UPMC Health Plan

MedicaidVERIFIED

Also known as: UPMC for You

Payer contacts

Overview

Payer

States / regions: PA
Lines of business: Managed Medicaid
Directory entries: 1

Verified contacts

Contact information

Provider portalPennsylvania · Managed Medicaid: https://www.upmchealthplan.com/providers/medical (opens in a new tab)Verified · August 2026
Provider ServicesPennsylvania · Managed Medicaid: 866-918-1595Verified · August 2026
ClaimsPennsylvania · Managed Medicaid: 866-918-1595Verified · August 2026

Every contact is individually source-tracked with its verification date. A green “Verified” badge only appears when a source and date exist — see the payer contacts page for full source detail.

State / LOB scopes

Directory entries

UPMC for You — Pennsylvania — MedicaidPAPennsylvania · Managed MedicaidVerified · August 2026

AR workflows

Payer-specific denial guidance

Under development: Note

Payer-specific workflows — corrected claims, reconsideration, appeals, timely filing, eligibility and related CARC/RARC guidance — appear here only after they are verified against an authoritative source. Nothing is published speculatively.

Appeal Triage Timely Filing Authorization Medical Necessity CARC lookup RARC lookup

Source & verification

Official sources

UPMC Health Plan — official website — https://www.upmchealthplan.com
UPMC for You — Provider Manual (Welcome and Key Contacts) — https://www.upmchealthplan.com/docs/providers/2021_ProviderManual_A.pdf
UPMC for You (Medical Assistance) — Provider Manual — https://www.upmchealthplan.com/docs/providers/2021_ProviderManual_E2.pdf