Provider OnLine improvements coming in early 2024

Nov. 2023Important Notices
Provider OnLine is a comprehensive resource that allows participating providers to access valuable information online. Starting in early 2024, the site will begin featuring updates to improve your experience. The first of these are updates to member plan (eligibility) information, and improvement to user set up (security management).

Updates to the features include:
  • Improved search speeds.
  • Improved navigation.
  • Expanded participating network information.
  • Policy-level eligibility views.
  • Simplified screen designs.
  • Usability of information presented.

Log in to explore resources
If you have any questions, please contact your physician account executive or call Provider Services at 1-866-918-1595.

Don’t have a Provider OnLine account?
First-time users can create an account by completing an account administrator application.

Recent Announcements

October 2025 UPMC for You and UPMC Community HealthChoices formulary update

Effective Oct. 1, 2025, Xifaxan and Retin-A (cream, gel) will no longer be covered by UPMC for You and UPMC Community HealthChoices due to nonparticipation in the Medicaid Drug Rebate Program.
Oct. 2025Pharmacy Updates

Voluntary nationwide recall: Ocaliva (Intercept – September)

Intercept Pharmaceuticals, Inc. is voluntarily withdrawing Ocaliva® (obeticholic acid) from the market. Ocaliva is used to treat a rare liver disease called primary biliary cholangitis (PBC).
Oct. 2025Pharmacy Updates

HelpScript service helps patients enroll in manufacturer copay assistance programs

End-to-end provider support helps ensure a smooth submission process
Oct. 2025Important Notices