Sanford Health Plan
Also covers / subsidiaries: Sanford Health Plan of the Dakotas, Align
Core Payer & Clearinghouse Profile
Electronic Payer ID
10533
EDI payer ID 91184 per clearinghouse listings.
Timely Filing Limit (TFL)
180 days from date of service
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse Gateway
National Clearinghouse / EDI Gateway
Provider Services
888-278-6485
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Sanford Health Plan, PO Box 91110, Sioux Falls, SD 57109-1110
Provider Portal
https://member.sanfordhealthplan.org/Portal/
Operates in ND/SD/IA/MN; also Medicare Advantage (Align).
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Sanford Health Plan.
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Sanford Health Plan.
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Sanford Health Plan | 10533 | Non-Par | None | 837P837I270/271276/277Dental |
| Sanford Health Plan | 91184 | Non-Par | Required | 837P837I835 ERA |
Resolution Tools for Sanford Health Plan Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
Tired of Chasing Sanford Health Plan Denials & Delayed Payments?
Aethera's billing specialists work Sanford Health Plan every day — handling EDI clearinghouse rejects, prior authorizations, payment posting, and 30-day AR aging recovery.