Updated September 1, 2026
Verify Sanford Health Plan Medicare Advantage eligibility in real time.
Sanford Health Plan Medicare Advantage supports electronic real-time eligibility. Send the check to payer ID RP035 and the full benefits picture comes back in seconds, before the patient sits down.
Also billed as: Great Plains Medicare Advantage
Seconds
The same Sanford Health Plan Medicare Advantage check that takes 15 to 25 minutes on the phone. Ten patients tomorrow: ten checks, or three hours on hold.
2 billing names
Sanford Health Plan Medicare Advantage shows up on cards under 2 names. Every one routes to payer ID RP035, and so do 3 older payer IDs still printed on cards. No guessing which card this is.
Medicare plans
Sanford Health Plan Medicare Advantage runs Medicare plans. Sign in and check any patient in one click before they arrive.
From $39/mo
Per location, billed yearly. Found checks are billed once a month, $2.50 each and less as you run more. No seat fees, no processing fees.
The phone way
Call, hold, transcribe, repeat.
Verifying Sanford Health Plan Medicare Advantage by phone means a menu, a hold queue, and 15 to 25 minutes per patient while someone at the desk reads benefits back by hand. Ten patients on tomorrow's schedule is half a workday on hold.
The real-time way
Payer ID RP035, in seconds.
The same check, sent electronically. Sign in and run it for any patient in one click, and Valian flags the ones that need a human look.
| By phone | In Valian | |
|---|---|---|
| Time per patient | 15 to 25 minutes on hold | Seconds |
| When it happens | Day of, squeezed between patients | Any time before the visit, in one click |
| What you get | Notes scribbled while someone reads benefits aloud | The full breakdown, saved to the patient |
What a Sanford Health Plan Medicare Advantage eligibility check returns
- Whether coverage is active, with plan and group details
- Deductible, and how much of it is already met this year
- Annual maximum, and how much of it is left to work with
- Coverage percentages by category: preventive, basic, major
- Frequency limits on cleanings, exams, and X-rays
- Waiting periods, where Sanford Health Plan Medicare Advantage reports them electronically
Eligibility result
Sample data- Status
- Active
- Plan
- PPO · Group 8823
- Deductible
- $50 · $0 met
- Annual max
- $1,500 remaining
- Preventive
- 100%
- Basic
- 80%
- Major
- 50%
- Cleanings
- 2 / year
Returned in seconds · payer ID RP035
How practices handle this today, in their own words
Verbatim from recorded calls to dental offices. Names withheld.
We call the insurance, or I go on their website and do it. Yeah, we manually do it.
We have a third party insurance verification team that does it for us. I’m not too sure, maybe like seven, ten minutes.
Our system does it, and the ones that are not set up for electronic, we do ourselves.
How getting set up works
Book a discovery call
A 15-minute call with our team: we show you a check and size your plan. Then you sign up from the link we send you: create the account, sign the agreement, and put a card on file.
Save your carriers and codes
Pick the insurance carriers you take and the codes you check.
Run a check in one click
Sign in, pick a patient and see their coverage in seconds before the visit, Sanford Health Plan Medicare Advantage included. No hold music, no portal logins.
Under half an hour of your time all in. See how the software compares, how a real-time check works, or what outsourcing costs.
What Sanford Health Plan Medicare Advantage supports through our network
- Real-time eligibility (270/271)
- Yes, in seconds
- Enrollment for eligibility
- None, checks work day one
- Dental claims (837D)
- Yes
- Claim status (276/277)
- Not through our network
- Electronic remittance (835)
- Yes, after a multi-step enrollment, typically within hours
- Electronic funds transfer
- Not through our network
- Claim attachments
- Not through our network
Names and IDs this payer goes by
Sanford Health Plan Medicare Advantage · Great Plains Medicare Advantage. Older cards may show payer ID 14373, 6572 and 9277. All of them route to payer ID RP035.
Payer site: www.sanfordhealthplan.com
How to verify Sanford Health Plan Medicare Advantage, step by step
Get the member ID and date of birth from the card or the patient.
Send the electronic eligibility request (a 270) to payer ID RP035.
Read the response (the 271): status, deductible, max, percentages, frequencies.
Save the breakdown to the patient. With Valian, all four take one click and a few seconds.
Sanford Health Plan Medicare Advantage runs Medicare plans across 5 states. Medicare dental benefits live in the specific Advantage plan, not in Medicare itself, so the plan on the card decides.
Sanford Health Plan Medicare Advantage, for your front desk
Portal, from Sanford Health Plan Medicare Advantage's own provider pages.
- Provider email
- ProviderExperience.SanfordHP@SanfordHealth.org
- Provider portal
- Medicare Advantage Provider Portal
Source: Sanford Health Plan Medicare Advantage, provider portal access request page. Checked September 19, 2026.
Sanford Health Plan Medicare Advantage, quick answers
Does Sanford Health Plan Medicare Advantage support real-time eligibility?
Yes. Eligibility checks to Sanford Health Plan Medicare Advantage clear electronically in seconds through payer ID RP035.
What payer ID do I use for Sanford Health Plan Medicare Advantage?
RP035 for eligibility transactions. The same payer also appears on cards as Great Plains Medicare Advantage.
What does a check cost with Valian?
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees. Sign in and run each check in one click before the visit.
Does Sanford Health Plan Medicare Advantage require enrollment before I can check eligibility?
No. Eligibility checks work from day one, with no payer enrollment paperwork.
Which Sanford Health Plan Medicare Advantage plans does this cover?
Sanford Health Plan Medicare Advantage runs Medicare plans in 5 states. The eligibility check reads the specific plan on the patient's card, whichever program it belongs to.
Can I get Sanford Health Plan Medicare Advantage remittances electronically?
Yes. Sanford Health Plan Medicare Advantage sends electronic remittance advice (835) after a multi-step enrollment, typically within hours.
What if the patient's card shows a different Sanford name?
Alternate billing names route to the same payer ID, RP035. The same check covers them.
More questions about verifying Sanford Health Plan Medicare Advantage? Schedule 15 minutes with us and bring your toughest plan.
Check any Sanford Health Plan Medicare Advantage patient in one click, before they walk in.
Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees.
Book 15 minutes, demo or onboarding
Pick a time, then tell us on the form whether it is a demo or an onboarding call.
Related payers
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- Verify Devoted Health eligibility
- Verify Medica eligibility
More payers operating in Iowa · More payers operating in Minnesota · More payers operating in Nebraska
Payer names and marks belong to their owners and identify the insurance company a practice can verify. Sample result shown for illustration; real results reflect the patient's actual plan. Payer capabilities can change between network updates.