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

Pause in Prior Authorization Policies

On April 1, 2025, we announced that UPMC Health Plan would start requiring prior authorization for certain services. Please note that we are delaying or changing the implementation of prior authorization for some of these services, as described below.
May 2025Important Notices

May is Mental Health Awareness Month

“Turn Awareness into Action”Mental Health America founded Mental Health Month in 1949, and since that time, every May has been a time to unite millions of people to promote awareness, provide vital resources, and advocate for everyones mental well-being. 1 in 5 people will experience a mental health condition in any given year¹. Mental health affects us all, and its critical that we move beyond awareness to take meaningful steps for our well-being and that of our community.
May 2025Important Notices

Special notice: Important policy changes

Effective June 1, 2025, UPMC Health Plan will be implementing policy changes that will require providers to obtain prior authorizations for services listed in the following policies. For more information, please visit upmchp.us/policiesandprocedures.
May 2025Important Notices