Provider Resources
Claims submission Address:
ATRIO Health Plans
Attn: Claims Submission
1620 Gateway Blvd., Suite 102A
Murfreesboro, TN 37129
Please send REFUND CHECKS to:
ATRIO Health Plans
2965 Ryan Drive SE
Salem, OR 97301
For claim inquiries, call 1-800-635-9148 or email us at atrioclaimsvm@topmd.health
Provider Education
- Provider Manual
- Issuing an Advanced Written Notice of Non-Coverage
- Fraud, Waste and Abuse Compliance Training
- CAHPS Information
- Clinical Practice Guidelines (CPG)
Provider Updates
- HH NOA Payment Changes for 2022
- 270_271 Transunion Eligibility Letter
- Annual Wellness Visit vs. Annual Physical Exam
Tools and Resources
- Provider Appeal Form - Electronic
- Provider Appeal Form - Fillable PDF
- PCP Attestation Form
- Medicare Advantage Formulary Information
- Medicare Advantage Plans Benefit Information
- Medicare Advantage Provider Directory
- Notice of Medicare Non-Coverage (NOMNC)
- Notice of Medicare Non-Coverage (NOMNC) - Instructions
- Notice of Medicare Non-Coverage (NOMNC) - SNF Checklist
- Waiver of Liability Form
- Protected Health Information Disclosure Form
- Appointment of Representative Form (CMS - 1696) (For Medicare Appeals, Grievances, and Coverage Requests only)
Medicare Star Rating Resources
View ATRIO's Star Ratings Program page for measure descriptions and resource materials. For questions on the Star Ratings Program, please click here to contact ATRIO's Quality Improvement.
Opioid Information for Prescribers
Opioid drugs (“opioids”) have serious risks such as addiction, overdose, and death. CMS is very concerned about the opioid epidemic and its effect on our communities, and is committed to a complete strategy to combat this public health emergency. Several drug management programs are in place to prevent and combat opioid overuse.
Click here to see the formulary-level opioid safety edits at the point of sale, as recommended by CMS.