UPMC Health Plan uses Interqual® criteria sets for prior authorizations

May 2024Education/Webinars

UPMC for Life Medicare Advantage credentialed providers may use the UPMC Health Plan Self-Registration Transparency Tool for additional information.


Recent Announcements

ACA Risk Adjustment Claims Submission Announcement

Notice: Submit your claims for ACA members
Jan. 2026Important Notices

Register for the Oral Health in Your Pediatric Office CME - accredited webinar

Please join us for a live, CME-accredited webinar on Wednesday, March 11 from noon to 1 p.m. that will provide an overview of oral health in your pediatric office. Providers with a(n) MD/DO, PA, CRNP, RN, or LPN may also apply for topical fluoride certification after completion of this course.
Jan. 2026Education/Webinars

CME Webinar: Compassionate Care for the Fasting Patient During Ramadan

Please join us for a live, CME-accredited webinar on Tuesday, Feb. 3, that will educate clinicians on providing compassionate and culturally sensitive care to fasting patients during Ramadan.
Jan. 2026Education/Webinars