Provider OnLine

As a participating provider, you can now access valuable information at upmchealthplan.com by entering your user ID and password in the login box on this page. First-time users can create an account using the registration form below.

At UPMC Health Plan's Provider OnLine, you can:

• View up-to-date eligibility, PCP information, and covered benefits
• View real-time patient and claims data
• View members' historical coverage information
• Reduce the number of telephone calls to the Health Plan
• Receive 24-hour access to claims and coverage information
• Interact with the Health Plan on claims issues via a messaging system
• Determine a patient's primary insurance coverage
• Get an immediate response if mistakes are made submitting a claim (using HIPAA 837 forms)

• Provider Online Registration Form

eTransaction Information

• Electronic Claims Submission (837)
• 837 Companion Document
• Desktop Setup for File Submission and Implementation
• Electronic Remittance Advice (835)
• EFT Transfer Form