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Policies & Procedures Manual | Health Care Providers - UPMC …

    https://www.upmchealthplan.com/providers/medical/resources/manuals/policies-procedures.aspx
    *Medical policies require prior authorization from our Medical Management Department. Submit prior authorizations via Provider OnLine. If you have any questions, contact Medical Management at 1-800-425-7800. You can view upcoming changes to medical policies at …

Policies & Procedures Manual | HCBS Providers | UPMC Health …

    https://www.upmchealthplan.com/providers/hcbs/resources/manuals/policies-procedures.aspx
    If you have any questions, contact Medical Management at 1-800-425-7800. ♦ Disclaimer: Policies and procedures designated with a ♦ are pending approval by the Department of …

Guidelines for Health Care Providers | UPMC Health Plan

    https://www.upmchealthplan.com/providers/medical/resources/guidelines/
    Clinical Practice Guidelines Find up-to-date clinical guidelines for cardiology, diabetes, physical/behavioral health, respiratory, and women’s health as well as preventive and …

Quality Health Insurance | UPMC Health Plan

    https://www.upmchealthplan.com/
    As a UPMC Health Plan member, you have access to much more than top-ranked care. Your plan includes online health tools, award-winning customer service, health and …

Manuals for Health Care Providers | UPMC Health …

    https://www.upmchealthplan.com/providers/medical/resources/manuals/
    Manuals for Health Care Providers | UPMC Health Plan Providers Medical Dental Vision HCBS Please note, email notifications of new explanation of payments (EOPs) are currently under maintenance. …

Care and Coverage | UPMC for Life - UPMC Health Plan

    https://www.upmchealthplan.com/medicare/learn/plans/learn-about-care-coverage.aspx
    UPMC for Life is part of UPMC, a world-renowned health care provider based in Pittsburgh. We offer a range of Medicare Advantage plans and serve more than 200,000 members. …

For Current Members: General Information | UPMC Health Plan

    https://www.upmchealthplan.com/members/
    Understand Your Plan Learn the basics of how health insurance works—and how UPMC Health Plan's works for you online, in an app, or with your voice. Health Plan Basics …

UPMC Health Plan Medical Policy Updates - December 2022

    https://policyalerts.com/upmc-health-plan-medical-policy-updates-december-2022/
    Policy Alerts continuously monitors Commercial and Medicare Payer coverage information to keep you up-to-date on medical Insurance decisions in real …

UPMC POLICY AND PROCEDURE MANUAL …

    https://www.upmc.com/-/media/upmc/patients-visitors/paying-bill/services/documents/billing-and-collection-policy.pdf?rev=22dac6d93b1040409684aa27f7f64f3c&hash=21EA5689C667D4D17003AA877F8A0FB8
    care. It is UPMC’s policy to pursue collection of patient balances from those patients who have the ability to pay for these services. The UPMC Patient …



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