Notice: Submit your claims for ACA members
Apr. 2024Important Notices
UPMC Health Plan would like to remind all network providers to submit all outstanding calendar year 2023 claims for ACA members no later than April 15, 2024. HHS requires all issuers to submit their calendar year claims to the EDGE server by April 30 every year in order to provide a more complete and accurate picture of each patient’s health status. Any claims adjudicated after the deadline are not included for EDGE data submission.
Claims can be submitted via the secure portal.
If you have any questions, please contact Provider Services or your physician account executive.
Claims can be submitted via the secure portal.
If you have any questions, please contact Provider Services or your physician account executive.
Recent Announcements
Voluntary nationwide recall: Famotidine (Fresenius – November)
Fresenius Kabi USA, LLC is recalling three lots (6133156, 6133194, and 6133388) of Famotidine Injection, USP, 20 mg per 2 mL. Famotidine is used to treat excessive secretion of stomach acid or stomach ulcers.Nov. 2025Pharmacy Updates
Medicaid provider update: High-cost Medicaid drug billing
Billing requirements for Medicaid-covered drugsNov. 2025Important Notices
Training Webinar: Conversio Health COPD Management Program
Please join us for a live training webinar for primary care providers and pulmonologists by UPMC Health Plan that will provide an overview of a comprehensive COPD management program from Conversio Health.Nov. 2025Education/Webinars