Information for Providers

Our Network
How to search for a Provider, apply to join the Aspirus Health Plan Medicare Advantage network and update 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 and Transitions.

Clinical Practice Guidelines
The primary source for Medical Services and Mental Health and Substance Use Disorders Services guidelines.