Contracting and Credentialing

Contracting

If you would like to become a participating provider for Sanford Health Plan, contact our team at (855) 263-3544 or sanfordhealthplanprovidercontracting@sanfordhealth.org. We will provide you with more information about our products and services, the process you will need to complete to join our network, and answer all your questions. Our staff will send you the appropriate participation agreement (contract), provider payment methodology (fee schedule) and W-9 form.

Credentialing

Once you return the completed contracting paperwork, we will begin our credentialing process following NCQA standard guidelines. The provider credentialing applications listed below are for our initial credentialing process.

* Our Sanford Central Verification Office participates with the Minnesota Credentialing Collaborative, which allows credentialing applications to be submitted electronically through the site located at mncred.org.

Recredentialing

 All Sanford Health Plan participating practitioners and facilities must be recredentialed at least once every 36 months. Sanford Health Plan will send you a recredentialing application six months prior to your recredentialing date. Return the recredentialing application to Sanford Credentialing Verification Office

Credentialing and Recredentialing Policies

Sanford Health Plan maintains policies for our credentialing and recredentialing process. For access to our policies, simply click on the appropriate link below.