Are you looking for Individual & Group Provider Resources? Click here.
COVID-19 Information for Providers (PDF)
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.
- Check member eligibility
- See a member's copays and benefits
- Look up authorizations
- Check claim status
- View remittance advice
Provider Portal Quick Reference Guide
Are you looking for the Individual & Group Provider Portal? Click here.
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.
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.
Policies that assist in administering payment for benefits.
Search for a provider.
Commonly used forms.
Newsletters and bulletins for providers seeing Medicare Advantage members.
Product Information for Providers
Report Fraud, Waste and Abuse
1-800-450-2339 or complianceMA@aspirushealthplan.com
View past and current news on our Provider News page.
Receive our quarterly newsletter and provider bulletins with timely updates right to your inbox.
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