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

Important announcement – Telehealth submissions

As of October 1, 2025, UPMC Health Plan continues to accept the submission of telehealth claims. Providers may conduct telehealth visits for UPMC Health Plan members in all UPMC Insurance products. UPMC Insurance products include UPMC Advantage group and individual products, UPMC for Life Medicare Advantage plans, UPMC for Kids CHIP plans, UPMC Community HealthChoices, and UPMC for You Medical Assistance plans.
Sep. 2025Important Notices

October 2025 UPMC for You and UPMC Community HealthChoices Formulary Update

Effective October 1st, 2025, Xifaxan and Retin-A (cream, gel) will no longer be covered by UPMC for You and UPMC Community HealthChoices due to non-participation in the Medicaid Drug Rebate Program.
Sep. 2025Pharmacy Updates

Biosimilar Medication Formulary Updates

Updates to formulary biosimilar medications for denosumab, eculizumab, and ustekinumab products
Sep. 2025Pharmacy Updates