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Request affiliation with Security Health Plan

An insurance plan is only as strong as its provider network. Security Health Plan has partnered with some of the leading physicians and health care organizations in the Midwest. Looking to join us? Follow the steps listed below.

Step 1: Complete our initial affiliation request documents

A Provider Contracts Specialist will contact you once the initial affiliation forms have been reviewed. We respond to all requests, but we do not guarantee that a contract offer will be extended. If a contract is extended, you will be asked to proceed with the steps outlined in Step 2 below.

Are you a provider for Durable Medical Equipment, a Chiropractic office, Hearing Aid provider, or a dentist? Please see the section below regarding affiliations not processed directly by Security Health Plan to learn how to be considered for our member networks.

For additional questions on our initial contracting process, please contact Provider Contracting at SHPProvContractSpec-mfld@Sanfordhealth.org.

Start your affiliation forms today!

Curious to learn more about Security Health Plan first? Learn more from our Provider Manual.

Need to return to a previously started, but unfinished form? See the email you received when you saved your progress for a direct link. You will need the access code provided by the prompt that confirmed your progress was saved. If you aren’t sure what your code is, contact  SHPProvContractSpec-mfld@Sanfordhealth.org.

Step 2: Site visit request

If we determine that you meet our contracting eligibility criteria, you will be invited to complete a self-site survey. This step must be completed before proceeding further. You will receive this information via the email provided in the Affiliation forms from Step 1.

Step 3: Credentialing

If approved to move forward with affiliation, you will then receive communications regarding credentialing, portal access, EFT set up, and ERA set up.  You will receive this information via the email provided in the Affiliation forms from Step 1.

Only after credentialing is complete for either your first individual provider or your facility will you receive a prepared contract.

For any additional questions regarding credentialing, please email our Credentialing Department at rf.shp.credentialing-mfld@sanfordhealth.org.

Credentialing policies:

Security Health Plan maintains policies for our credentialing and recredentialing process.

Affiliation Requests Not Processed directly by Security Health Plan

All durable medical equipment requests for affiliation for Security Health Plan are managed by Northwood. Please contact Northwood at 1-866-532-1344.

The Chiropractic provider network for our Commercial, SAS, and Medicare in the Northern portion of the state of Wisconsin are managed by Allied Insurance Solutions. Please complete a separate request and submit the information provided on the application.

The hearing aid provider network is managed by TruHearing. Please contact TruHearing via their website Hearing Aid Information For Providers | TruHearing.

The dental network for Security is managed by Delta Dental. Any affiliation requests for this network should be submitted directly to Delta Dental. Email: prteam@deltadentalwi.com Phone: 1-800-836-0490, press option 2; M-F 8 – 4:30 CST

Affiliation requests for these provider types will be denied back to the provider to submit to the correct agency for processing.