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  • Medical Necessity Form Out-of-network - Upmc Health Plan

Get Medical Necessity Form Out-of-network - Upmc Health Plan

Medical Necessity Form Out-of-Network TO: UPMC Health Plan Clinical Operations Department U.S. Steel Tower 600 Grant Street Pittsburgh, PA 15219 Phone: 412-454-7527 or 1-800-425-7800 FAX: 412-454-2057.

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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.

University of Pittsburgh Medical Center TypePrivate (not-for-profit)Total assetsUS$23 billion (2021)Number of employees92,000 (2021)ParentUPMC Health SystemDivisionsHealth Services Insurance Services UPMC International UPMC Enterprises11 more rows

The most important difference between an EPO and a PPO is that EPOs cover services only from providers in their network, whereas PPOs cover the services of both in- and out-of-network providers.

You may also request a printed copy of your 1095-B form by: Submitting your request by mail to ATTN Enrollment, UPMC Health Plan 600 Grant Street Pittsburgh, PA 15219. Submitting a request online by filling out our 1095-B contact form or emailing your request to 1095BInquiry@upmc.edu.

UPMC for You is a Managed Care Organization (MCO) licensed by the Pennsylvania Insurance Department.

Urgent and emergency care Your dependents have access to a number of urgent care centers through the extended network. And in an emergency, they can visit any hospital, even if it doesn't participate with UPMC Health Plan. The emergency care they receive will be covered at the in-network benefit level.

Understanding In-Network Access to UPMC 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.

You may also ask for a coverage determination, redetermination, or appeal by calling our Member Services Department at 1-800-606-8648 from 8 a.m. to 8 p.m., seven days a week. * TTY/TDD users should call 1-866-407-8762.

Level 1 includes physician practices, UPMC-owned hospitals, and more. Level 2 includes community-based hospitals and the services affiliated with them, such as lab services, x-rays, MRIs, and other diagnostic testing. Level 3 (PPO only) provides out-of-network access with the highest member cost share.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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