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.

Payment Policies
Policies that assist in administering payment for benefits under Aspirus Health Plan Medicare Advantage plans.

Provider News
Newsletters and bulletins for providers seeing Medicare Advantage members

Aspirus Health Plan Medicare Advantage Provider Manual (PDF)

Product Information for Providers (PDF)
Aspirus Health Plan Medicare Advantage Plans

Provider Bulletin: Working with Aspirus Health Plan (PDF)

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

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

Send us a fax or email

Claims Attachments: 715-787-7308
Claims Adjustments: 715-787-7307
Prior Authorization Requests: 715-787-7316

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