Resources for Dental Providers

Already with us? You can:

• Review UPMC Dental Advantage communications.
• Sign in to your secure UPMC Dental Advantage Provider Portal account.
• UPMC Dental Advantage Provider Manuals
• UPMC Dental Advantage Quick Guide (PDF)
• UPMC Dental Advantage – Product Guide (PDF)
• UPMC for Life Dental Advantage Plan Guide (PDF)
• Download a form for your practice:
  
  • CDT Procedure and Benefit Code Changes (PDF)
  • Dental Claim Form (PDF)
  • Electronic Fund Transfer Process
  • Out-of-Area Dental Claim Form (PDF)
  • Self-Audit Overpayment Form (PDF)
  • UPMC Dental Advantage Provider Refund Form (PDF)
• Submit information for Disclosure of Ownership and Control.
• Report fraud and abuse to UPMC Dental Advantage. Here are some examples of fraud and abuse:
  • Billing for services that were never provided to the member
  • Billing more than once for the same service
  • Falsifying records
  • Performing and/or billing for inappropriate or unnecessary services

How to report it:

• Call our dedicated hotline at 1-866-FRAUD-01 (1-866-372-8301). Voicemail is available at all times. You may remain anonymous. TTY users should call 711.
• Email specialinvestigationsunit@upmc.edu.
• Send information by U.S. mail:

  UPMC Dental Advantage

  Special Investigations Unit
  PO Box 2968
  Pittsburgh, PA 15230
  

  Be sure to mark the outside of the envelope "confidential" or "personal." You may remain anonymous.

Contact us with any questions.