Aspirus Network, Inc. (ANI) is a Clinically Integrated Network of leading primary and specialty care physicians, hospitals and allied health care professionals. Aspirus Network negotiates contracts on behalf of its members with employers and health plans. ANI works closely with Aspirus’s new health plan, Aspirus Arise to help deliver direct access to high-value, personalized health care that aims to improve your health and well-being through all of your health care needs.
ANI aligns all elements of the care continuum to advance quality and improvement efforts that produce better clinical outcomes, enhanced patient experiences and controlled costs. Provider members of Aspirus Network have the opportunity to help identify and drive quality improvement initiatives, serve as advocates for healthier communities, and provide ongoing feedback on the network’s strategic direction
We understand patients have a choice – select the best health care providers knowing the benefits are:
Please visit the "Find a Provider" and "Find a Facility" tabs above to locate additional information for a specific provider.
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Aspirus Network delivers compelling value to the marketplace by collaborating with our members to leverage our unique perspective to improve cost and quality for our communities.
Founded as a physician hospital organization (PHO) in 1998, and formerly known as Preferred Health Services, ANI represented initially one hospital and approximately 200 physicians. In August of 2004, we changed our name to Aspirus Network, Inc., to leverage the Aspirus brand name and to strengthen our recognition throughout north central Wisconsin. In May of 2015, we transformed into a physician led Clinically Integrated Network (CIN) to align for “future state” value-based payor contracting and for population health management by focusing on the Triple Aim objectives. Today we represent over 500 physicians, 8 Hospitals, 9 Ambulatory Surgery Centers and many ancillary healthcare professionals. Aspirus Network is a wholly owned subsidiary of Aspirus, Inc.
Please click on the text below for more information about Aspirus Network's Governance Structure.
Aspirus Network, Inc. (ANI) is governed by a Board of Directors that consists of 9 elected members. Aspirus Network has four governing committees that report up to the Board. The Board has regularly scheduled monthly meetings with the right to hold a special meeting at the discretion of the Chairman or Executive Director. The Board meeting minute highlights are available to Aspirus Network provider members on our secure website.
The Physician Leadership Council is comprised of physician leaders collaborating to provide oversight for the Clinical Value program and support of quality or improvement efforts of Aspirus Network's Clinically Integrated Network (CIN). PLC has has regularly scheduled monthly meetings.
The Credentialing Committee has oversight of our credentialing policy and participation requirements for network membership. The Credentialing Committee evaluates provider applications, reapplications and supporting documentation regarding approvals, denials, terminations or other actions as it relates to payor credentialing. The Committee has regularly scheduled monthly meetings.
The Payor Contracting Committee (PCC) has oversight of the interpretation and evalution of Payor (or network) & employer market based reimbursement strategies and related contracts. PCC has regularly scheduled monthly meetings.
The Network Engagement Committee is responsible for investigating and evaluating mechanisms for engaging provider members in participation of Aspirus Network's Clinically Integrated Network (CIN). The Committee has regularly scheduled monthly meetings.
This search is a comprehensive directory of all providers in the Aspirus Network and is a useful tool for verifying that a provider's care is included in insurance plans that include the Aspirus Network. To verify your provider’s participation status in your health insurance plan, please refer to the information on the back of your health insurance identification card or check with your insurance carrier.
This search is a comprehensive directory of all facilities in the Aspirus Network that provide health care services and supplies. It is a useful tool for verifying that a facility's care, services or products are included in insurance plans that include the Aspirus Network. To verify participation status in your health insurance plan, please refer to the information on the back of your health insurance identification card or check with your insurance carrier.
Aspirus Network contracts with most Payors in the region. These Payors include health maintenance organizations (HMOs), preferred provider organizations (PPOs), and network only or "broker" arrangements. We also contract directly with employers and community business coalitions.
Please note coverage limitations are dependent on individuals and/or employer group contracts. To verify participation status in your health insurance plan, please refer to the information on the back of your health insurance identification card or check with your insurance carrier.
Access to collective contract negotiations leveraging our network of providers and population health management for highly competitive payor reimbursement
Integrated delivery of care
Streamlined Payor credentialing process
Dedicated service representatives to assist with Payor issues
Growth in access to covered lives through patient steerage and narrow network product offerings
Prestige in joining a comprehensive network of world-class providers
Preparation for shift from volume based reimbursement (fee -for-service) to value based reimbursement (pay-for-performance)
There are currently two membership options offered by Aspirus Network:
Clinically Integrated Network (CIN)
Participation with ALL Aspirus Network contracted Payors, including eligibility for participation in our Wisconsin Medicaid HMO plans if desired. There are general requirements that must be met in order to join our Clinically Integrated Network.
Participation ONLY with our local employer sponsored Payors, which offer benefit steerage to Aspirus Network providers.
If you would like to learn more about becoming an Aspirus Network provider member, please contact us at (715) 847-2107 or email CustomerService-ANI@aspirus.org.
At Aspirus Network, we want to help you easily access our services and staff.
3000 Westhill Drive, Suite 303
Wausau, WI 54401
ANI Customer Service: CustomerService-ANI@aspirus.org
ANI Credentialing: ANICredentials@aspirus.org
ANI CVP: CVP@aspirus.org
Payor credentialing is the process of assessing and validating the qualifications of a licensed provider to provide patient care under the accepted terms of Aspirus Network Payor contracts. As a benefit to our members, Aspirus Network holds delegated credentialing agreements with all of our contracted Payors. This equates to a streamlined credentialing process and providers only having to fill out one credentialing application to participate.
Frequently Asked Questions
Aspirus Network Credentialing Policy & Procedure
Aspirus Network Credentialing Workflow - Wisconsin Providers
Aspirus Network Credentialing Workflow - Michigan Providers
Aspirus Network must be notified of any changes to provider or group practice information that will affect patient claims. The Provider Change Form linked below should be completed within 10 days of your knowledge of any change. This form alerts Aspirus Network and gives us the information needed to update our records and online directory. Aspirus Network will also notify our contracted Payors of the change, which is important for claims processing and payment. You may be asked to provide a copy of a current W9 and sample claim.
Provider change form for Wisconsin providers.
For changes to Michigan providers, please contact UPHP email@example.com or (906) 226-4285
Examples of changes: name changes (provider & practice), providers changing locations, practice address changes, provider resignations or terminations.
If so, please fill out the Pre-Application Form to initiate the Aspirus Network Payor credentialing process.
Pre-Application Form - Wisconsin providers only
Please email the completed form to firstname.lastname@example.org or Fax to 715-847-2318
Michigan providers, please contact UPHP email@example.com or (906) 226-4285