Information for Providers

Aspirus Health Plan Medicare Advantage Provider Manual (PDF)

Join Network or Update Network Information
Join the Medicare Advantage network, update credentialing information and/or manage demographic information.

Prior Authorization and Notification Requirements and Referrals
Resources for medical services, mental health and substance use disorder services, and medical drug coverage. Referral information and forms for
care management and disease management.

Claims & Billing
Forms, links and information for claims and electronic transactions.

Pharmacy
Formulary, Pharmacy Benefit and Medical Injectable Drug Prior Authorization Resources, and information about the Medication Therapy Management Program.

Clinical Practice Guidelines
Medical Services and Mental Health and Substance Use Disorders Services guidelines.

Payment Policies
Policies that assist in administering payment for benefits.

Provider Directory
Search for a Provider