The Provider Application attached below is the Sanford Health Plan's initial credentialing application. This application would need to be completed by new providers that have NOT previously been credentialed for Sanford Health Plan.
A recredentialing application is a pre-populated application with the provider's information already completed so all the provider needs to do is update her/his application. This application is sent to the provider by Sanford Credentialing Verification Office six months before her/his recredentialing period is expired.
For additional credentialing questions please call the Provider Relations Department at 605-328-6877 or 1-800-601-5086.
SD Provider Application
pdf (106k)
IA Provider Application
pdf (476k)
MN Provider Application
pdf (500k)
Facility Credentialing Application
pdf (44k)
Credentialing Policy PR-06
pdf (81k)
Credentialing Policy PR-10
pdf (76k)
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