Member eligibility and benefits information transitioning from NaviNet to Provider OnLine
Dec. 2024Important Notices
Effective March 20, 2025, UPMC Health Plan network providers will no longer have access to member eligibility and benefits information through NaviNet. After this date, network providers should visit upmchealthplan.com/providers/medical/ to access this information. If you have questions or issues accessing Provider OnLine, please contact your physician account executive or network manager or call Provider Services at 1-866-918-1595.
Recent Announcements
Medicaid provider update: High-cost Medicaid drug billing
Billing requirements for Medicaid-covered drugsNov. 2025Important Notices
Training Webinar: Conversio Health COPD Management Program
Please join us for a live training webinar for primary care providers and pulmonologists by UPMC Health Plan that will provide an overview of a comprehensive COPD management program from Conversio Health.Nov. 2025Education/Webinars
Prescription for Wellness ~ Leveraging Insurance Carrier Resources to Optimize Patient Engagement Outcomes!
Prescription for Wellness is a nationally recognized, Six Sigma-developed best practice system that provides a convenient and effective way for providers to prescribe resources and support offered by UPMC Health Plan to their patients who are UPMC Health Plan members.Nov. 2025Education/Webinars