Learn more about changes to the Quarterly Provider Attestation process starting in October 2024
New as of Oct. 1: Upcoming transition to CAQH
Effective Oct. 1, 2024, UPMC Health Plan will be using a new vendor for the Quarterly Attestation process form. All attestations must be through Council for Affordable Quality Healthcare (CAQH). Please note this does not apply to Premier Partner offices.
As you know, UPMC Health Plan requires all providers to verify their provider directory information at least every 90 days (quarterly). This allows us to comply with Centers for Medicare & Medicaid Services, Department of Human Services, and Pennsylvania Insurance Department requirements to maintain accurate directories, as well as the federal No Surprises Act (effective Jan. 1, 2022). Please be aware of the following points to help ensure a successful transition:
- CAQH registration and updates. If you’re already registered with CAQH, please continue to visit the CAQH Provider Data Portalcreate a CAQH profile. The CAQH Provider Data Portal will guide you through completing your information, managing your profile data and supporting documentation, and attesting your information.
- Information access. Search for your name in the online directory to view and update your information or use the online request form to make updates.
- Verification process. At the beginning of each quarter, CAQH will email you to verify that your provider information is accurate. It will make a follow-up phone call if necessary.
We are here for you!
If you have any questions, want help with your updates, or need to change your contact information, please contact your physician account executive or email providernetworkinquiries@upmc.edu.