Provider Resources
Access essential resources for MyAdvocate Medicare Advantage providers, including claims submission details, pharmacy support, prior authorizations and network participation.
Providers and Partners
MyAdvocate Medicare Advantage has a philosophy of encouraging proactive health care and offering programs and services that can make a difference in our members', your patients’, quality of life. We believe in providing exceptional benefits and an abundance of attention to our members. And, we believe MyAdvocate Medicare Advantage providers deserve the same.
We are committed to simplifying the administration of health insurance, so our providers can devote their attention to providing high-quality health care. We are always available if questions arise, and we collaborate with our providers to help ensure the efficient delivery of superior care to our members.
Claims
Claims should be submitted to MyAdvocate Medicare Advantage using Payor ID 39045. We encourage you to submit claims electronically for faster reimbursement and increased efficiency. Accepted claim forms are the CMS professional 1500, UB-04, or ADA claim forms.
The plan also offers the ability to submit professional 1500 claims through our MA Provider Portal.
Paper claims can be mailed to:
MyAdvocate Medicare Advantage
P.O. Box 8000
Marshfield, WI 54449-8000
For Prescribers and Pharmacies
MyAdvocate Medicare Advantage provides Medicare Part D prescription drug coverage through our partner, OptumRx.
OptumRX Pharmacy Help Desk
Call 1-844-504-5955 (TTY: 711)
Refer to the Member Resources page for formulary, prior authorization criteria and step therapy criteria.
Become a Network Provider with MyAdvocate Medicare Advantage
MyAdvocate Medicare Advantage contracts with physicians, facilities and other allied providers to ensure we have an adequate provider network which is essential for the delivery of health care services to our members. All providers must be credentialed before they can be added to our network as a participating provider.
For more information on becoming a contracted provider, please call (888) 298-4650 (TTY: 711) or email sanfordhealthplanprovidercontracting@sanfordhealth.org.
Provider Materials
- Request for Authorization – Medical Services
- Genetic Prior Authorization Request
- Post Acute Prior Authorization Request
- Prescription Drug Prior Authorization Request
- Prior Authorization Chart
- Provider Appeal Form
- Provider Manual (Coming January 2026)
- Waiver of Liability
BESHP, Inc. (MyAdvocate Medicare Advantage), is an HMO-POS plan with a Medicare contract. Enrollment in BESHP, Inc. depends on contract renewal. BESHP, Inc. complies with applicable federal civil rights laws and does not discriminate, exclude or treat people differently on the basis of race, color, national origin, religion, pregnancy and related conditions, sex (including sexual orientation, gender identity, sex stereotypes, sex characteristics and intersex traits), age, disability, health status, marital status, arrest or conviction record or military participation in the administration of the plan, including enrollment and benefit determinations.
CMS ID Number: H0816_MyAMAWebsite_07-25_NE_M
2025 MyAdvocate Medicare Advantage (BESHP, Inc.). All rights reserved.
Last Updated On: 9.19.2025 at 4:00 PM