HIPAA Fax Line Permanently Closed as of 2/1/2025

Feb. 2025Important Notices

The UPMC Health Plan HIPAA Fax Line 412-454-7829 has been permanently closed and is no longer receiving faxes. The most efficient way to submit a PRD (Personal Representative Designation) form is for the member to do so via the Member Site (Digital Account).

Completing a PRD Form on the Member Site is much faster and more efficient than sending in a paper PRD form; however, if the member needs to submit a paper request, please submit directly to:

UPMC Health Plan

ATTN: Medicare Enrollment

PO Box 2965

Pittsburgh PA, 15230-2965

When mailing HIPAA documents, please include the member’s name, DOB, and/or Member ID on each page of your document. This helps us ensure we have all the pages of a document, and that those documents will be added to the member’s account. Processing may be delayed if we do not have this information and are unable to locate or confirm the member in our systems.

Recent Announcements

Clinical documentation required for hip, knee, and shoulder prior authorizations

As you know, UPMC Health Plan requires certain clinical documentation/notes in support of a request for prior authorization for hip, knee, and shoulder procedures in accordance with its established policies and procedures, in addition to CMS requirements that medical record documentation must support the medical necessity of the services requested.
Jul. 2025Important Notices

Clinical documentation required for hip, knee, and shoulder prior authorizations

As you know, UPMC Health Plan requires certain clinical documentation/notes in support of a request for prior authorization for hip, knee, and shoulder procedures in accordance with its established policies and procedures, in addition to CMS requirements that medical record documentation must support the medical necessity of the services requested.
Jul. 2025Important Notices

Understanding MP.PA.147

Understanding changes to the Diagnostic and Surveillance Colonoscopy, 18 Years Old and Older – MP.PA.147 policy
Jul. 2025Important Notices