Navigating the healthcare landscape as a provider requires seamless communication and efficient support. For partners collaborating with HealthPartners, accessing the right contact information is crucial for smooth operations and optimal patient care. This guide serves as your comprehensive resource for HealthPartners provider phone numbers, ensuring you can quickly connect with the appropriate department for all your needs. Whether you have questions about claims, coverage, contracting, or any other aspect of your partnership, find the key contact details right here to streamline your administrative tasks and focus on what matters most: your patients.
Claims and Billing Inquiries
For all queries related to claims status, appeals, payments, authorizations, and general coding inquiries (excluding billing procedures), HealthPartners offers dedicated phone lines to assist you. To expedite your claims process, consider utilizing the secure Claim Status Inquiry tool available online.
Key Claim Resources:
- [Submit a claim appeal]([URL appeal claim form])
- [Submit a claim adjustment]([URL adjustment claim form])
- [Submit a claim attachment]([URL attachment claim form])
- [Submit a claim inquiry]([URL claim inquiry form])
- [Medical claim policies]([URL medical claim policies PDF])
Claims Contact Numbers and 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 |
Claim Mailing Addresses:
| Medical Claims | Dental Claims Department |
|---|---|
| HealthPartnersClaims | HealthPartnersDental Claims Department |
| PO Box 21024 | PO Box 211532 |
| Eagan, MN 55121 | Eagan, MN 55121 |
Coverage and Benefits Support
If you have questions about patient benefits, eligibility, medical policies, member appeals, out-of-service area care, or your network participation, HealthPartners’ Coverage and Benefits team is ready to assist. For quick eligibility checks, the online Eligibility Inquiry tool is a valuable resource.
Coverage and Benefits Hours:
Monday – Friday, 9 a.m. to 4 p.m., CT
Coverage and Benefits Contact Numbers:
| 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 |
Contracting and Payer Relations
For inquiries related to contract requests, medical contracts, tax ID or NPI updates, contract language, administrative requirements, reimbursement, authorization rules, escalated service issues, CIGNA concerns, or general business partnership questions with HealthPartners, reach out to Contracting and Payer Relations.
Utilize Provider Data Profiles to manage and update your clinic and practitioner information for HealthPartners directories.
[Submit an inquiry to contracting and payer relations]([URL contracting inquiry form])
Contracting and Payer Relations Contact Information:
| Department | Phone | Fax |
|---|---|---|
| Provider Contracting & Payer Relations | 952-883-5589 / 888-638-6648 | 952-853-8848 |
Additional Contracting Resources:
- [Join our network]([URL join network form])
- [Check status of a medical or behavioral health contract request]([URL contract status form])
- [Process for a medical or behavioral health contract request]([URL contract request process PDF])
- [Subscribe to FastFacts newsletter]([URL newsletter subscription form])
- [Find Specialty Provider Contacts]([URL specialty provider contacts PDF])
- [Find Primary Care Provider & Hospital Contacts]([URL primary care hospital contacts PDF])
- [Find Surgery Centers/Ancillary Provider Contacts]([URL surgery centers contacts PDF])
Credentialing Assistance
For status updates on existing credentialing requests. Note that providers must be contracted or working with a contracted provider to initiate credentialing.
[Submit a credentialing inquiry]([URL credentialing inquiry form])
Credentialing Contact Number:
| Phone | |
|---|---|
| 952-883-5755 / 866-630-0188 |
Learn More About Credentialing: [credentialing and enrollment]([URL credentialing enrollment page])
Dental Administration and Contracting
For dental contract, reimbursement, or escalated service issues, contact Dental Administration and Contracting.
Dental Contacts:
| Department | Phone | Fax |
|---|---|---|
| Dental Network Contracting | 952-883-5168 | 952-883-5160 |
| Dental Provider Relations | 952-883-6163 | 952-883-5160 |
Become a Participating Dental Provider: [Become a participating dental provider with HealthPartners]([URL dental provider form])
Medical Management Resources
For various medical management needs, utilize the following contacts.
Medical Management Contact Numbers:
| Type of care | Phone | Fax |
|---|---|---|
| General Medical Mgmt | 952-883-7888 / 877-499-7888 | 952-853-8713 |
| Disease & Case Mgmt | 952-883-5469 / 800-871-9243 | 952-853-8745 |
| Inpatient Case Mgmt | 952-883-6277 / 800-255-1886 x36277 | 952-853-8748 |
| HealthPartners Connect | 952-883-5469 / 800-871-9243 | 952-853-8745 |
| Hospital admission notification | 952-883-6400 / 800-316-9807 | 952-853-8705 |
Prior Authorization Program: For services requiring prior authorization, such as procedures, habilitative, rehabilitation, skilled nursing facility, home care, hospice, personal care attendant, and DME. Refer to the [prior authorization list]([URL prior authorization list]) for details.
Prior Authorization Contact: 952-883-6333 / 888-467-0774
Behavioral Health Services
For providers interested in joining the behavioral health network or requiring assistance with behavioral health services.
[Join our behavioral health network]([URL behavioral health network form])
Behavioral Health Contacts:
| Department | Phone | Fax |
|---|---|---|
| Prior authorization | 952-883-7501 / 866-669-3856 | 952-853-8830 |
| Personalized Assistance Line (PAL) | 952-883-5811 / 888-638-8787 |
Quality Measurement and Improvement
For questions about quality improvement, Clinical Indicators, HEDIS, medical practice guidelines, site surveys, complaint reporting, or the At Risk Registry program, contact Quality Management.
Email an inquiry to Quality Management
Quality Management Contact:
| Phone | Fax | |
|---|---|---|
| 952-883-6240 | 952-853-8735 |
Quality Resources:
- [Quality and cost assessment information]([URL quality cost assessment PDF])
- [Quality and measurement]([URL quality measurement page])
Pharmacy Administration Support
For inquiries regarding formulary exceptions or equivalents, specialty pharmacy, and MTM programs, contact Pharmacy Administration.
[Submit an inquiry to pharmacy administration]([URL pharmacy administration form])
Pharmacy Administration Contacts and Hours:
| Hours | Phone | Fax |
|---|---|---|
| Monday – Friday, 7 a.m. to 6 p.m., CT | 952-883-5813 / 800-492-7259 | 952-853-8700 / 888-883-5434 |
Pharmacy Resources:
- [Formulary information]([URL formulary information page])
- [MTM program information]([URL MTM program information page])
- [Pharmacy services]([URL pharmacy services page])
e-Services for Providers
For questions about electronic claims submission, remittances, eligibility, and EFT/ACH, contact e-Services.
[Submit an electronic transaction inquiry]([URL electronic transaction form])
e-Services Contacts and Hours:
| Hours | Phone |
|---|---|
| Monday – Friday, 8 a.m. to 4 p.m., CT | 952-883-7505 x3 / 855-699-6694 |
e-Services Resources:
- [Approved clearinghouses & Payer IDs]([URL clearinghouses page])
- [Electronic funds transfer (EFT)]([URL EFT enrollment page])
This comprehensive guide ensures that Healthcare Partners providers have easy access to all necessary contact information, facilitating efficient communication and support for a successful partnership focused on delivering exceptional healthcare.
