Upmc Prior Auth Portal

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Updated: April 16, 2022

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Upmchealthplan.com

Most Visited Official Pages

Individuals & Family
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UPMC Health Plan: Quality Health Insurance

Social Handles

FAQs

1

Does UPMC follow Medicare guidelines?

UPMC for Life has a contract with Medicare to provide HMO, HMO SNP, and PPO plans. The HMO SNP plans have a contract with the PA State Medical Assistance program. Enrollment in UPMC for Life depends on contract renewal.
2

How do I pay my UPMC Insurance OnLine?

You can pay by credit card, debit card, or your checking or savings account (ACH). Visit upmchealthplan.com and log in to MyHealth OnLine, our secure member website. Once inside, click on Payment on the left-hand side of the homepage.
3

Does Ahn accept UPMC for Life?

AHN Grove City Hospital and AHN affiliated physicians will continue to accept patients with UPMC For Life Medicare Advantage plan. Most UPMC Individual Plans that use the UPMC Partner Network will continue to have access to AHN Grove City.
4

How do I get my insurance card UPMC?

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.”
5

How do I register with UPMC?

Sign in, with your UPMC Central PA Portal username and password.
...
I am an existing UPMC in Central Pa. patient:
  1. Select new user.
  2. Select I do not have a code.
  3. Complete information.
  4. After the form has been completed and submitted a code will be emailed to you to set up your new account.
6

How do I know if my insurance is active?

Log in to your HealthCare.gov account. Click on your name in the top right and select "My applications & coverage" from the dropdown. Select your completed application under “Your existing applications.” Here you'll see a summary of your coverage.
7

How do I pay my UPMC Insurance?

There are five easy ways to pay your bill:
  1. Sign up for autopay. Paying your bill every month is easy with autopay. ...
  2. Pay online. You can make a one-time payment by logging in to MyHealth OnLine. ...
  3. Call the number on the back of your member ID card. ...
  4. Visit a UPMC Health Plan Connect Center. ...
  5. Send a check or money order.
8

How do I get my EOB from UPMC?

You can view your EOB view your EOB anytime in the UPMC Health Plan app. Select the claim you want to view, scroll to the bottom of the screen, then click View the Explanation of Benefits.
2. Promptpa.com

UPMC PromptPA Portal: Home

https://upmc.promptpa.com/

New Prior Authorization; Check Status.

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