What providers need to know about charging UPMC for Life Complete Care members cost sharing

Mar. 2024Important Notices
The new year has brought important changes to UPMC for Life Complete Care (HMO D-SNP) grace periods. For providers, this affects their ability to charge some UPMC for Life Complete Care members cost sharing. Read this article in Provider Partner Update to learn about who providers can charge cost sharing, exceptions to the rule, and more.

Recent Announcements

UPMC Health Plan Tapestry Link resources available

UPMC Health Plan Tapestry Link will launch on Tuesday, Dec. 1, 2026. To help ease your transition to the new platform, we have developed the following resources:
Nov. 2026Important Notices

Changes to inpatient denial and OBS claim billing

We will soon transition to the Epic® platform. This change will align our claims processing with industry standards by adjudicating claims based on the level of care authorized. As this transition approaches, please keep the following areas in mind:
Nov. 2026

Provider Services does not accept automated calls

Provider Services does not accept automated calls
Nov. 2026Important Notices