Navigating the complexities of healthcare administration requires reliable support and clear communication. At Health Partners, we understand the importance of providing exceptional customer service to our valued health partners. This dedicated resource outlines the various channels and contact points available to address your inquiries efficiently and effectively. Whether you have questions about claims, coverage, contracting, or any other aspect of our partnership, Health Partners Customer Service is here to assist you.
Claims Assistance
For questions regarding claim status, appeals, payments, authorizations, and general coding inquiries (excluding billing procedures), Health Partners offers comprehensive support. To expedite your claim status checks, we encourage you to utilize our secure Claim Status Inquiry tool, accessible with your provider login.
Resources for Claims:
- Claim Appeals: Submit a claim appeal
- Claim Adjustments: Submit a claim adjustment
- Claim Attachments: Submit a claim attachment
- Claim Inquiries: Submit a claim inquiry
- Medical Claim Policies: Medical claim policies
Claims Contact Information:
| Product | Phone | Fax | Hours |
|---|---|---|---|
| Commercial | 952-967-6633 / 866-429-1474 | 651-265-1230 | M-F, 8am-4pm CT |
| Senior & 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 |
Claims 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 Support
For inquiries related to member benefits, eligibility verification, medical policies, member appeals, seeking care outside your service area, or your participation in specific HealthPartners networks, products, or member plans, our dedicated team is ready to assist.
For quick eligibility checks, leverage our online Eligibility Inquiry tool by signing in to your provider portal.
Coverage and Benefits Hours:
Monday – Friday, 9 a.m. to 4 p.m., CT
Coverage and Benefits 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 (MHCP) | 952-967-7998 / 866-885-8880 | 952-883-7666 |
Contracting and Payer Relations
Health Partners provides support for all contracting and payer relations matters. Contact us for questions about contracting request statuses, your medical contracts, tax ID or billing NPI changes, business ownership updates, contract language clarification, administrative requirements, reimbursement inquiries, authorization rules, escalated service needs, CIGNA related issues, or any specific questions regarding your business relationship with Health Partners.
Manage your clinic and practitioner information displayed by Health Partners through Provider Data Profiles. Sign in to update your details.
Submit an inquiry to contracting and payer relations
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: Join our network
- Contract Request Status: Check status of a medical or behavioral health contract request
- Contract Request Process: Process for a medical or behavioral health contract request
- FastFacts Newsletter: Subscribe to FastFacts newsletter
- Specialty Provider Contacts: Find Specialty Provider Contacts
- Primary Care & Hospital Contacts: Find Primary Care Provider & Hospital Contacts
- Surgery Centers/Ancillary Provider Contacts: Find Surgery Centers/Ancillary Provider Contacts
Credentialing Services
For inquiries about the status of existing credentialing requests, please reach out to our credentialing department. Note that providers must already be contracted or working with a contracted provider to initiate the credentialing process.
Submit a credentialing inquiry
Credentialing Contact Information:
| Department | Phone |
|---|---|
| Credentialing | 952-883-5755 / 866-630-0188 |
Further Credentialing Information:
- Credentialing and Enrollment Details: credentialing and enrollment
Dental Administration and Contracting
For all dental-related administrative and contracting inquiries, including dental contract questions, reimbursement concerns, or escalated service issues, please contact our dedicated dental teams.
Dental Administration and Contracting Contact Information:
| Department | Phone | Fax |
|---|---|---|
| Dental Network Contracting | 952-883-5168 | 952-883-5160 |
| Dental Provider Relations | 952-883-6163 | 952-883-5160 |
Dental Provider Resources:
- Become a Participating Dental Provider: Become a participating dental provider with HealthPartners
Medical Management Support
Health Partners Medical Management is available to assist with various aspects of patient care coordination and support.
Medical Management Contact Information:
| 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 prior authorization requests for services such as procedures, habilitative and rehabilitative services, skilled nursing facility care, home care, hospice, personal care attendants, and durable medical equipment (DME), please use the following contact:
952-883-6333 / 888-467-0774
Refer to the prior authorization list for detailed information.
Behavioral Health Services
Health Partners provides dedicated support for behavioral health services and inquiries.
Join our behavioral health network
Behavioral Health Contact Information:
| Service | 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 related to quality improvement initiatives, Clinical Indicators, HEDIS, medical practice guidelines, site surveys, complaint reporting, or the At Risk Registry program, please contact our Quality Management team.
Email an inquiry to Quality Management
Quality Management Contact Information:
| Department | Phone | Fax |
|---|---|---|
| Quality Management | 952-883-6240 | 952-853-8735 |
Quality Resources:
- Quality and Cost Assessment Information: Quality and cost assessment information
- Quality and Measurement Details: Quality and measurement
Pharmacy Administration Services
For inquiries concerning formulary exceptions or equivalents, specialty pharmacy services, and Medication Therapy Management (MTM) programs, please contact our Pharmacy Administration team.
Submit an inquiry to pharmacy administration
Pharmacy Administration Contact Information:
| 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: Formulary information
- MTM Program Information: MTM program information
- Pharmacy Services Overview: Pharmacy services
e-Services Support
For questions regarding electronic claims submission, remittances, eligibility verification, and Electronic Funds Transfer (EFT)/Automated Clearing House (ACH) processes, please contact our e-Services team.
Submit an electronic transaction inquiry
e-Services Contact Information:
| 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: Approved clearinghouses & Payer IDs
- Electronic Funds Transfer (EFT) Enrollment: Electronic funds transfer (EFT)
Health Partners is committed to providing comprehensive and accessible customer service to all our health partners. We hope this resource provides you with the necessary information to connect with the right team and receive the support you need.
