Medical Providers
Provider Partner Update – February 2025
As a provider-led health insurer, we have a unique appreciation for our relationships with network doctors and care providers. Our Provider Partner Update newsletter includes the latest news and information for network providers.
Provider OnLine
As a participating provider, you can access valuable information via Provider OnLine.
Watch and learn more about Provider OnLineProvider OnLine Login
Sign InIf you forgot your user ID or need assistance, please call our Help Desk at 1-800-937-0438.
First-time users can create a Provider OnLine account.
To learn how to register, watch our instructional Provider OnLine registration video.
If you forgot your user ID or need assistance, please call our Help Desk at 1-800-937-0438.
First-time users can create a Provider OnLine account.
To learn how to register, watch our instructional Provider OnLine registration video.
No Surprises Act Negotiation Information
The Federal No Surprises Act within the Consolidated Appropriations Act of 2021 provides for out-of-network and balance billing protections for out-of-network Emergency, Air Ambulance, and certain services rendered at in-network facilities. The Act creates specific negotiation and dispute resolution protocols between payer and provider.
Guidelines
- Clinical Practice Guidelines
- Telehealth Guidelines
- Quality Assurance
- EPSDT Clinical and Operational Guidelines
Other Information
Provider Telehealth Guidelines and Toolkit
We are committed to offering industry-leading coverage to our members—subject to federal, state, and local regulations—and to supporting our network providers as they deliver cost-effective, quality care.
Our Provider Network
Interested in joining UPMC Health Plan’s provider network?
Already in our network? You can update your information as well.