Specialist.

How do I add/change a location?

To change a location, log in to your provider portal account and make the changes using the Provider Data Profiles application. You may also contact your assigned Service Specialist.


How do I access information about the Credentialing process?

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. If it has been longer than 90 days since your application was submitted, you can contact the HealthPartners Credentialing Services Bureau by email Credentialing@HealthPartners.com.

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

Contact your assigned Contract Manager when you are ready for the next step in the contracting process. Receipt of credentialing approval letter is not an indication that your contract is complete.

Looking for additional information, click Credentialing and Enrollment.


What are HealthPartners portal security and privacy policies?

Why is sharing accounts on the portal prohibited?

HealthPartners privacy and confidentiality guidelines, in addition to HIPAA privacy regulations, require that each user accessing member data has an individual, secured account.

Inquiries on member information are logged for auditing purposes. It is important to know who is access this data, when and why. If an account is shared, all activity/inquiries will log under one user id and that individual user will be accountable for ALL activity within that account.

The Confidential terms of use and Site Delegate Agreement, have language that prohibits sharing usernames and passwords. The agreements specifically state that you acknowledge and agree that you are the only individual authorized to access your account.