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Request to be a contracted provider

Before providing services to Hennepin Health members, you must be contracted with us. Any claims submitted before an effective contract date will be processed as out of network or may be denied.

How to apply

A request for a contract is not a guarantee that you will receive a contract. The contract assessment process takes up to 30 calendar days.

1. Complete the Provider Information form online at our no-cost provider portal, eApply.

  • Review a step-by-step registration guide (PDF) 

2. Complete the following documents and submit them during you eApply registration. All providers must complete the following:

  • Location and practitioner roster (XLS) 
  • W-9 form  
  • Minnesota Secretary of State license verification
  • Health services checklist (PDF)
  • ACH form 

Credentialing and site visits

If you are approved to contract, you may be required to be credentialed or have a site visit. Our contracting and credentialing teams work in tandem to complete this process.

Credentialing 

Site visits 

Contract questions

Contact the Hennepin Health Network Management team at HHNetworkManagement@hennepin.us. 


Contact us

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612-596-1036, press 2

Provider manual

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