Administrative Manual

Our Administrative Manual applies to physicians, other health care professionals and facilities.

The Administrative Manual is intended to be used as a guide to assist participating providers and their staff in delivering covered services to Asuris members. This manual supplements your participating agreement and contains policies, procedures and general reference information.

Dentists and dental professionals should visit asurisdental.com for the CDT Guide or Dental Manual and Guidelines.

Notification of content changes

Updates to manual sections are posted at the beginning of the month in which they occur and a notification is included in our newsletter, The Connection℠. Our newsletter is published in February, April, June, August, October and December. Sign up to receive our newsletters via email. Please review new content promptly to ensure you have the most current information.

Learn more about us, view our Code of Business Conduct policy or our confidentiality information and requirements.

Section

Revision date

Change

6/2024

Clarified medical record request requirements and updated references to provider website

6/2025

Section reformatted

10/2023

  • Replaced outdated mailing addresses with paths to information on the provider website
  • Updated references of our Fraud and Abuse department to our Special Investigations Unit

6/2024

Clarified that not all member plans require a prescription for massage therapy

6/2025

  • Updated the list of home health codes eligible for reimbursement to align with the current reimbursement schedule
  • Effective September 1, 2025: Updating that clinical records will be required within 24 hours of medical inpatient admission

6/2025

Section reformatted

6/2025

Section reformatted

6/2025

Clarified that e-signatures also require date/time stamp and credentials

2/2025

Clarified that e-signatures also require date/time stamp and credentials

4/2025

Clarified Medicare Outpatient Observation Notice (MOON) requirements

Medicare Advantage Compliance Requirements (PDF) Note: Our Medicare Advantage providers must comply with the requirements in this section, in accordance with the Medicare Advantage Provider Compliance Addendum.

6/2025

Section reformatted

11/2023

  • Removed dental-related content and added information that dental providers can now find tools and resources on asurisdental.com/providers
  • Updated the description of The Bulletin

11/2023

  • Removed dental-related content and added information that dental providers can now find tools and resources on asurisdental.com/providers
  • Updated the description of The Bulletin
  • Updated the list of medical policy information

6/2025

Section reformatted

4/2022

Added information about provider education

4/2023

Updated treatment plans section