UPMC Health Plan uses Interqual® criteria sets for prior authorizations

May 2024Education/Webinars

UPMC for Life Medicare Advantage credentialed providers may use the UPMC Health Plan Self-Registration Transparency Tool for additional information.

Recent Announcements

Provider Directory Updates and Required Attestation

As you know, UPMC Health Plan requires all providers to verify their provider directory information at least every 90 days (quarterly).
Jan. 2026Important Notices

UPMC Dental Advantage celebrates 15-years of growth

From pilot program to now serving all product lines
Jan. 2026What's New

The CAHPS survey is coming soon

The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey will be conducted from March through May. This survey gathers feedback from patients about their care experiences and is distributed across all lines of business. The results play a critical role in shaping quality ratings, reimbursement, and patient confidence in their care.
Jan. 2026Important Notices