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  1. Contracting and credentialing
  2. Credentialing and enrollment
  3. Credentialing
  4. Medical and dental credentialing
  5. Credentialing application submission
Review list of documents
Review the list of documents to upload with your submission. We’ll notify you in writing once your initial application is approved.

Please mail credentialing fees as noted on the application invoice.
Initial credentialing

Here’s what you’ll need to begin credentialing with HealthPartners or to add privileges at a new hospital or entity:

  • Fully completed MN Uniform Credentialing Application (PDF) OR Update Application
  • Copy of malpractice face sheet
  • Health history form and documentation
  • Hospital attestation, secondary interests disclosure form and designated physician coverage form, as applicable.
  • Delineation of privileges form
  • Hospital specific staff category form(s)
  • Background forms (MN/WI specific)
 Reappointment

Here’s what you need for reappointment with HealthPartners:

  • Reappointment worksheet, including disclosure questions, explanation for any affirmative answers, authorization and release, peer reference page
  • Copy of malpractice face sheet
  • Hospital attestation and secondary interests disclosure form
  • Delineation of privileges form

You can check the status of your application by any of the following:
Initial credentialing

Before credentialing, you must be a contracted provider or have been offered a contract. Here’s what you need to begin credentialing with HealthPartners:

 Recredentialing

Here’s what you need for reappointment with HealthPartners:
Start process