UPMC Health Plan uses Interqual® criteria sets for prior authorizations
May 2024Education/Webinars
UPMC for Life Medicare Advantage credentialed providers may use the UPMC Health Plan Self-Registration Transparency Tool for additional information.
Recent Announcements
UPMC Dental Advantage celebrates 15-years of growth
From pilot program to now serving all product linesJan. 2026What's New
Provider Directory Updates and Required Attestation
As you know, UPMC Health Plan requires all providers to verify their provider directory information at least every 90 days (quarterly).Jan. 2026Important Notices
Important: Expedited appeals fax requirement
Please remember that you must adhere to the designated process for submitting expedited appeals to have them processed in a timely manner. Follow these guidelines to help you successfully submit expedited appeals:Jan. 2026Important Notices