Provider OnLine Enhancements
Apr. 2025Important Notices
Provider OnLine Enhancements
Provider OnLine will be launching enhancements to the authorization process on April 18, 2025.
The enhancement will include the following updates:
-
Present Type of Care selections based on details entered on the authorization form.
-
Display if prior authorization is required for the procedure entered on the authorization form.
-
Display ‘My Recent Authorizations’ to allow a user to easily see authorizations they entered within the last four calendar days.
-
Enhanced page design for authorization entry and inquiry.
Please view the quick reference guide and tutorial video at your convenience.
Recent Announcements
Certified Community Health Worker (CCHW) Provider Billing Notification
UPMC for You will now reimburse for up to three certified community health worker (CCHW) visits per member per calendar year for Medicaid recipients, per the Pennsylvania Department of Human Services (PA DHS).Apr. 2026Important Notices
CME Webinar: First Annual Dr. Jim Withers Lecture
Please join us for the First Annual Dr. Jim Withers Lecture, featuring Dr. Jim Withers, a global leader in compassionate, justice-centered careApr. 2026Education/Webinars
Provider Directory Updates and Required Attestation
As you know, UPMC Health Plan requires all providers to verify their provider directory information at least every 90 days (quarterly).Apr. 2026Important Notices