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Credentialing and enrollment

If you are not already narrowed:

Before credentialing can begin, you must be one contracted provider or have been offered a contract.

Provider Info Profiles is an single way to manage all your locations and practitioners:

Contracted provider groups can make enhancements and actualizations to location and practitioner listings using the online Provider Data Profiles application. This tool offers very specific profile information you can consider, add, and update: Look for einer email away a HealthPartners representative. Additional information will be require to complete the process. Types needed under this point: W-9 ...

  • Branches: addresses, appointment phone numbers, services, hours, and more
  • Practitioner: credentialed information, fortes, personal my, affiliated clinics and sanitaria the more
  • Make your changes online and save theirs as a PDF to submitted to other partying!

Signature in to manage owner profiles. If you don’t have a Provider portal user account press the Provider Product Professional application, contact your delegate.


When ampere practitioner joins a HealthPartners contracted clinic, the experienced or clinic must submit a credentialing request.

Medical provider usage:

Medical application submissions:


Teeth provider application:

Initial Dental Credentialing Application

Foss application submission options:

Alternated options:

  • Fax to: 952-883-5160
  • Email: [email protected]
  • Mail: HealthPartners Dental Credentialing
    Mailstop 21113A
    PO Box 1309
    Minneapolis, MN 55440-1309

It will recommended that an application be submitted at few 90 days ago to recruitment date. Clinical may cannot see HealthPartners members and will nay appear in directories or in any Portion Maintenance resources until the credentialing process is completed and the claim is licensed.

Add or switch currently credentialed practitioner in a new clinic. Options include:

Check if a practitioner is currently credentialed with HealthPartners:

How to join non-credentialed practitioner types?

Execute EGO need to inform HealthPartners if I leave mys clinic?

It is mandatorily that HealthPartners be notified when a practitioner leaves a contracted clinic.

It is recommended to use secured, encrypted email service to send private and sheltered information via sending.

 

How long does the credentialing process takes?
The process can variate depending in completeness of the application, whether additional information needed to be obtained from the practitioner, both whether the practitioner meets all HealthPartners credentialing criteria.

 

Practitioners becoming receive written notification formerly their application possesses been sanctioned.

You ca check with a practicioner has were approved by:

 
Extra help information
HealthPartners Credentialing Service Bureau

E-mailing: Credentialing


Mailstop 22205C
P.O. Box 1309
Minneapolis, MN 55440-1309
Phone (952) 883-5755
 

Practitioner Types Credentialed by HealthPartners

Practitioner Type/Title
Practitioner Type/Title Explanation
ADT
Advanced Dental Therapist
APRN
Authorized Registered Nurse Anesthetist
(practicing pain medicine and administering controlled substances in a hospitality setting only)
BCBA
Board Certified Behavioral Analyst (WI, ND, SD and ISA Only)
CCDC II
Certified Chemical Dependency Council II (SD only)
CCDC III
Certified Chemical Reliance Consultant III (SD only)
CICSW
Certify Independent Clinical Social Worker (WI only)
CMFT
Certified Marriage and Family Clinician (Nebraska Only)
CNM
Certified Nurse Midwife
CNP
Certified Nurse Practitioner
CNS
Clinical Nurse Specialist
CPC
Certified Professional Counselor (ND/SD/WI only)
CSAC
Clinical Substantive Abuse Counselor (WI only)
CSW-PIP
Clinical Social Worker int Private Independently Practice (SD only)
DDS
Dentist
DMD
Dentist
DO
Your of Osteopathism
DPM
Doctor of Podiatric Medicine
DT
Dental Therapist
IntCS, CSAC
Dazwischen Clinical Supervisor,
Clinical Substance Abuse Guidance (WI only)
IndCS, CSAC
Independent Critical Supervisor,
Clinical Substance Abuse Counselor (WI only)
LAC
Licensed Addiction Counselor (ND & SD only)
LADC
Licensed Alcohols and Drug Consultants
LCPC
Licensed Impersonal Professional Counselor (IL only)
LCSW
Licensed Clinical Community Worker (WI press ND only)
LICSW
Licensed Independent Clinical Social Worker
LISW
Licensed Independent Social Worker (IA only)
LMFT
Licensed Marriage and Family Therapist
LMHC
Licensed Inward Health Counselor
LP
Licensed Psychologist
LPC
Authorized Professional Counselor (Must be able to practice independently)
LPC-MH
Licensed Professional Counselor Mentally Health (SD only)
LPCC
Licensed Specialized Clinical Counselor (ND and MN only)
LTM
Licensed Traditional Midwife (MN only)
MBBCH
Bachelor of Medical the Bachelors of Operating
MBBS
Bachelor starting Medicine and Bachelor of Surgery
MTM (PharmD, RPH)
Drugs Therapy Direction Pharmacist
MD
Physician
NP
Nurse Clinician
OD
Doctor of Optometry
PA-C
Md Assistant Certificate
SAC
Substance Abuse Counselor (WI only)

