Aspirus Health Plan Prior Authorization Form

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Authorizations Aspirus Health Plan - UCare

(3 days ago) Find drug coverage for each Aspirus Health Plan Medicare Advantage plan and information to request exceptions or authorizations on our Pharmacy page. A formulary outlining the covered drugs and associated limitations, along with criteria used for prior authorizations is available: 2024 Formulary 2023 … See more

https://medicare.aspirushealthplan.com/providers/authorizations

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Prior Authorization and Referral Request Form

(6 days ago) WEBPrior Authorization and Referral Request Form If faxing, please fax completed form and applicable supporting clinical documents to the appropriate fax number below. Aspirus …

https://www.aspirus.org/Uploads/Public/Documents/Integration/Aspirus-Health-Plan-Prior-Authorization-Referral-Request-Form.pdf

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Provider Forms Aspirus Health Plan - UCare

(3 days ago) WEBThe following are forms for providers who work with Aspirus Health Plan. Additional forms, information and instruction may be found on the individual pages related to …

https://medicare.aspirushealthplan.com/providers/provider-forms

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2024 Authorization and Notification Requirements

(7 days ago) WEBAspirus Health Plan or an organization delegated by Aspirus Health Plan to approve or deny prior authorization requests. NOTIFICATION The process of informing Aspirus …

https://media.aspirushealthplan.com/-/media/aspirus/provider/documents/auth_2024_asp.pdf?rev=0e8376bbd1e84e92a996e457f2ffa43b&hash=119ED8972A31A3DB2D0B9589F9AC4360

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Fax to 1-866-540-8935 Phone 1-866-540-8289 …

(3 days ago) WEBAspirus Health Plan Medicare Medical Drug Prior Authorization Form (01/2021) PriorAuthorizationRequestForm Aspirus Health Plan Medicare Medical Drug Prior …

https://media.aspirushealthplan.com/-/media/aspirus/provider/pharmacy/priorauthorizationmedicalinjectablerequestform_asp.pdf?rev=30ff2a86d8f74fbeb7ef355d6ae9e25e&hash=CADE070FE0D721ADF1CF5AF3BBA1BF6C

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Manage My Care - Aspirus Health Plan

(6 days ago) WEBReading your Member ID card. You will receive a Member Id card which identifies you as an Aspirus Health Plan member. The front of the card includes your ID number and group …

https://www.aspirushealthplan.com/Resources/ManagemyCare

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Info for Providers Aspirus Health Plan - UCare

(8 days ago) WEBProvider News. News Sign Up. 715-631-7412 or Toll-free 1-855-931-4851. Monday through Friday, 8 am to 5 pm. Claims Attachments: 715-787-7308. Claims Adjustments: 715-787 …

https://medicare.aspirushealthplan.com/providers

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Medical Injectable Drug Prior Authorization and Pre …

(3 days ago) WEBNon-contracted and MultiPlan providers complete this form to obtain authorization under the Medicare Advantage medical benefit from Aspirus Health Plan before administering …

https://media.aspirushealthplan.com/-/media/aspirus/provider/pharmacy/priorauthorizationmedicalinjectablerequestform_asp.pdf?rev=3e2f862b3a6e44cdbbe02e239e24dc3d&hash=B38B5CADF87AF5168FFF827461904FC8

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2022 Authorization and Notification Requirements Medical …

(7 days ago) WEBPrior Authorization / Notification Forms 2022 Aspirus Health Plan Authorization & Notification Requirements Revised 12/2021 Page 2 13 Important Information for Medical Authorization & Notification • Submit authorization requests 14 calendar days prior to the start of service for non-urgent conditions.

https://media.ucare.org/-/media/aspirus/provider/documents/auth_2022_medservices_asp.pdf?rev=05a5d05f93a64a46850917e275ab4f21&hash=723618DA44F666D9E515B575E5AAF502

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MEDICAL PRIOR AUTHORIZATION LIST - aspirus.org

(7 days ago) WEBMEDICAL PRIOR AUTHORIZATION LIST. Effective 03/26/2021. The following is a list of medical/surgical services which require prior authorization for contracted providers. …

https://www.aspirus.org/Uploads/Public/Documents/Integration/Aspirus-Health-Plan-Medical-Prior-Authorization-List.pdf

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Non Contracted Provider Resources Aspirus Health Plan - UCare

