H
Payer Directory

How to check HealthPartners eligibility

A portal or phone check takes a front-desk staffer 10–15 minutes per patient. A real-time 270/271 check returns plan status, copays, deductibles, and out-of-pocket maximums in seconds.

Payer ID 94267Real-time 270/271Enrollment required · weeksCommercial · Medicare

Three ways to verify HealthPartners coverage

  1. Payer portal — free, but one patient at a time and 10–15 minutes each with logins.
  2. Phone (IVR) — hold times vary; no written record for the chart.
  3. Automated 270/271 check — full benefit detail in seconds, batched for the whole schedule, from $0.50 per check.

HealthPartners at a glance

What billers need before running a check.

Payer ID
94267
Also known as 10484, 1525, 3411, 55764
Real-time eligibility
After enrollment
A one-time enrollment is required before checks can run (about weeks).
Coverage
dental, medical, vision
Commercial · Medicare
Operating area
Minnesota, Wisconsin

Supported transactions

What can be exchanged electronically with HealthPartners today.

TransactionStatus
Eligibility (270/271)
Real-time benefit and coverage checks
ENROLLMENT REQUIRED
Claim status (276/277)
Where a submitted claim stands
NOT AVAILABLE
Professional claims (837P)
Physician and outpatient claims
SUPPORTED
Institutional claims (837I)
Facility claims
SUPPORTED
Dental claims (837D)
Dental claims
SUPPORTED
Remittance (835 ERA)
Electronic remittance advice
ENROLLMENT REQUIRED
Coordination of benefits
Secondary-payer routing
NOT AVAILABLE
Claim attachments (275)
Supporting documentation
NOT AVAILABLE

Portal vs. phone vs. automated

The same verification, three ways.

Payer portalPhone / IVRAutomated check
Time per patient10–15 min15–30 minSeconds
Cost per check~$6.72 staff time*~$6.72+ staff time*from $0.50
Record for the chartScreenshotNoneFull audit trail
Whole-day scheduleOne at a timeOne at a timeBatched overnight

*CAQH Index benchmark for a manual eligibility verification.

Frequently asked questions

What is the payer ID for HealthPartners?+
HealthPartners uses payer ID 94267. It also appears as 10484, 1525, 3411, 55764 in some systems.
Does HealthPartners support real-time eligibility verification?+
Yes. HealthPartners supports real-time 270/271 eligibility checks after a one-time enrollment that typically takes weeks. Once enrolled, checks return in seconds.
How long does a HealthPartners eligibility check take?+
A portal check takes 10–15 minutes of staff time per patient. An automated real-time check returns in seconds and can run for an entire day's schedule overnight.

Run your first HealthPartners eligibility check in 5 minutes

From $0.50 per check, pay-as-you-go. No contract, no implementation project.

65%
fewer denials at Valley Diabetes & Obesity
90%
of eligibility checks fully automated
$107–149K
annual savings, small specialty practice
24 mo
in production