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Welcome Aspirus Medicare Advantage Providers

The information and tools below will assist you with credentialing information for the Aspirus Health Plan Medicare Advantage network and ensuring your demographic information is up to date. If you are new to our network, please see the Working With Aspirus Health Plan – Medicare Advantage (PDF).

Provider Directory

The latest version of the Medicare Advantage Provider Directory is available on the Member Resources page under each plan listing.

Join Our Network

If you are interested in joining the Medicare Advantage network, please:

Credentialing and Recredentialing

  • See providers that require credentialing in the Provider Credentialing chapter of the Aspirus Health Plan’s Provider Manual (PDF).
  • If a non-credentialed type, please refer to “Add or Update a Non-Credentialed Practitioner” in the “Manage/Update Your Information” section below.
  • Providing services to members before you are both contracted and credentialed will result in claims being denied, rejected or processed as out-of-network.
  • Each practitioner within your practice will have their own credentialing approval date. These dates may vary across practitioners, even if they are part of the same practice.
  • Credentialed practitioners are enrolled in all plans/products that the clinic/group is contracted under.
  • Recredentialing is performed every thirty-six months, or earlier for any recredentialing files with variations from credentialing. Recredentialing is conditional upon the practitioner continuing to meet Aspirus Health Plan’s credentialing standards and quality performance standards.
  • All actions related to acceptance, denial, discipline and termination of participation status for a practitioner or organization are governed by Aspirus Health Plan’s Credentialing Plan (PDF).
  • For additional information including the Credentialing/Recredentialing Process, please see the Provider Credentialing chapter of Aspirus Health Plan’s Provider Manual (PDF).
  • Aspirus Health Plan’s Credentialing Department has a dedicated email box for credentialing-related questions – credentialingMA@aspirushealthplan.com.

Manage / Update Your Information

Ensure that Aspirus Health Plan has accurate information for your organization, location and service providers.