Sanford Health Plan is shifting away from accepting faxed prior authorization requests. Instead, to offer a more consistent and timely provider experience, all prior authorizations will need to route through the provider portal starting Oct. 1, 2025. 

Here’s what you need to know: 

• Beginning Oct. 1, 2025, all prior authorization requests will route through the provider portal. This will allow us to offer a more consistent provider experience – and a faster processing time – by facilitating direct communication between providers and health plan staff to resolve questions.
• Additional functionality will be coming in the near future called Epic Unified Authorizations and will include real-time feedback on codes and services requiring prior authorization. 
• The following exceptions will remain in place for faxed requests:
  
  • Urgent/emergent situations
  • Technical issues with the portal
  • Pre-approval from the provider relations team

The provider relations team can assist with questions and with portal access; they are available at 800-752-5863, Option 2.