Notice: Submit your claims for ACA members
Apr. 2024Important Notices
UPMC Health Plan would like to remind all network providers to submit all outstanding calendar year 2023 claims for ACA members no later than April 15, 2024. HHS requires all issuers to submit their calendar year claims to the EDGE server by April 30 every year in order to provide a more complete and accurate picture of each patient’s health status. Any claims adjudicated after the deadline are not included for EDGE data submission.
Claims can be submitted via the secure portal.
If you have any questions, please contact Provider Services or your physician account executive.
Claims can be submitted via the secure portal.
If you have any questions, please contact Provider Services or your physician account executive.
Recent Announcements
Important updates on influenza prevention and treatment
As we continue to navigate flu season, we want to emphasize three critical areas to ensure the health and safety of your patients who are UPMC Health Plan members: Consider antiviral therapy when appropriate, encourage masking to prevent the spread of respiratory viruses, and continue to recommend the flu vaccine.Feb. 2025Important Notices
Provider OnLine Enhancements
Provider OnLine will soon be launching enhancements to the authorization process.Feb. 2025Important Notices
CME Webinar: Asthma Clinical Guideline Updates
Please join us for a live, CME-accredited webinar on Wednesday, April 30, that will provide an overview of asthma clinical guideline updates.Feb. 2025Education/Webinars