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

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

UPMC Dental Advantage celebrates 15-years of growth

From pilot program to now serving all product lines
Jan. 2026What's New

The CAHPS survey is coming soon

The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey will be conducted from March through May. This survey gathers feedback from patients about their care experiences and is distributed across all lines of business. The results play a critical role in shaping quality ratings, reimbursement, and patient confidence in their care.
Jan. 2026Important Notices