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Providers

Provider Partner Update — April 2021

As a provider-led health insurer, we have a unique appreciation for the partnerships we share with our network doctors and care providers. Our Provider Partner Update newsletter includes the latest news and information for network providers.

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Providers

For Dentists

Learn about the dental products UPMC Health Plan offers and the variety of resources available to network providers.

Providers

For Vision Providers

UPMC Vision Advantage and UPMC Vision Care* make it easy for you to give your patients high-quality vision care and preventive services. Learn about and take advantage of the resources available to you as a network provider.

*Administered by National Vision Administrators®

Providers

For HCBS Providers

UPMC Community HealthChoices is one of the managed care organizations selected to provide Community HealthChoices (CHC) services in Pennsylvania to those who qualify for Medical Assistance and also qualify for Medicare or require a nursing facility level of care.

Announcements

Get the latest updates from UPMC Health Plan, including updates to our Provider COVID-19 FAQ and Appendix A – COVID-19 Special Coverage and Payment Policy.

Read Announcements

Provider Partner Update Archive

Find the latest and past issues of our informative newsletter designed specifically for our provider partners.

Read More & Subscribe

Our Provider Network

Interested in joining UPMC Health Plan’s provider network? Start here. Already in our network? You can update your information here as well.

Contact Us

Have a question or need to contact us? Find help for providers here.

See All Contact Info

Provider OnLine

As a participating provider, you can access valuable information online via Provider OnLine.

Register for Provider OnLine

Watch and Learn More About Provider OnLine

Resources & Information

UPMC Health Plan SKYGEN USA

Children's Health Insurance Program: UPMC for Kids (CHIP) Dental Advantage

Federal Employees: Federal Employees Health Benefits Program (FEHB) Dental Advantage

Medical Assistance:

  • UPMC for You Dental Advantage
  • UPMC Community HealthChoices (CHC) Dental Advantage

Medicare: UPMC for Life Dental Advantage (University of Pittsburgh retirees only)

Medicare Special Needs Plans: UPMC for Life Dental Advantage

Learn About SKYGEN USA

SKYGEN Provider Portal

  • Available 24 hours a day, 7 days a week
  • For help utilizing the provider web portal, registering, or requesting training, contact SKYGEN USA’s Portal Services Team at dentalproviderportal@skygenusa.com or call 1-844-621-4576.
Log In to the SKYGEN Provider Portal

Resources for Participating Dentists

These resources, such as the Provider Manual, can assist you with administrative and practice needs.

Go to SKYGEN Resources

Contact Us

For additional information, please call SKYGEN Provider Services at 1-855-806-5193 or email providerservices@skygenusa.com.

UPMC Dental Advantage

Commercial and Medicare

UPMC Dental Advantage offers competitive rates, convenient tools, and rapid reimbursement. Discover the advantages of joining, and learn about resources available to you as a network provider.

Products:

  • UPMC Dental Advantage Group Commercial & Discount Plans
  • UPMC Dental Advantage Small Group Essential Health Benefits
  • UPMC Dental Advantage Medicare Individual and Group (excluding University of Pittsburgh Retirees)

UPMC Dental Advantage Provider Portal

Visit our secure website, where network providers can sign in and complete most administrative tasks. You also can register to join the network.

Log In to the Dental Advantage Provider Portal

Join Us

Dentists in our network enjoy top-notch support that makes it easier to run a successful practice. So can you. We’re happy to give you more information about becoming a UPMC Dental Advantage provider.

Learn More and Apply

Resources for Participating Dentists

Download a form for your practice, update your profile, or learn how to report fraud and abuse.

Contact Us

Our Dental Benefits Advisory Team is ready to answer your call. As a network dentist, you’ll get help with claims status, eligibility, and more. Your dedicated network manager can answer questions and keep you current on new benefits, features, and products.

Contact Our Dental Benefits Advisory Team

UPMC Vision Care Provider Portal

To view eligibility and submit claims for UPMC Vision Care members, visit the National Vision Administrators® (NVA) website.

NVA logo
Log In to the Vision Care Provider Portal

Join Us

Vision care professionals in our network enjoy top-notch support that lets them focus on patients. So can you. We’re happy to give you more information about becoming a UPMC Vision Advantage provider.

Learn More and Apply

Resources for Network Providers

Download a form for your practice, update your profile, or learn how to report fraud and abuse.

UPMC Vision Advantage Provider Portal

Visit our secure website, where network providers can sign in and complete most administrative tasks. You also can register to join the network.

Log In to Vision Advantage Provider Portal

Contact Us

Have a question? We’ll find an answer for you.

Contact a Representative

Announcements & Updates

The latest updates to our programs and policies can be found here.

Read Announcements

Our Provider Network

Interested in joining UPMC Community HealthChoices Home and Community Based Service provider network? Start here. Already in our network? You can update your information here as well.

Resources & Information

Find all UPMC Community HealthChoices documents, resources, manuals, guidelines, forms and other information for providers in downloadable formats.

Browse Resources

Provider OnLine

As a participating provider, you can access valuable information online via Provider OnLine.

Register for Provider OnLine

Learn More About Provider OnLine

Contact Us

Have a question or need to contact us? Find help for providers here.

See All Contact Info