Feedback sought on your experience with UPMC Health Plan

Jul. 2025Important Notices

You may be invited to participate in a 2025 Press Ganey provider satisfaction survey, which will begin next month. This survey will be given to a random sampling of in-network primary care providers.

UPMC Health Plan contracts with Press Ganey to measure in-network provider satisfaction levels and to meet one or more NCQA Health Plan Accreditation Standards. Press Ganey incorporates a percentile ranking to allow the Health Plan to compare its performance to a cohort of similar insurers that initiate a provider satisfaction survey.

In our 2024 survey of physician practices, 95 percent of respondents indicated that they would recommend UPMC Health Plan to other practices. In addition, respondents ranked the Health Plan in the 95th percentile when comparing us to other insurers with whom they participate.

Invitations will arrive in the mail or via email next month, and we ask that you share your feedback by completing the survey!

Recent Announcements

Important Notice Regarding Prior Authorizations for MP.PA.147

UPMC Health Plan previously communicated that prior authorizations would be required under policy Diagnostic and Surveillance Colonoscopy, 18 Years Old and Older – MP.PA.147 effective June 1, 2025. However, the prior authorization requirement will be paused until Sept. 1, 2025.
Jul. 2025Important Notices

Important Notice Regarding Prior Authorizations for MP.PA.147

UPMC Health Plan previously communicated that prior authorizations would be required under policy Diagnostic and Surveillance Colonoscopy, 18 Years Old and Older – MP.PA.147 effective June 1, 2025. However, the prior authorization requirement will be paused until Sept. 1, 2025.
Jul. 2025Important Notices

Clinical documentation required for hip, knee, and shoulder prior authorizations

As you know, UPMC Health Plan requires certain clinical documentation/notes in support of a request for prior authorization for hip, knee, and shoulder procedures in accordance with its established policies and procedures, in addition to CMS requirements that medical record documentation must support the medical necessity of the services requested.
Jul. 2025Important Notices