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.

Non-Contracted Provider Resources

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

Provider portal 

  • Check member eligibility
  • See a member’s copays and benefits
  • Look up authorizations
  • Check claim status
  • View remittance advice

 

Provider Forms
Commonly used forms.

Provider News
Newsletters and bulletins for providers seeing Medicare Advantage members.

Product Information for Providers – 2021 (PDF), 2022 (PDF)
Aspirus Health Plan Medicare Advantage Plans

Newsletter Sign Up

Receive our quarterly newsletter and provider bulletins with timely updates right to your inbox.

Need Help?

Give us a call

Provider Assistance Center:

715-631–7412 or Toll-free 1-855-931-4851
Monday through Friday, 8 am to 5 pm

Send us a fax

Claims Attachments: 715-787-7308
Claims Adjustments: 715-787-7307
Prior Authorization Requests: 715-787-7316
Mental Health and Substance Use Disorder Services Intake:
715-787-7314

Report Fraud, Waste and Abuse:
1-800-450-2339 or complianceMA@aspirushealthplan.com