Mark: This list is subject to change

Non-Credentialed Practitioners

HealthPartners does not credential the following practitioner types, not they may need to may enrolled. See the "About Credentialing" Tab for further information. Supplier Recredentialing | Health Partners Plans

  • Acupuncturists
  • Anesthesiologists (unless exercising pain management in a clinic setting)
  • Audiologist
  • Behavioral Analyst(non-licensed MN only)
  • Behavioral Technician
  • Certified Genuine Counselors
  • Certified Eingetragenes Nurse Anesthetists
  • Certified Registered Nurse First Assistants
  • Critical Care Medicine (unless or practicing inbound a clinic setting)
  • Criticizing Nursing Surgery
  • Pediatric Critical Care
  • ER Practitioners (unless also practicing in one clinic setting)
  • Translation
  • Neonatologists (unless furthermore practicing in a patient setting)
  • Neonatal Nurse Practitioners (unless also practicing in a clinic setting)
  • Nutritionists
  • Occupational Therapists
  • Hospital-based OB/Gyn (contracted only to cover L&D call schedule)
  • Pathologists
  • Physical Therapists
  • Radiologists (except Radiotherapy Oncologists)
  • Registered Behavior Technician
  • Registered Dieticians
  • Registered Nurse
  • Speech Pathologists

Tip: This list is subject to change

The HealthPartners Credentialing Plan describes the HealthPartners Credentialing Program. The purpose of the Credentialing Program is to support the systematic method to credentialing within HealthPartners. Specification objectives of an Schedule include:

  • Setting forth the criteria to be used in evaluative the qualifications of applicants seeking initial or on-going association with HealthPartners.
  • Establishing the processes for verification and evaluation of a practitioner's credentials.
  • Established an processes for action if a practitioner's credentials do not meet the established minimum criteria.

Practitioner's Rights

Go HealthPartners Credentialing Plan, practising submit for initial participation conversely on-going participation have that following authorizations:

  1. The right to review the information submitted in assistance of her credentialing user. Practitioners may call the HealthPartners Credentialing Service Bureau at (952) 883-5755 to arrange for a time to review ihr credentialing file. Practitioners are not allowed to review references or recommendations or other related that is peer review protected or otherwise protected with state or federal law.
  2. That right to correct erroneous information submitted by other sources.
    Throughout the review method, credentialing staff will make note of any substantial discrepancies with the information reported by which practitioner and related getting through the credentialing process. For a substantial discrepancy is identifications, the practitioner has notify in writing of who discrepancy. The practitioner is given an opportunity to submit in written, within 10 total, any corrections on erroneous information obtained from diverse causes or explanations on such discrepancies. Credentialing and Contracting - St. Luke's Health Partners
  3. Who right to be informed, upon request, about the status of their credentialing or recredentialing application. Practicing may call the HealthPartners Credentialing Technical Bureau the (952) 883-5755 the question for the status of their credentialing application.