Important update: InterQual Connect Prior Authorizations
Mar. 2022Important Notices
"As a reminder, prior authorizations for imaging and cardio procedures previously managed by Health Help will resume formal clinical reviews effective March 1, 2022. At this time there is no change to MSK/Orthopedic reviews.
Please ensure that prior authorization requests are submitted with complete information to increase the likelihood that they will be auto approved, eliminating the need for manual review and delayed authorizations."
Please ensure that prior authorization requests are submitted with complete information to increase the likelihood that they will be auto approved, eliminating the need for manual review and delayed authorizations."
Recent Announcements
CME Webinar: Getting it Right from the Start: Identifying Patient Advanced Care Directives
Please join us for a live, CME-accredited webinar on Thursday, Oct. 15, 2026 that will educate providers on identifying advanced directives and surrogate decision makers on admission.Oct. 2026Education/Webinars
UPMC Health Plan Tapestry Link live training session
UPMC Health Plan Tapestry Link is scheduled to go live on Tuesday, Dec. 1, 2026. To help prepare you for this launch we will be hosting a live training session on Wednesday, Nov. 4, 2026, from noon to 1 p.m. to help you familiarize yourself with the platform. During this training we will discuss:Sep. 2026Education/Webinars
Clinical workflow changes through Epic®
Changes are coming for network providers that utilize Provider OnLine to submit specific information to UPMC Health Plan. Select activities that were previously completed in Provider OnLine will now transition to UPMC Health Plan Tapestry Link.Sep. 2026Important Notices