Important Notice Regarding Prior Authorizations for MP.PA.147

Jul. 2025Important Notices

UPMC Health Plan previously communicated that prior authorizations would be required under policy Diagnostic and Surveillance Colonoscopy, 18 Years Old and Older – MP.PA.147 effective June 1, 2025. However, the prior authorization requirement will be paused until Sept. 1, 2025.

Authorizations that have already been submitted will be entered without a review. Patient care should not be delayed or interrupted.

The provider is responsible for clinical decisions and billing. An authorization is not a guarantee of payment for services rendered. 

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