The Aspirus Health Plan Provider Portal offers healthcare professionals a comprehensive digital platform designed to streamline administrative tasks and enhance patient care management. This secure online tool provides critical functionalities for medical providers partnering with Aspirus Health Plan across Wisconsin.
Official Links
- Medicare Provider Portal: https://medicare.aspirushealthplan.com/providers/login
- Provider Resources Portal: https://p1.aspirushealthplan.com/providers/
What Providers Can Do
Healthcare professionals using the Aspirus Health Plan Provider Portal can:
- Check member eligibility
- View member copays and benefits
- Look up patient authorizations
- Check claim status
- Review Remittance Advice
Access and Login Process
Initial Access Requirements
- Have your organization’s Tax ID Number (TIN)
- Identify a Provider Administrator for your organization
- Receive and follow activation email instructions
Login Steps
- Navigate to the official provider login page
- Enter your username and password
- Complete any required two-factor authentication
Provider Administrator Responsibilities
Each organization must designate a Provider Administrator who:
- Sets up user accounts
- Provisions appropriate access levels
- Manages organizational portal permissions
Support and Assistance
Medicare Advantage Provider Assistance Center
- Phone: 715-631-7412
- Toll-free: 1-855-931-4851
- Hours: Monday through Friday, 8 am to 5 pm
Additional Resources
- Quick Reference Guide (PDF available)
- Admin Setup Guide (PDF available)
Privacy and Security
Aspirus Health Plan emphasizes:
- Secure account activation process
- Compliance with healthcare data protection regulations
- Restricted access based on organizational roles
Who Can Use the Portal
The provider portal is specifically designed for:
- Healthcare providers
- Medical practices
- Clinics
- Organizations with a valid Tax ID Number (TIN)
Accessing for the First Time
Providers must:
- Wait for activation email
- Follow secure account setup instructions
- Confirm organizational administrator status
Unsupported Access Scenarios
Providers should note:
- Individual users cannot self-register
- Only designated administrators can request organizational access
- Personal requests outside organizational channels will be denied
Important Considerations
- Keep Tax ID number readily available
- Ensure accurate organizational representation
- Verify administrator eligibility before requesting access
Potential Limitations (Unconfirmed)
Some details were not explicitly stated in the source documents, including:
- Specific mobile app availability
- Detailed billing features
- Comprehensive account management options
The Aspirus Health Plan Provider Portal represents a critical digital tool for healthcare professionals, offering streamlined access to essential patient and claims information with robust security measures.
Contact Information
Aspirus Health Plan
1900 Westhill Dr.
Wausau, WI 54401
Note: Always verify current information directly with Aspirus Health Plan
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FAQ
Is Aspirus Health Plan a PPO?With Aspirus Health Plan Essential Rx (PPO) included in your plan options, you can evaluate it alongside other plans to make an informed decision. Enroll online quickly, or consult with a licensed agent if you need assistance.
What is the phone number for aspirus health plan?Please contact the Aspirus Health Plan Individual Product Sales Department at 1.866. 631.4611 if you have questions or need assistance completing your application.
What is the deductible for the Aspirus health plan?What is the overall deductible? ANI Network: $1,750/$3,500 (individual/family) Signature Network: $2,000/$4,000 (individual/family) Out-of-Network: $7,500/$15,000 (individual/family) Generally, you must pay all of the costs from providers up to the deductible amount before this plan begins to pay.
Where do I mail my Aspirus health plan claims?Refer to Timely Filing Policy. Return completed form and documentation to: Aspirus Health Plan, Attn: Claims, PO Box 1890, Southampton, PA 18966 or Fax to 763.847. 4010.
https://medicare.aspirushealthplan.com/providers/login
Sign in to your account to: · Check member eligibility · See a member’s copays and benefits · Look up authorizations · Check claim status · View Remittance
https://p1.aspirushealthplan.com/providers/
If this is your first visit to this site, you need to Register in order to access the secure online provider portal. For chiropractic and acupuncture