What is the process to become an in-network provider?

Contracting is a separate and distinct process from practitioner credentialing and enrollment. Both are required to participate in our network.

• Contracting is the formal process of obtaining a provider network agreement.
• Practitioner credentialing and enrollment is the formal process for ensuring network practitioners are qualified to treat our members.


• Learn more about the contracting and credentialing process.
• Visit the Join our network for more detailed information on becoming a network provider.

How do I check the status of my network participation request?

Contracting requests are managed by the HealthPartners Contracting and Payer Relations department. To check the status of your contracting request please contact Contracting and Payer Relations by clicking the link below.

• Check the status of a contract request.

What are your provider credentialing and enrollment requirements?

Before practitioner credentialing or enrollment can begin, you must be a contracted provider or have been offered a contract by HealthPartners. Once individual practitioners have enrolled with DHS, all EIDBI providers must complete either our provider credentialing or enrollment process below.

• Review credentialing resources at Credentialing and enrollment.

How do I check if a patient is currently insured with HealthPartners and eligible for EIDBI Services?

• Prior to services being rendered or obtaining a service authorization, use HealthPartners provider portal eligibility tools to obtain: policyholder, coverage and benefit details, coverage criteria and more.
  • Use our guest eligibility tool for basic member verification and coverage. No logon is required.
  • Log in or register for an account for complete eligibility and benefit details,
• Learn more about electronic connections. HealthPartners has established several connections for the exchange of eligibility inquiry and response transactions (270/271).
• You may also call our HealthPartners Member Services Department to obtain eligibility & benefit information.

What are HealthPartners prior authorization requirements for EIDBI services?

Authorization process:

• View the HealthPartners EIDBI policy:
  • Autism - early intensive developmental and behavioral intervention (EIDBI) – Minnesota Health Care Programs
  • Authorization requests are reviewed by Behavioral Health Utilization Management department.
• How to submit a request for authorization:
  • Fax required clinical information to 952-853-8830
• How long does it take for authorization review?
  • HealthPartners has 14 days to make a decision about a request.
• What documents are required for authorization review?
  • Comprehensive Multi-Disciplinary Evaluation (CMDE)

How do I bill HealthPartners for EIDBI Services:

1. HealthPartners requires all claims to be submitted electronically. Providers can visit our e-Services page for electronic claims submission options.
2. Please bill HealthPartners for your EIDBI services following the guidelines contained on DHS’s EIDBI Billing Grid.
3. Helpful Tips for billing EIDBI services

If I have additional questions, who at HealthPartners should I contact?

Visit our Contact us page for additional assistance.