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 callsNov. 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