HealthPartners

Summary

HealthPartners is a regional health plan, part of HealthPartners, Inc., offering dental, medical, and vision coverage operating in Minnesota and Wisconsin. Claims route under payer ID 94267, with 8 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through HealthPartners Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, professional claims, institutional claims, dental claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID

94267Also seen as 10484, 1525, 3411, 55764, CX009, HLPTMN and 2 more

Also known as

HealthPartners (MN), HealthPartners (Minnesota), HealthPartners (WI), HealthPartners (Wisconsin)

Uses CAQH

YesApplication route: CAQH application only

Service area

MN, WI

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

Common questions

What is the payer ID for HealthPartners?

The payer ID for HealthPartners is 94267. Alternate IDs seen across clearinghouses include 10484, 1525, 3411, 55764.

How long does HealthPartners provider enrollment take?

HealthPartners provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does HealthPartners require CAQH?

Yes. HealthPartners uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.

Does HealthPartners require ERA enrollment?

Yes. HealthPartners requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.

What states does HealthPartners cover?

HealthPartners operates in MN, WI. Coverage can differ by plan and product line, so confirm the specific plan before you file.

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