mySanfordHealthPlan provider portal is Sanford Health Plan’s online portal available to providers. Through this secure online tool, you have access to information 24/7. With mySanfordHealthPlan provider portal you will be able to:
To request a mySanfordHealthPlan provider portal account, follow these steps:
If you have any questions or need assistance with setting up an account, please contact Provider Relations at (605) 328-6877 or (800) 601-5086. Choose option 2 and then option 4. You can also send an email to email@example.com.
How to request Prior Authorization
Prior authorizations for health care services should be obtained online by logging in to the mySanfordHealthPlan provider portal at sanfordhealth.org/Provider. Open the member record and choose “Create Referral”. The tutorial explaining how to request a prior authorization is located within the provider portal. NOTE: Oncology treatment and services must be entered and authorized through eviti|Connect online at eviti.com. High-end imaging services for select members and health plans must be entered and authorized through eviCore at evicore.com.
To reach our UM department please call (800) 805-7938 and follow the appropriate menu prompts. Team members are available 8 a.m. to 5 p.m. CST, Monday through Friday.
After hours, you may leave a message on the confidential voice mail and someone will return your call the following business day.
A list of services requiring prior authorization can be found online at sanfordhealthplan.com/priorauthorization.
You can access the provider directory on our site sanfordhealthplan.com or through mySanfordHealthPlan under Eligibility & Benefits:
For your convenience, you will find our forms posted outside the secure login of mySanfordHealthPlan for providers. Some of our commonly used forms include: Claim Reconsideration Form, credentialing applications for providers, Provider Information Update/ ChangeForm, Health Management Referral Form and more. To access a form, CLICK HERE.
What do our ID cards look like? The answer depends on our products and services. We created a document that gives you a high level overview of our ID cards and basic information. To view or print a sample CLICK HERE.
The Benefit Card is a special purpose Visa® card that gives members an easy, automatic way to pay for eligible healthcare expenses. The card is given to members who sign up for a medical FSA (Flexible Spending Account), Health Reimbursement Account (HRA) or Health Savings Account (HSA). To view or print a sample CLICK HERE.
The Provider Perspective and Fast Facts are electronic newsletters for providers and their office staff. With each newsletter, we share information about a variety of topics to keep you up-to-date. You can view past issues or sign up to receive the newsletter on our provider website, CLICK HERE.