Get Upmc Prior Auth Form

CLAIM.MD | Payer Information | UPMC Health Plan.

clearinghouses. Update the clearinghouse with the Tufts Health Public Plans payer ID number: 04298. ABILITY® — for questions about setup and connectivity, visit ABILITY's website or call 888-499-5465.

Just click to connect. You can also visit the Contact UPMC page or call 412-647-8762 (UPMC) or 1-800-533-8762 (UPMC). If this is an urgent medical matter, please call 911 or go to the nearest ER for treatment.

Payer Name: South Central Preferred.

Providers treating UPMC Health Plan members will be required to submit prior authorization requests for advanced radiology/imaging, cardiology, sleep, and musculoskeletal services.

If you require a prior authorization for a medication not listed here, please contact UPMC Health Plan Pharmacy Services at 1-800-979-UPMC (8762). If you are unable to locate a specific drug on our formulary, you can also select Non-Formulary Medications, then complete and submit that prior authorization form.

Providers treating UPMC Health Plan members will be required to submit prior authorization requests for advanced radiology/imaging, cardiology, sleep, and musculoskeletal services.

If you require a prior authorization for a medication not listed here, please contact UPMC Health Plan Pharmacy Services at 1-800-979-UPMC (8762). If you are unable to locate a specific drug on our formulary, you can also select Non-Formulary Medications, then complete and submit that prior authorization form.

Payer Name: Vantage Health Plan, Inc. Payer ID: 72128|Professional (CMS1500)/Institutional (UB04)[Hospitals]

Prior authorization is not required for emergency or urgent care. Out-of-network physicians, facilities and other health care providers must request prior authorization for all procedures and services, excluding emergent or urgent care, as identified below.

UPMC Health Plan accepts electronic claims in data file transmissions. Providers who have existing relationships with clearinghouses such as WebMD (UPMC Health Plan Payer ID: 23281), NDC, and HDS can continue to transmit claims in the format produced by their billing software.

All completed authorization forms can be faxed to: 717-782-3671 OR sent to: UPMC in Central Pa. You can then give the completed authorization form to the individual or organization to whom you wish to give access to.

CLAIM.MD | Payer Information | UPMC Health Plan.

clearinghouses. Update the clearinghouse with the Tufts Health Public Plans payer ID number: 04298. ABILITY® — for questions about setup and connectivity, visit ABILITY's website or call 888-499-5465.

Just click to connect. You can also visit the Contact UPMC page or call 412-647-8762 (UPMC) or 1-800-533-8762 (UPMC). If this is an urgent medical matter, please call 911 or go to the nearest ER for treatment.

Payer Name: South Central Preferred.

Providers treating UPMC Health Plan members will be required to submit prior authorization requests for advanced radiology/imaging, cardiology, sleep, and musculoskeletal services.

If you require a prior authorization for a medication not listed here, please contact UPMC Health Plan Pharmacy Services at 1-800-979-UPMC (8762). If you are unable to locate a specific drug on our formulary, you can also select Non-Formulary Medications, then complete and submit that prior authorization form.

Providers treating UPMC Health Plan members will be required to submit prior authorization requests for advanced radiology/imaging, cardiology, sleep, and musculoskeletal services.

If you require a prior authorization for a medication not listed here, please contact UPMC Health Plan Pharmacy Services at 1-800-979-UPMC (8762). If you are unable to locate a specific drug on our formulary, you can also select Non-Formulary Medications, then complete and submit that prior authorization form.

Payer Name: Vantage Health Plan, Inc. Payer ID: 72128|Professional (CMS1500)/Institutional (UB04)[Hospitals]

Prior authorization is not required for emergency or urgent care. Out-of-network physicians, facilities and other health care providers must request prior authorization for all procedures and services, excluding emergent or urgent care, as identified below.

UPMC Health Plan accepts electronic claims in data file transmissions. Providers who have existing relationships with clearinghouses such as WebMD (UPMC Health Plan Payer ID: 23281), NDC, and HDS can continue to transmit claims in the format produced by their billing software.

All completed authorization forms can be faxed to: 717-782-3671 OR sent to: UPMC in Central Pa. You can then give the completed authorization form to the individual or organization to whom you wish to give access to.