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Welcome Aspirus Medicare Advantage Providers

Aspirus Health Plan Medicare Advantage Provider Manual (PDF)

Join Network or Update Information

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

Non-Contracted Provider Resources 

Claims & Billing

Forms, links and information for claims and electronic transactions. 

Provider Portal 

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

Provider Portal Quick Reference Guide 

Provider Portal Login

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. 

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 Disorder Services guidelines. 

Payment Policies

Policies that assist in administering payment for benefits.

Provider Directory

Search for a provider.

Provider Forms

Commonly used forms.

Provider News

Newsletters and bulletins for providers seeing Medicare Advantage members. 

Product Information for Providers

2022 (PDF) and 2023 (PDF)

Report Fraud, Waste and Abuse

1-800-450-2339 or complianceMA@aspirushealthplan.com

Provider News

View past and current news on our Provider News page. 

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

News Sign Up

Medicare Advantage 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 & Substance Use Disorder Services Intake: 715-787-7314