Review the sections below for the documents needed to upload with your submission.
Practitioners will receive written notification once their initial application has been approved.
Hospital Credentialing/Privileging
Please mail credentialing fee(s) as noted on the application invoice.
Initial Credentialing
To begin credentialing with HealthPartners or adding privileges at a new hospital/entity:
- Fully completed MN Uniform Credentialing Application OR Update Application
- Copy of Malpractice Face sheet
- Health History form and documentation
- Hospital Attestation, Secondary Interests Disclosure form and Designated Physician Coverage form, as applicable.
- Delineation of Privileges form
- Hospital specific staff category form(s)
- Background forms (MN/WI specific)
Reappointment
- Reappointment Worksheet, including Disclosure questions, explanation for any affirmative answers, Authorization and Release, Peer Reference Page.
- Copy of Malpractice Face sheet
- Hospital Attestation and Secondary Interests Disclosure form
- Delineation of Privileges form
HealthPartners medical and dental health plan
You can check the status of your application by any of the following:
Initial Credentialing
Before credentialing can begin, you must be a contracted provider or have been offered a contract.
- Fully completed MN Uniform Credentialing Application
- Copy of Malpractice Face sheet