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  • Provider Nomination Form - Upmc Health Plan

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Provider Nomination Group Name: Date of Request: Requester Information Requester?s Name: Requester?s Phone: Requester?s Address: Requester?s City, State, Zip: Your information will be kept strictly.

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UPMC Health Plan, headquartered in Pittsburgh, Pennsylvania, is among the nation's fastest-growing health plans. It is owned by the University of Pittsburgh Medical Center (UPMC), a world-renowned health care provider.

UPMC Medicare Resources for Seniors UPMC for Life is the UPMC Health Plan Medicare Program for seniors.

National Committee for Quality Assurance (NCQA) UPMC for You is one of five Medicaid plans in Pennsylvania to earn an overall rating of 4 out of 5 Stars in NCQA's Medicaid Health Insurance Plan Ratings for 2021-2022.

Providers who have existing relationships with clearinghouses such as WebMD® (UPMC Health Plan Payer ID: 23281), RelayHealth, or ALLScripts (among others) can continue to transmit claims in the format produced by their billing software.

I am nominating: An individual practitioner such as a doctor or other healthcare professional. To add an individual to an existing group, click here to apply via our provider portal. A group of practitioners. A facility such as a hospital or lab.

UPMC provides most Highmark members with full, in-network access to UPMC hospitals, doctors, and services and accepts most major insurers, including Aetna, Cigna, Highmark, United Healthcare, and UPMC Health Plan.

It is owned by the University of Pittsburgh Medical Center (UPMC), a world-renowned health care provider.

UPMC Health Plan accepts claims up to 180 days after the date of service for UPMC Community HealthChoices (Medical Assistance) Participants.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232