(2 days ago) WEBIf you contract with a third-party biller to call Aspirus Health Plan on your behalf, we need a signed acknowledgement form on file giving Aspirus Health Plan permission to release …

https://medicare.aspirushealthplan.com/providers/non-contracted-provider-resources

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Pharmacy Aspirus Health Plan - UCare

(7 days ago) WEBFax an Authorization Request Form (PDF) to Care Continuum at 1.866.540.8935; Call Care Continuum at 1.866.540.8289; Non-participating and MultiPlan providers can …

https://medicare.aspirushealthplan.com/providers/pharmacy

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Medical Drug Policies Aspirus Health Plan - UCare

(9 days ago) WEBCare Continuum, a subsidiary of Express Scripts, will review Medical Drug Prior Authorization requests for all Aspirus Health Plan Medicare Advantage plans. Submit …

https://medicare.aspirushealthplan.com/providers/pharmacy/medical-drug-policies

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MEDICAL PRIOR AUTHORIZATION LIST - aspirus.org

(9 days ago) WEBMember health plans require prior authorization for the home infusion administration and the drug(s). Some drugs may require a separate review through specialty pharmacy if …

https://www.aspirus.org/Uploads/Public/Documents/EmployeeBenefits/Aspirus-Medical-Prior-Authorization-List-Services-List-2021.pdf

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Medical Services Prior Authorization List

(3 days ago) WEBMedical Services Prior Authorization List Service/Procedure Notes CPT/HCPCS Acupuncture 97810, 97811, 97813, 97814 The Plan has made every Benefits must …

https://www.aspirushealthplan.com/webdocs/29666-AHP-Med-Services-Prior-Authorization-List.pdf

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Home Page - Aspirus Health Plan

(4 days ago) WEBGet the most out of your health insurance plan. With affordable plans that are easy to understand and manage, we’re your connection to better health. We offer an extensive …

https://www.aspirushealthplan.com/

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2023 Authorization and Notification Requirements Medical …

(9 days ago) WEBan Aspirus Health Plan - contracted facility: Notification required within 24 hours of inpatient hospital admissions. Notification required for transplant consult/evaluation and …

https://media.aspirushealthplan.com/-/media/aspirus/provider/documents/auth_2023_medservices_asp.pdf?rev=b34a4418caa646d89ba658dca0b2cf05&hash=B470E7EC124F69F24A04B318D787A2F4

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2022 PRIOR AUTHORIZATION CRITERIA - UCare

(3 days ago) WEBAspirus Health Plan requires your physician to get prior authorization for certain drugs. If you don’t get approval, Aspirus Health Plan may not cover the drug. Effective 12/01/2022 H6874_50040_062021_C U50040 (12/2022) Abiraterone Relapsing form of Multiple Sclerosis (MS), to include clinically-isolated syndrome, relapsing-remitting

https://media.aspirushealthplan.com/-/media/aspirus/public/plan-documents/2022/U50040_Aspirus_PACriteria_2022.pdf

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Payor Resources Aspirus Health Care

(3 days ago) WEBAction Planning Submission Form. Aspirus Network. Membership. Participating Payors & Plans. Payor Resources. ANI Members. Utilization Management and Pre …

https://www.aspirus.org/ani-payor-resources

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Aspirus Health Plan Medicare Advantage Provider Bulletin

(8 days ago) WEBAspirus Health Plan Medicare Advantage Provider Bulletin News and Information January, 2021 Working With Aspirus Health Plan - Medicare Advantage • By faxing 1-866-540 …

https://media.ucare.org/-/media/aspirus/provider/newsletters-and-bulletins/workingwithaspirushealthplanma.pdf?rev=5675e3844e454f43a1300e32cf794e83&hash=61BABC804541C310279DE880BC14F2DA

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2021 PRIOR AUTHORIZATION CRITERIA - UCare

(8 days ago) WEBAspirus Health Plan requires your physician to get prior authorization for certain drugs. prescriptions. If you don’t get approval, Aspirus Health Plan may not …

https://media.aspirushealthplan.com/-/media/aspirus/public/plan-documents/U50040_Aspirus_PACriteria_2021.pdf

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Medical Drugs Prior Authorization List - Aspirus Health Plan

(3 days ago) WEBMedical Drugs Prior Authorization List . Effective 12/22/2023 . The following is a list of medical drug services which require prior authorization for contracted providers. The …

https://p1.aspirushealthplan.com/shared/Aspirus/WebDocs/40035-AHP-Med-Drug-Prior-Authorization-List.pdf

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