2007 Provider Manual

This manual provides physicians, hospitals and other health care practitioners in the UPMC Health Plan network with a succinct, easy-to-use guide to the Health Plan's business and medical management practices. This manual directs users to important information through several devices:

Key Points

Key Points are major highlights about a particular topic. These points are listed in bullet form for easy readability.

	Closer Look Closer Looks provide additional information about a topic, such as an   important phone number, address, or useful fact.
	Alert Alerts draw attention to critical information.

Table of Contents

	Welcome and Key Contacts
	Provider Standards & Procedures
	UPMC Health Plan (Commercial)
	UPMC for Kids (CHIP)
	UPMC for You (Medical Assistance)
	UPMC for Life (Medicare)
	Medical Management
	Claims Procedures
	Member Administration
	Pharmacy Services
	Glossary & Abbreviations