Clinical & Other Resources
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Claims
- Check your claim status here
- Claim Reconsideration Form is now located within the Provider Portal.
- Request Provider Portal Access (External use only. Sanford Health users submit an ESAR)
- Review Coverage & Claim Instructions (Page 12)
- Flu & COVID-19 Vaccine Roster
Credentialing Applications
Detailed Facility and Practitioner Credentialing forms and Sanford Provider HUB information can be found here.
Medical Management Forms
- Benefit Coverage Consideration Request Form
- Diabetes Eye Exam Consult Form
- Health Management Program Referral Form
- Medical Prior Authorization Request form
- ND Medicaid Expansion CSP Referral Form
- Prescription Drug Prior Authorization Request & Formulary Exception Form
- Synagis - Drug Prior Authorization Request and Formulary Exception Form