Important: Expedited appeals fax requirement

Jan. 2026Important Notices

Please remember that you must adhere to the designated process for submitting expedited appeals to have them processed in a timely manner. Follow these guidelines to help you successfully submit expedited appeals:

  • Submit by fax only: You must submit all expedited appeal requests by fax to 412-454-7920.
  • Avoid email/mail: Submitting expedited appeals by email or mail will cause processing delays and may prevent completion within the required 48-hour time frame.
  • Remember all required documentation: All expedited provider appeals must include the Expedited Medical Necessity Appeal Request Form available on the UPMC Health Plan website.

Failure to follow this process may result in processing delays. For more information on the process, view the Provider Manual – Chapter B, Provider Disputes.


Recent Announcements

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

CME Webinar: Navigating Grief Conversations

Please join us for a live, CME-accredited webinar on Thursday, Nov. 12, 2026, that will enhance your confidence and effectiveness in supporting patients dealing with loss & grief.
Oct. 2026Education/Webinars