Self-servicing update
Apr. 2024Important Notices
Beginning Monday, April 15, 2024, UPMC Health Plan participating providers who need a general claim status, member eligibility or benefit information, help creating or verifying on an authorization, assistance accessing an EOP, or to check information will be required to use our self-servicing options on our online portal at upmchealthplan.com/providers or our Interactive Voice Response system (IVR). If you have any questions, please contact the Provider Services Web Support Team at 1-800-937-0438.
Recent Announcements
August 2026 UPMC for You and UPMC Community HealthChoices Formulary Updates
Effective Aug. 15, 2026, UPMC for You and UPMC Community HealthChoices are updating their formularies.Jul. 2026Pharmacy Updates
Give feedback on your experience with UPMC Health Plan
You may be invited to participate in a 2026 Press Ganey provider satisfaction survey, which will begin next month. This survey will be given to a random sampling of in-network primary care providers.Jul. 2026Important Notices
Prescription for Wellness - Leveraging Insurance Carrier Resources to Optimize Patient Engagement Outcomes!
Prescription for Wellness is a nationally recognized, Six Sigma-developed best practice system that provides a convenient and effective way for providers to prescribe resources and support offered by UPMC Health Plan to their patients who are UPMC Health Plan members.Jul. 2026Education/Webinars