Provider Perspective

Up-to-date information for Sanford Health Plan providers

Remittance Error

Sanford Health Plan was made aware of errors on remittances, both electronic and paper, starting Jan. 16 through Feb. 3, 2023. We have identified the problem, determined that payments received with these remittances were accurate, but that on some of the claim lines information was missing or had $0.00 listed rather than actual dollar amounts.

 In an effort to reduce the impact to you, we have worked with our remittance vendor to regenerate these remittances correctly without duplicating the payments. These will be sent to you based on your remittance receipt elections within the next two weeks. Again, these remittances are replacing those previously sent, not in addition to.

 We thank you for your patience as we worked through this issue and sought an acceptable resolution. As always, we appreciate everything you do to keep our members healthy. If you have any further questions, please contact Sanford Health Plan Provider Relations department at (800) 601-5086.

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Weight Loss Drugs

As of 1/1/2023, Sanford Health Plan will discontinue coverage of weight loss medications. We recognize this change may alter your treatment plan for certain members.

To accommodate those members already taking one of these medications, their authorizations for refills will remain in effect until 3/31/2023.

Provider Education Series

Our Provider Relations team will continue the Provider Education Series in 2023. Below are the expected dates for each session. Each quarter, we strive to provide a high-level overview of the issues that providers like you bring to our attention.

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2023 Dates
• April 7, 2023- RESCHEDULED from March 3rd
• June 2, 2023
• September 8, 2023
• December 1, 2023

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