Credential Now

Connect to SecureCare’s network of providers:

To credential with SecureCare simply complete the registration form on the right side of this page. Once you click submit, you will receive an acknowledgment your information was sent. In the coming days, you will receive credentialing documents to the email address provided.

Minnesota Guidelines and Forms

Credentialing

Contacts

Payer & Provider Services
providerservices@securecarecorp.com
402-934-4744 x1

Credentialing
credentialing@securecarecorp.com
402-934-4744 x3

Provider Credentialing Request

1. PROVIDER INFORMATION

Please provide the name, degree, and individual NPI for each provider you would like to have credentialed through SecureCare.

Provider Names, Degrees & Individual NPIs(Required)

2. PRACTICE INFORMATION

Practice Name(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Tax Identification Number (TIN)(Required)

Group NPI (GNPI)(Required)

Other Practice Locations

If the providers listed above will practice at multiple locations, please list the Practice Name, Address, TIN, and GNPI for each additional location. You do not need to identify which providers will practice at each location. This information will be collected during the credentialing process.

Additional locations (Optional)

3. CONTACT INFORMATION

Name(Required)

First Last

Phone(Required)

Email(Required)

4. PAYER PARTICIPATION PREFERENCES (FOR MN & ND ONLY)

Providers will automatically be considered for all applicable SecureCare payer networks in their respective states. For Minnesota and North Dakota, please select the payer networks you are interested in joining based on the applicable provider types and geographic requirements. Participation is subject to payer-specific eligibility and network requirements. Selection does not guarantee participation. Providers may decline participation with any SecureCare-contracted payer at any time. Please select all applicable payer networks below, if applicable.

Minnesota

Blue Cross and Blue Shield of Minnesota (DC & PT)

Allina Health Aetna (DC)

First Health Aetna (DC & PT)

Medical Associates Health Plan (DC)

Network Effective Date: January 1, 2027. Counties: Blue Earth, Brown, Faribault, Le Sueur, Martin, Nicollet, Steele, Waseca, Watonwan.

North Dakota

Aetna North Dakota (DC, PT, OT, SLP)

Blue Cross and Blue Shield of Minnesota (DC & PT)

Minnesota-bordering counties only

5. ADDITIONAL INFORMATION (Optional)

Additional comments (Optional)

6. CREDENTIALING & PARTICIPATION ACKNOWLEDGMENT (Required)

6. CREDENTIALING & PARTICIPATION ACKNOWLEDGMENT(Required)

I understand that submitting this request does not represent credentialing approval or confirmation of participation with SecureCare or its contracted payers. The credentialing process is separate from this request and requires the completion and submission of the applicable credentialing documents provided by SecureCare. Questions? Contact SecureCare at credentialing@securecarecorp.com.

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