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  4. Credentialing plan

The HealthPartners credentialing plan describes our credentialing program. The purpose of the credentialing program is to support the systematic approach to credentialing within HealthPartners.

Specific objectives of the plan include:

  • Showing the criteria to be used in assessing the qualifications of applicants seeking initial or ongoing association with HealthPartners.
  • Establishing the processes for verification and evaluation of a practitioner's credentials.
  • Establishing the processes for action if a practitioner's credentials do not meet the established minimum criteria.
 HealthPartners credentialing plan (PDF) Practitioner rights

Under the HealthPartners credentialing plan, practitioners applying for initial participation or ongoing participation have the following rights:

  1. The right to review the information submitted in support of their credentialing applications. Practitioners may call the HealthPartners Credentialing Service Bureau at 952-883-5755 (TTY 711) to arrange for a time to review their credentialing file. Practitioners are not allowed to review references or recommendations or other information that is peer review protected or otherwise protected by state or federal law.
  2. The right to correct erroneous information submitted by other sources. During the review process, credentialing staff will make note of any substantial discrepancies between the information reported by the practitioner and information obtained through the credentialing process. If a substantial discrepancy is identified, the practitioner is notified in writing of the discrepancy. The practitioner is given the opportunity to submit in writing, within ten days, any corrections of erroneous information obtained from other sources or explanations for such discrepancies.
  3. The right to be informed, upon request, of the status of their credentialing or recredentialing application. Practitioners may call the HealthPartners Credentialing Service Bureau at 952-883-5755 (TTY 711) and ask for the status of their credentialing application.