Navigating healthcare can be complex. This guide provides a comprehensive overview of Health Partners Customer Service, outlining various contact points for members and providers seeking assistance with claims, benefits, contracting, and more. We’ll equip you with the necessary information to efficiently address your healthcare needs with Health Partners.
Accessing Health Partners Customer Service: Key Departments
Health Partners offers dedicated customer service channels categorized by specific needs. This ensures efficient routing and quicker resolution times. Let’s delve into the key departments:
Claims Support
For inquiries regarding claim status, appeals, payments, authorizations, and general coding questions, Health Partners provides dedicated support. Utilize their secure online Claim Status Inquiry tool for immediate access to information.
Online Resources:
- Submit a claim appeal
- Submit a claim adjustment
- Submit a claim attachment
- Submit a claim inquiry
- Medical claim policies
Contact Information:
| Product | Phone | Fax | Hours |
|---|---|---|---|
| Commercial | 952-967-6633 / 866-429-1474 | 651-265-1230 | M-F, 8am-4pm CT |
| Senior and Public | 952-883-7699 / 888-663-6464 | 952-883-7666 | M-F, 8am-4pm CT |
| Dental | 651-265-1000 / 800-642-1323 | 651-265-1001 | M-F, 8am-4pm CT |
Mailing Addresses:
| Medical Claims | Dental Claims |
|---|---|
| HealthPartners Claims | HealthPartners Dental Claims Department |
| PO Box 21024 | PO Box 211532 |
| Eagan, MN 55121 | Eagan, MN 55121 |
Coverage and Benefits Assistance
Questions related to benefits, eligibility, medical policies, member appeals, out-of-network care, and network participation can be directed to the Coverage and Benefits team. Their online Eligibility Inquiry tool offers a quick and convenient way to access information.
Online Resource:
Contact Information:
| Product | Phone | Fax | TTY |
|---|---|---|---|
| Commercial | 952-883-5000 / 800-883-2177 | 952-883-5666 | 952-883-5127 / 888-850-4762 |
| Medicare Cost | 952-883-7979 / 800-233-9645 | 952-883-7666 | |
| Medicare Advantage | 888-360-0544 | 952-883-7333 | |
| MN Health Care Programs | 952-967-7998 / 866-885-8880 | 952-883-7666 |
Operating Hours: Monday – Friday, 9 a.m. to 4 p.m. CT
Other Essential Health Partners Customer Service Contacts
Beyond claims and benefits, Health Partners offers dedicated customer service for various other needs:
Contracting and Payer Relations
This department handles inquiries related to contracting status, contract details, reimbursement policies, and administrative requirements.
Credentialing
Providers can check the status of their credentialing requests through this department.
Medical Management
This team addresses inquiries about various care management programs, prior authorizations, and hospital admission notifications.
Behavioral Health
Dedicated support for behavioral health services, including prior authorization.
Pharmacy Administration
This department handles questions concerning formulary exceptions, specialty pharmacy, and medication therapy management (MTM) programs.
e-Services
For assistance with electronic claims, remittances, eligibility verification, and electronic funds transfer.
Conclusion: Navigating Health Partners Customer Service with Ease
Health Partners offers a comprehensive network of customer service channels designed to address the diverse needs of its members and providers. By understanding the specific departments and utilizing the available resources, you can efficiently navigate the healthcare system and obtain the necessary support. Remember to leverage online tools and resources whenever possible for quick access to information and streamlined service.
