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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.
Submitting a Claim Access the UPMC Consumer Advantage Portal via MyHealthOnline (navigate to Health Savings and Spending Accounts from the Your Insurance section, then select Visit UPMC Consumer Advantage Portal) Select File A Claim under the I Want To Select the account type and complete electronic form.
Sign in to the UPMC Health Plan app, tap Plan Details, then select Member Guide. Sign in to MyHealth OnLine and follow this path: Menu Forms and Guides under Plans and Coverage, select Member Guide.
The MRN enables medical records/history to be tracked for all periods of enrollment. Note: The MRN should be used as the Member ID when submitting bills or encounter data.
If you have questions about your benefits, call the UPMC for You Health Care Concierge team at 1-800-286-4242 (TTY 711).

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If you do not have your member ID number, call Member Services at 1-888-499-6885. From the homepage, click on ID cards under Your Insurance.
UPMC Health Plan accepts claims up to 180 days after the date of service for UPMC Community HealthChoices (Medical Assistance), UPMC for Kids (CHIP), and UPMC for You (Medical Assistance) Members. UPMC for You EPSDT claims must be submitted within 90 days after the date of service.
To speak with a customer service associate, please call 412-864-0284 or toll-free 1-844-591-5949. For questions about your UPMC Health Plan bill, please contact Member Services at 1-888-876-2756 or TTY 711. Hours: Monday - Friday: 7 a.m. - 7 p.m.

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