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  • Upmc Health Plan Prior Authorization Form 2012

Get Upmc Health Plan Prior Authorization Form 2012-2025

800-979-UPMC (8762) FAX 412-454-7722 PLEASE TYPE OR PRINT NEATLY Please complete all sections of this form AND include details of past relevant medical treatment, which substantiates the need for an exception to using formulary alternatives, i.e. past prescription treatment failures, documented side effects, chart documentation, lab values, etc. Incomplete responses may delay this request. Office Contact: Provider Specialty: Provider First Name: Provider Last Name: Provider Phone: Provide.

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

UPMC Health Plan is a health benefits company based in Pittsburgh, Pa., which serves more than 440,000 members with its commercial insurance, Medical Assistance and Medicare Advantage products. More than 325,000 members have enrolled through one of the Health Plan's 6,000-plus employer group business partners.

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.

Medicaid and Medical Assistance Plans.

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.

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.

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.

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.

If you do not have your member ID number, call Member Services at 1-888-499-6885. From the homepage, click on “order new ID card” under “Online Services.”

Provider Services 1-844-860-9303 Hours: Monday through Friday, 8 a.m. to 5 p.m.

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© Copyright 1997-2025
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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