For Providers

Find the resources you need to help manage your patients’ health insurance benefits.

Contracting & Credentialing

Learn how to become a DAKOTACARE participating provider and begin the process of contracting and credentialing.

• How to Become a Participating Provider
• Initiate the Credentialing Process
• Status of Credentialing Request

Patient Health Management

Review the following resources to help you plan and deliver the best patient care.

• Preauthorization Requirements
• Preventive Services Coverage
• Preventive Drugs List
• Drug Formulary Lists

Provider Resources & Forms

• Claim Inquiry (pdf)
• Direct Bank Deposit (pdf)
• Electronic Remittance Advice (ERA) Enrollment (pdf)
• Payment Reason Codes
• Provider Change Request
• Preauthorization Request
• Security Administration Agreement (pdf)

Member Claims, Benefits & Eligibility

• Claims, Explanation of Benefits (EOB) and Exclusive Provider Organization (EPO) Plan
• Medical Benefits and Eligibility