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Credentialing and provider enrollment requirements

  • expand to learn moreView verification schedule for applicants.

    expand to learn moreView credentialing acronym definitions.

  • Name change or resignation requests

    To request name changes or to request medical/professional staff resignation, please contact the CVO at 612-262-2233 or credentialing@allina.com.

    Provider enrollment

    This process generally applies to practitioners who will be employees of Allina Health.

    By completing this process, it ensures the practitioner is enrolled with Medicare, Medicaid and applicable third-party payers to that Allina Health can bill and be reimbursed for care, treatment or services provided at an Allina Health facility.

    Please note that the rules and systems used to complete provider enrollment varies across health plans.

    If applicable, you would receive from the Allina Health Provider Enrollment Team information that would begin the process that sets you up as a billing provider with Medicare, Medicaid and third-party payers.

  • Requirements

    Requirements for clinical credentialing, privileging and provider enrollment processes are driven by regulation and accrediting body standards, including, but not limited to:

    • The Joint Commission (TJC)
    • the National Committee for Quality Assurance (NCQA)
    • Medical Staff Bylaws
    • Allina Health policies and procedures 

    In all cases, the length of time required to complete the credentialing processes are influenced by how timely Allina Health receives completed information and its verification.

    In the event you would be an employee of Allina Health we make every effort to use the information collected during your hiring process. However, we may ask for updated or additional information.

    Again, thank you for considering Allina Health. We look forward to having you join our efforts to transform health care and achieve best quality outcomes for our patients.

  • Compliance education

    You will also need to satisfy all federal and state mandated compliance education requirements. The Centers for Medicare and Medicaid Services (CMS) have created compliance and fraud, waste, and abuse education that should be reviewed on an annual basis.

    You will be required to attest that you have met all federal and state mandated compliance education requirements when enrolled, and then on an annual basis moving forward. 

    You can access the mandatory compliance education at the Medicare Learning Network® (MLN) Learning Management System (LMS).

    In addition, Allina Health has a list of self-learning packets you will need to read before you can work at Allina Health. You can find the list of topics you will need to complete on our Allina Health additional credentialing and privileging education requirements page.

  • Contact us

    Credentials Verification Organization (CVO)

    Office hours: Monday to Friday, 7 a.m. to 4:30 p.m.

    Phone: 612-262-2233

    Fax: 612-262-0837

    Email: credentialing@allina.com

    Mailing address: Credentials Verification Organization
    P.O. Box 43
    Minneapolis, MN 55407-0043

    Located at: 2925 Chicago Avenue, Minneapolis, MN 55407

  • CVO benefits

    Our CVO annual report provides a year in review of the progress made with implementing a fully electronic and paperless health care practitioner credentialing and privileging services at Allina Health hospitals.

    • Health care practitioners submit only one credentialing application and privilege form when applying to one or multiple Allina Health contracted entities at initial appointment or reappointment.
    • Eliminates duplication of credentialing application and verification processes.
    • Standardizes the credentialing process and privilege forms throughout Allina Health.
    • Efficiently stores and manages practitioner credentialing information for all contracted entities in one centralized department and database.