Payer directory
UPMC Health Plan provider contacts
Provider phone number, Prior authorization, Payer ID, Claims address, from UPMC Health Plan's own provider pages.
Provider Services (Commercial (UPMC Health Plan)): 1-866-918-1595. From UPMC Health Plan's own page on upmchealthplan.com, verified October 23, 2026. 4 more entries by plan type below.
Provider phone number
| For | Type | Value | Payer page says | Verified |
|---|---|---|---|---|
| Provider ServicesCommercial (UPMC Health Plan) | Phone | 1-866-918-1595 | Commercial (UPMC Health Plan) 1-866-918-1595upmchealthplan.com | |
| Provider ServicesMedical Assistance (UPMC for You) | Phone | 1-866-918-1595 | Medical Assistance (UPMC for You ) 1-866-918-1595upmchealthplan.com | |
| Provider ServicesMedicare (UPMC for Life) | Phone | 1-877-539-3080 | Medicare (UPMC for Life ) 1-877-539-3080upmchealthplan.com | |
| Provider ServicesChildren's Health Insurance Program (UPMC for Kids) | Phone | 1-800-650-8762 | Children's Health Insurance Program (UPMC for Kids ) 1-800-650-8762upmchealthplan.com | |
| Provider ServicesMedicare Special Needs Plans (UPMC for Life Complete Care, HMO D-SNP) | Phone | 1-800-606-8648 | Medicare Special Needs Plans (UPMC for Life Complete Care, HMO D-SNP) 1-800-606-8648upmchealthplan.com |
Prior authorization
| For | Type | Value | Payer page says | Verified |
|---|---|---|---|---|
| Utilization Management fax (all lines of business) | Fax | 1-412-454-2070 | Clinical Operations Fax Numbers (all lines of business): Utilization Management Information: 412-454-2070upmchealthplan.com | |
| Clinical Operations/Utilization Management | Phone | 1-800-425-7800 | Providers may contact the Clinical Operations/Utilization Management Department by calling 1-800-425-7800 if they have a question or need instructions on how to submit prior authorizations during system outages.upmchealthplan.com | |
| Medical prior authorization and physician forms | Web page | upmchealthplan.com | UPMC Health Plan requires a prior authorization request for specific procedures or treatments to determine whether coverage of a request will be approved or denied.upmchealthplan.com |
Payer ID
| For | Type | Value | Payer page says | Verified |
|---|---|---|---|---|
| Electronic claims payer ID | Payer ID | 23281 | Providers who have existing relationships with clearinghouses such as WebMD® (UPMC Health Plan Payer ID: 23281)upmc.widen.net |
Claims address
| For | Type | Value | Payer page says | Verified |
|---|---|---|---|---|
| Paper claimsCommercial, CHIP | Mailing address | UPMC Health Plan, PO Box 2999, Pittsburgh, PA 15230 | Claims Submission UPMC Health Plan (choose PO Box from list below) Pittsburgh, PA 15230 Commercial, CHIP: PO Box 2999upmchealthplan.com | |
| Paper claimsMedicaid | Mailing address | UPMC Health Plan, PO Box 2995, Pittsburgh, PA 15230 | Claims Submission UPMC Health Plan (choose PO Box from list below) Pittsburgh, PA 15230 Commercial, CHIP: PO Box 2999 Medicaid: PO Box 2995upmchealthplan.com | |
| Paper claimsMedicare | Mailing address | UPMC Health Plan, PO Box 2997, Pittsburgh, PA 15230 | Claims Submission UPMC Health Plan (choose PO Box from list below) Pittsburgh, PA 15230 Commercial, CHIP: PO Box 2999 Medicaid: PO Box 2995 Medicare: PO Box 2997upmchealthplan.com |
Rivvi lists only what UPMC Health Plan publishes on its own provider pages (upmchealthplan.com). A topic with nothing verified is left off. This page does not say which providers or plans UPMC Health Plan contracts with.
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Source: UPMC Health Plan's own provider pages, linked in each table. Checked . Last updated . How Rivvi sources data. Spot an error? hello@rivvi.ai.
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