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Application information

Regions Hospital uses the services of HealthPartners Credentialing Services Bureau (CSB). CSB staff process applications and conduct primary source verification of applicant’s credentials including education, training, work history and licensure.

Regions Hospital is now using the Minnesota Credentialing Collaborative’s (MCC) ApplySmartTM system and is requesting practitioners and clinics join the MCC and use this web-based credentialing application for submission of the credentialing application to Regions. Join Now at http://Mncred.org.

If you or your clinic are already a member of the MCC and have an ApplySmart account, log on at ApplySmart to submit your credentialing application to Regions Hospital.

Our goal is to complete new applications within 90 days following receipt of a completed application. If you have a question or concern about the status of your application, please contact the CSB at 952-883-5755 or Medical Staff Services at 651-254-9415.

Fees

$150

This applies to any practitioner applying for active and associate privileges. Please send a check payable to Regions Hospital to the CSB address below. (Applications will not be processed until payment is received.)

Checklist

The Delineation of Privileges (DOP) form should be submitted along with your credentialing application and all other required documents through ApplySmart. You may upload or fax your Delineation of Privileges form into ApplySmart. While in your ApplySmart account, select Regions as a “Preference” and follow the links to upload or fax your documents.

  1. Print and complete the Delineation of Privileges for your specialty.
  2. Upload or fax the DOP into your ApplySmart account.
  3. Complete your credentialing application and Regions specific documents for submission in ApplySmart.
  4. Mail the application fee of $150 for active and courtesy staff to CSB using the instructions below.

Mailing instructions for payment

Sending by U.S. Postal Service:

HealthPartners Credentialing Services Bureau
MailStop: 21107Q
PO Box 1309
Minneapolis, MN 55440-1309

Sending by UPS, FedEx or other courier service:

HealthPartners Credentialing Services Bureau
MailStop: 21107Q
8170 33rd Ave. South
Bloomington, MN 55425