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

The importance of PRD forms for complex patients and staying updated on changes

Personal representative designation (PRD) forms are critical to the care process for patients and providers alike. Not only do PRDs support accurate, efficient, and compliant patient care—they also streamline administrative processes.
Aug. 2025Important Notices

Important announcement: UPMC Health Plan retires MP.PA.147

This communication is in regards to UPMC Health Plan Policy MP.PA.147 – Diagnostic and Surveillance Colonoscopy, 18 Years Old and Older. UPMC Health Plan previously communicated that the prior authorization requirement under this policy would be paused until Sept. 1, 2025. However, policy MP.PA.147 has been retired, and this policy will no longer be implemented or active.
Aug. 2025Important Notices

CMS expands Medicare Advantage RADV audits to all eligible plans

On May 21, 2025, the Centers for Medicare & Medicaid Services (CMS) announced a substantial expansion of its Risk Adjustment Data Validation (RADV) audit program for Medicare Advantage plans.
Aug. 2025What's New