Credentialing and enrollment (2024)

When a practitioner joins a HealthPartners contracted clinic, the practitioner or clinic must submit a credentialing application.

Medical provider applications:

Medical application submissions:

• ApplySmart^TM system
  Complete your application and submit in one easy step using the ApplySmart^TM system. All MN-based medical clinics are required to use ApplySmart^TM for submission of initial credentialing applications. Clinics in other states may also use ApplySmart^TM.
  • Sign in to ApplySmart to submit your credentialing application.
  • Register for an ApplySmart^TM account at http://Mncred.org.


• Online credentialing application submission - Alternate option is to submit online through HealthPartners provider portal.



Medical and Behavioral Health: Minnesota Uniform Credentialing Application
Medication Therapy Management Pharmacists:MTM Credentialing Application



• Check status of credentialing application - Status check is only available for initial credentialing.

Dental provider application:

Initial Dental Credentialing Application

Dental application submission options:

• Preferred: Online credentialing application submission

Alternate options:

• Fax to: 952-883-5160
• Email: DentalContracting@HealthPartners.com
• Mail: HealthPartners Dental Credentialing
  Mailstop 21113A
  PO Box 1309
  Minneapolis, MN 55440-1309

It is recommended that an application be submitted at least 90 days prior to employment date. Practitioners may not see HealthPartners members and will not appear in directories or in any Member Service resources until the credentialing process is completed and the application is approved.

Add or change currently credentialed practitioner to a new clinic. Options include:

• Use the Provider Data Profiles application to make additions and changes and create a shareable PDF

• Medical, Behavior Health and MTM practitioners can submit the Minnesota Uniform Practitioner Change Form with the Site Location Addendum page

  See Also

  Support | CoverMyMeds: Electronic Prior Authorization PlatformSinglife: Save, Invest, Insure

• Dental providers complete the Dental Contracted Provider Change Notice

Check if a practitioner is currently credentialed with HealthPartners:

• Use the Provider Data Profiles application to review credential status. You can search any contracted practitioner by NPI

• Or email HealthPartners Credentialing Service Bureauto check the status of an application

How to enroll non-credentialed practitioner types?

• Use the Provider Data Profiles application to find practitioners using Add Practitioner search

• If not in Provider Data Profiles, use the Minnesota Uniform Practitioner Change Form (with the Site Location Addendum page if applicable) and fax or email to Provider Data Support

Practitioners (except Interpreters) must submit a NPI and license to be enrolled with HealthPartners

Do I need to inform HealthPartners if I leave my clinic?

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

• Use the Provider Data Profiles application to submit your changes and print a shareable PDF to submit to other parties
• Or Medical, Behavioral Health and MTM practitioners complete the Minnesota Uniform Practitioner Change Form
• Or Dental providers complete the Dental Contracted Provider Change Notice

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

How long does the credentialing process take?

The process can vary depending on completeness of the application, whether additional information needs to be obtained from the practitioner, and whether the practitioner meets all HealthPartners credentialing criteria.

Practitioners will receive written notification once their application has been approved.

You can check if a practitioner has been approved by:

• Check online by signing in Provider Data Profiles

• Or email HealthPartners Credentialing Service Bureauto check the status of an application

Additional contact information

HealthPartners Credentialing Service Bureau

Email: Credentialing

Practitioner Types Credentialed by HealthPartners

Note: This list is subject to change

Non-Credentialed Practitioners

HealthPartners does not credential the following practitioner types, but they may need to be enrolled. See the "About Credentialing" Tab for further information.

• Acupuncturists

• Anesthesiologists (unless practicing pain management in a clinic setting)

• Audiologist

• Behavioral Analyst(non-licensed MN only)

• Behavioral Technician

• Certified Genetic Counselors

• Certified Registered Nurse Anesthetists

• Certified Registered Nurse First Assistants

• Critical Care Medicine (unless also practicing in a clinic setting)

• Critical Care Surgery

• Pediatric Critical Care

• ER Practitioners (unless also practicing in a clinic setting)

• Interpreters

• Neonatologists (unless also practicing in a clinic 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 Radiation Oncologists)

• Registered Behavior Technician

• Registered Dieticians

• Registered Nurse

• Speech Pathologists

Note: 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 approach to credentialing within HealthPartners. Specific objectives of the Plan include:

• Setting forth the criteria to be used in assessing the qualifications of applicants seeking initial or on-going 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.

Practitioner's Rights

Under HealthPartners Credentialing Plan, practitioners applying for initial participation or on-going 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 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 10 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 and ask for the status of their credentialing application.